Complications of varicella in healthy children in Izmir, Turkey

Background : The purpose of the paper was to evaluate the indications of hospital admissions and complications of varicella infection in immunologically healthy children. Methods : Between 1997 and 2001, patient records of children hospitalized due to varicella infection were reviewed. Incidence and...

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Veröffentlicht in:Pediatrics international 2005-06, Vol.47 (3), p.296-299
Hauptverfasser: Koturoglu, Güldane, Kurugöl, Zafer, Çetin, Nuran, Hizarcioglu, Murat, Vardar, Fadil, Helvaci, Mehmet, Çapar, Zafer, Özkinay, Ferda, Özkinay, Cihangir
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container_issue 3
container_start_page 296
container_title Pediatrics international
container_volume 47
creator Koturoglu, Güldane
Kurugöl, Zafer
Çetin, Nuran
Hizarcioglu, Murat
Vardar, Fadil
Helvaci, Mehmet
Çapar, Zafer
Özkinay, Ferda
Özkinay, Cihangir
description Background : The purpose of the paper was to evaluate the indications of hospital admissions and complications of varicella infection in immunologically healthy children. Methods : Between 1997 and 2001, patient records of children hospitalized due to varicella infection were reviewed. Incidence and clinical spectrum of complications and their distribution related to age and seasonal variations were analyzed. Results : A total of 178 immunocompetent children were hospitalized for varicella complications during the study period. This resulted in a crude incidence of 6.3/100 000 population at risk. All hospital admissions were due to accompanying complications. The majority of complications occurred in preschool‐age children with a median age of 3 years. No gender predominance was found. The most frequent complications were infectious complications, which were observed in 79 children (44%). Superinfections of the skin were present in 24 patients. Pneumonia was observed in 59 children: 49 had bacterial, 10 had viral pneumonia. Pyogenic arthritis was seen in two children and one had concomitant osteomyelitis. Group A β‐hemolytic streptococci were recovered from two patients with invasive bacterial infections. A total of 68 (38%) neurologic complications were observed. Cerebellar ataxia was present in 24, encephalitis was present in 17. Infectious complications occurred more frequently in younger children (median age: 2 years), whereas neurologic complications occurred at an older age (median age: 6 years). Hematologic complications were seen in nine children. There was a seasonal distribution of complications with a peak in January. Conclusion : Complications of varicella requiring hospitalization in immunocompetent children are more frequent than previously thought.
doi_str_mv 10.1111/j.1442-200x.2005.02054.x
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Methods : Between 1997 and 2001, patient records of children hospitalized due to varicella infection were reviewed. Incidence and clinical spectrum of complications and their distribution related to age and seasonal variations were analyzed. Results : A total of 178 immunocompetent children were hospitalized for varicella complications during the study period. This resulted in a crude incidence of 6.3/100 000 population at risk. All hospital admissions were due to accompanying complications. The majority of complications occurred in preschool‐age children with a median age of 3 years. No gender predominance was found. The most frequent complications were infectious complications, which were observed in 79 children (44%). Superinfections of the skin were present in 24 patients. Pneumonia was observed in 59 children: 49 had bacterial, 10 had viral pneumonia. Pyogenic arthritis was seen in two children and one had concomitant osteomyelitis. Group A β‐hemolytic streptococci were recovered from two patients with invasive bacterial infections. A total of 68 (38%) neurologic complications were observed. Cerebellar ataxia was present in 24, encephalitis was present in 17. Infectious complications occurred more frequently in younger children (median age: 2 years), whereas neurologic complications occurred at an older age (median age: 6 years). Hematologic complications were seen in nine children. There was a seasonal distribution of complications with a peak in January. 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Methods : Between 1997 and 2001, patient records of children hospitalized due to varicella infection were reviewed. Incidence and clinical spectrum of complications and their distribution related to age and seasonal variations were analyzed. Results : A total of 178 immunocompetent children were hospitalized for varicella complications during the study period. This resulted in a crude incidence of 6.3/100 000 population at risk. All hospital admissions were due to accompanying complications. The majority of complications occurred in preschool‐age children with a median age of 3 years. No gender predominance was found. The most frequent complications were infectious complications, which were observed in 79 children (44%). Superinfections of the skin were