دورية أكاديمية
Complications and risk factors for severe outcome in children with measles
| العنوان: | Complications and risk factors for severe outcome in children with measles |
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| المؤلفون: | Lo Vecchio A, Krzysztofiak A, Montagnani C, Valentini P, Rossi N, Garazzino S, Raffaldi I, Di Gangi M, Esposito S, Vecchi B, Melzi ML, Lanari M, Zavarise G, Bosis S, Valenzise M, Cazzato S, Sacco M, Govoni MR, Mozzo E, Cambriglia MD, Bruzzese E, Di Camillo C, Pata D, Graziosi A, Sala D, Magurano F, Villani A, Guarino A, Galli L, SITIP Measles Study Group. |
| المساهمون: | Lo Vecchio, A, Krzysztofiak, A, Montagnani, C, Valentini, P, Rossi, N, Garazzino, S, Raffaldi, I, Di Gangi, M, Esposito, S, Vecchi, B, Melzi, Ml, Lanari, M, Zavarise, G, Bosis, S, Valenzise, M, Cazzato, S, Sacco, M, Govoni, Mr, Mozzo, E, Cambriglia, Md, Bruzzese, E, Di Camillo, C, Pata, D, Graziosi, A, Sala, D, Magurano, F, Villani, A, Guarino, A, Galli, L, SITIP Measles Study, Group. |
| سنة النشر: | 2018 |
| المجموعة: | IRIS Università degli Studi di Perugia |
| مصطلحات موضوعية: | children, complication, genotype, measle, severe outcome |
| الوصف: | Objective and design: Risk factors for severe measles are poorly investigated in high-income countries. The Italian Society for Paediatric Infectious Diseases conducted a retrospective study in children hospitalised for measles from January 2016 to August 2017 to investigate the risk factors for severe outcome defined by the presence of long-lasting sequelae, need of intensive care or death. Results: Nineteen hospitals enrolled 249 children (median age 14.5 months): 207 (83%) children developed a complication and 3 (1%) died. Neutropaenia was more commonly reported in children with B3-genotype compared with other genotypes (29.5% vs 7.7%, p=0.01). Pancreatitis (adjusted OR [aOR] 9.19, p=0.01) and encephalitis (aOR 7.02, p=0.04) were related to severe outcome in multivariable analysis, as well as C reactive protein (CRP) (aOR 1.1, p=0.028), the increase of which predicted severe outcome (area under the receiver operating characteristic curve 0.67, 95% CI 0.52 to 0.82). CRP values >2 mg/dL were related to higher risk of complications (OR 2.0, 95% CI 1.15 to 3.7, p=0.01) or severe outcome (OR 4.13, 95% CI 1.43 to 11.8, p<0.01). Conclusion: The risk of severe outcome in measles is independent of age and underlying conditions, but is related to the development of organ complications and may be predicted by CRP value. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/30636224; journal:ARCHIVES OF DISEASE IN CHILDHOOD; http://hdl.handle.net/11391/1447377Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85059902738; http://adc.bmjjournals.comTest |
| DOI: | 10.1136/archdischild-2018-315290 |
| الإتاحة: | https://doi.org/10.1136/archdischild-2018-315290Test http://hdl.handle.net/11391/1447377Test http://adc.bmjjournals.comTest |
| رقم الانضمام: | edsbas.F31F23C3 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/archdischild-2018-315290 |
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