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Titolo:
Epidemiology of viral nosocomial infections in pediatrics.
Autore:
Aho, LS; Simon, I; Bour, JB; Morales-Gineste, L; Pothier, P; Gouyon, JB;
Indirizzi:
CHU, Hop Bocage, Serv Epidemiol & Hyg Hosp, F-21034 Dijon, France CHU Dijon France F-21034 erv Epidemiol & Hyg Hosp, F-21034 Dijon, France CHU, Hop Bocage, Serv Pediat, F-21034 Dijon, France CHU Dijon France F-21034 Hop Bocage, Serv Pediat, F-21034 Dijon, France CHU, Hop Bocage, Virol Lab, F-21034 Dijon, France CHU Dijon France F-21034 U, Hop Bocage, Virol Lab, F-21034 Dijon, France
Titolo Testata:
PATHOLOGIE BIOLOGIE
fascicolo: 10, volume: 48, anno: 2000,
pagine: 885 - 892
SICI:
0369-8114(200012)48:10<885:EOVNII>2.0.ZU;2-7
Fonte:
ISI
Lingua:
FRE
Soggetto:
RESPIRATORY SYNCYTIAL VIRUS; INTENSIVE-CARE UNIT; NEONATAL NECROTIZING ENTEROCOLITIS; POLYMERASE CHAIN-REACTION; CALICIVIRUS GASTROENTERITIS; MOLECULAR EPIDEMIOLOGY; RHINOVIRUS INFECTIONS; CHEMICAL DISINFECTION; ADENOVIRUS INFECTION; ROTAVIRUS INFECTION;
Keywords:
epidemiology; nosocomial infections; pediatric ward; viral infections;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
73
Recensione:
Indirizzi per estratti:
Indirizzo: Aho, LS CHU, Hop Bocage, Serv Epidemiol & Hyg Hosp, BP 1542, F-21034 Dijon, France CHU BP 1542 Dijon France F-21034 , BP 1542, F-21034 Dijon, France
Citazione:
L.S. Aho et al., "Epidemiology of viral nosocomial infections in pediatrics.", PATH BIOL, 48(10), 2000, pp. 885-892

Abstract

Nosocomial viral infections account for at least 5 % of the fetal of NI and reach 23 % in pediatric wards. The nosocomial infection (NI) incidence rate varies from 0.59 to 0.72 per 100 patients in pediatric wards. Many viruses have been associated with NI in pediatric wards. Rotavirus and respiratory syncytial virus (RSV) are the most frequent Other Viruses frequently identified are :calicivirus, adenovirus, astrovirus, influenza et para-influenza, rhinovirus and coronavirus. Asymptomatic infections occur frequently. The period of communicability varies and depends on the virus. It often begins before the clinical signs appear and ends after the healing. Viral shedding may be intermittent. Children and hospital environment and less frequently hospital staff are the main source for the virus. Poor handwashing results in direct spread to patient or self-inoculation even for respiratory viruses like RSV and rhinovirus. The main risk factors for NI are prolonged hospital stay, past history of prematurity and low age. Immunocompromised patients constitute a special high-risk group. Understaffing is also a risk factor. Minimal infective doses depend on the route of inoculation and the kind of virus. Low doses are for example sufficient for rotavirus, adenovirus and calicivirus. Viral inactivation is all the more easy when there is anenvelope. Handwashing and appropriate isolation (technical and geographical) are the mainstay of prevention of viral NI. Vaccines are promising, especially for rotavirus. (C) 2000 Editions scientifiques et medicales ElsevierSAS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 16:10:55