present in 24 patients. Pneumonia was observed in 59 children: 49 had bacterial, 10 had viral pneumonia. Pyogenic arthritis was seen in two children and one had concomitant osteomyelitis. Group A β‐hemolytic streptococci were recovered from two patients with invasive bacterial infections. A total of 68 (38%) neurologic complications were observed. Cerebellar ataxia was present in 24, encephalitis was present in 17. Infectious complications occurred more frequently in younger children (median age: 2 years), whereas neurologic complications occurred at an older age (median age: 6 years). Hematologic complications were seen in nine children. There was a seasonal distribution of complications with a peak in January. Conclusion : Complications of varicella requiring hospitalization in immunocompetent children are more frequent than previously thought.</description><subject>Arthritis, Infectious - epidemiology</subject><subject>Bacteria</subject><subject>Chickenpox - complications</subject><subject>Chickenpox - epidemiology</subject><subject>Chickenpox - immunology</subject><subject>Child, Preschool</subject><subject>Children &amp; youth</subject><subject>complications</subject><subject>epidemiology</subject><subject>Female</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Male</subject><subject>Nervous System Diseases - epidemiology</subject><subject>Patient admissions</subject><subject>Pneumonia - epidemiology</subject><subject>Seasons</subject><subject>Superinfection - epidemiology</subject><subject>Turkey - epidemiology</subject><subject>varicella</subject><subject>Varicella-zoster virus</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctOGzEUhi3UimtfoRp10RUz9f2yqCqUAkVClAVQdpbjsRWHuQQ7U5I-fT0kBamb1ovjI_v7f_ucA0CBYIXy-jSvEKW4xBCuqhxYBTFktFrtgP0_F_dvck6wLCXkYg8cpDSHEEoh6S7YQ0whSBndB18mfbtogjXL0Hep6H3x08RgXdOYInTFzJlmOVsXdhaaOrpuPLv41YZ4XNwM8cGtj8Bbb5rk3m33Q3B7dnoz-VZefj-_mJxclpYhTkvlGaytdzWnlDKLORGWOlYLjzGfTi1hSBHuFVa8NnKqlMglWOOR55Ipicgh-LjxXcT-cXBpqduQnr_ZuX5ImgvJiWTsnyBSkmFMRAY__AXO-yF2uQiNEaaSEawyJDeQjX1K0Xm9iKE1ca0R1OMo9FyPHdfjKMbA9PMo9CpL32_9h2nr6lfhtvcZ-LwBnkLj1v9trK9Pv45Z1pcbfUhLt3rRm_iQu0EE0z-uzrU4u5P5Pawp-Q0cm6SK</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Koturoglu, Güldane</creator><creator>Kurugöl, Zafer</creator><creator>Çetin, Nuran</creator><creator>Hizarcioglu, Murat</creator><creator>Vardar, Fadil</creator><creator>Helvaci, Mehmet</creator><creator>Çapar, Zafer</creator><creator>Özkinay, Ferda</creator><creator>Özkinay, Cihangir</creator><general>Blackwell Science Pty</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200506</creationdate><title>Complications of varicella in healthy children in Izmir, Turkey</title><author>Koturoglu, Güldane ; 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Methods : Between 1997 and 2001, patient records of children hospitalized due to varicella infection were reviewed. Incidence and clinical spectrum of complications and their distribution related to age and seasonal variations were analyzed. Results : A total of 178 immunocompetent children were hospitalized for varicella complications during the study period. This resulted in a crude incidence of 6.3/100 000 population at risk. All hospital admissions were due to accompanying complications. The majority of complications occurred in preschool‐age children with a median age of 3 years. No gender predominance was found. The most frequent complications were infectious complications, which were observed in 79 children (44%). Superinfections of the skin were present in 24 patients. Pneumonia was observed in 59 children: 49 had bacterial, 10 had viral pneumonia. Pyogenic arthritis was seen in two children and one had concomitant osteomyelitis. Group A β‐hemolytic streptococci were recovered from two patients with invasive bacterial infections. A total of 68 (38%) neurologic complications were observed. Cerebellar ataxia was present in 24, encephalitis was present in 17. Infectious complications occurred more frequently in younger children (median age: 2 years), whereas neurologic complications occurred at an older age (median age: 6 years). Hematologic complications were seen in nine children. There was a seasonal distribution of complications with a peak in January. Conclusion : Complications of varicella requiring hospitalization in immunocompetent children are more frequent than previously thought.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>15910454</pmid><doi>10.1111/j.1442-200x.2005.02054.x</doi><tpages>4</tpages></addata></record>
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subjects Arthritis, Infectious - epidemiology
Bacteria
Chickenpox - complications
Chickenpox - epidemiology
Chickenpox - immunology
Child, Preschool
Children & youth
complications
epidemiology
Female
Hospitalization - statistics & numerical data
Humans
Incidence
Infections
Male
Nervous System Diseases - epidemiology
Patient admissions
Pneumonia - epidemiology
Seasons
Superinfection - epidemiology
Turkey - epidemiology
varicella
Varicella-zoster virus
title Complications of varicella in healthy children in Izmir, Turkey
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