Enterovirus D68 Infection Among Children With Medically Attended Acute Respiratory Illness, Cincinnati, Ohio, July–October 2014
Background. Enterovirus D68 (EV-D68) caused a widespread outbreak of respiratory illness in the United States in 2014, predominantly affecting children. We describe EV-D68 rates, spectrum of illness, and risk factors from prospective, population-based acute respiratory illness (ARI) surveillance at...
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| Veröffentlicht in: | Clinical infectious diseases 2017-07, Vol.65 (2), p.315-323 |
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| creator | Biggs, Holly M. McNeal, Monica Nix, W. Allan Kercsmar, Carolyn Curns, Aaron T. Connelly, Beverly Rice, Marilyn Chern, Shur-Wern Wang Prill, Mila M. Back, Nancy Oberste, M. Steven Gerber, Susan I. Staat, Mary A. |
| description | Background. Enterovirus D68 (EV-D68) caused a widespread outbreak of respiratory illness in the United States in 2014, predominantly affecting children. We describe EV-D68 rates, spectrum of illness, and risk factors from prospective, population-based acute respiratory illness (ARI) surveillance at a large US pediatric hospital. Methods. Children |
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| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5708293</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>26374924</jstor_id><sourcerecordid>26374924</sourcerecordid><originalsourceid>FETCH-LOGICAL-c428t-9bce36450d1e07b10079f822f3776ab959551b784075bf463a03c5e8b2e3be8c3</originalsourceid><addsrcrecordid>eNpdkc-KFDEQhxtR3HX14l0JeBGZ1qSTdJKLMIy7OrIyIIrHkE5X72ToSWaT9OLc9Bl8w30SI7Oufw5FFdTHjyq-qnpM8EuCFX1lXV_qKyXsTnVMOBV1yxW5W2bMZc0klUfVg5Q2GBMiMb9fHTWSCkWZOq6-n_oMMVy5OCX0ppVo6Qew2QWP5tvgL9Bi7cY-gkdfXF6jD9A7a8Zxj-Y5g--hR3M7ZUAfIe1cNDnEPVqOo4eUZmjhvHXem-xmaLV2YYbeT-P--tuPlc2hg4gaTNjD6t5gxgSPbvpJ9fns9NPiXX2-ertczM9ryxqZa9VZoC3juCeARUcwFmqQTTNQIVrTKa44J52QDAveDaylBlPLQXYN0A6kpSfV60Pubuq20FvwOZpR76LbmrjXwTj978a7tb4IV5oLLBtFS8Dzm4AYLidIWW9dsjCOxkOYkiZSMiaEYqqgz_5DN2GKvryniWowFURhXqgXB8rGkFKE4fYYgvUvs7qY1QezBX769_m36G-VBXhyADapWPizb6lgqmH0J1osqlY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1920371905</pqid></control><display><type>article</type><title>Enterovirus D68 Infection Among Children With Medically Attended Acute Respiratory Illness, Cincinnati, Ohio, July–October 2014</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>JSTOR Archive Collection A-Z Listing</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Biggs, Holly M. ; McNeal, Monica ; Nix, W. Allan ; Kercsmar, Carolyn ; Curns, Aaron T. ; Connelly, Beverly ; Rice, Marilyn ; Chern, Shur-Wern Wang ; Prill, Mila M. ; Back, Nancy ; Oberste, M. Steven ; Gerber, Susan I. ; Staat, Mary A.</creator><creatorcontrib>Biggs, Holly M. ; McNeal, Monica ; Nix, W. Allan ; Kercsmar, Carolyn ; Curns, Aaron T. ; Connelly, Beverly ; Rice, Marilyn ; Chern, Shur-Wern Wang ; Prill, Mila M. ; Back, Nancy ; Oberste, M. Steven ; Gerber, Susan I. ; Staat, Mary A.</creatorcontrib><description>Background. Enterovirus D68 (EV-D68) caused a widespread outbreak of respiratory illness in the United States in 2014, predominantly affecting children. We describe EV-D68 rates, spectrum of illness, and risk factors from prospective, population-based acute respiratory illness (ARI) surveillance at a large US pediatric hospital. Methods. Children <13 years of age with ARI and residence in Hamilton County, Ohio were enrolled from the inpatient and emergency department (ED) settings at a children's hospital in Cincinnati, Ohio, from 1 July to 31 October 2014. For each participant, we interviewed parents, reviewed medical records, and tested nasal and throat swabs for EV-D68 using real-time reversetranscription polymerase chain reaction assay. Results. EV-D68 infection was detected in 51 of 207 (25%) inpatients and 58 of 505 (11%) ED patients. Rates of EV-D68 hospitalization and ED visit were 1.3 (95% confidence interval [CI], 1.0–1.6) and 8.4 per 1000 children <13 years of age, respectively. Preexisting asthma was associated with EV-D68 infection (adjusted odds ratio, 3.2; 95% CI, 2.0–5.1). Compared with other ARI, children with EV-D68 were more likely to be admitted from the ED (P ≤ .001), receive supplemental oxygen (P= .001), and require intensive care unit admission (P = .04); however, mechanical ventilation was uncommon (2/51 inpatients; P = .64), and no deaths occurred. Conclusions. During the 2014 EV-D68 epidemic, high rates of pediatric hospitalizations and ED visits were observed. Children with asthma were at increased risk for medically attended EV-D68 illness, Preparedness planning for a high-activity EV-D68 season in the United States should take into account increased healthcare utilization, particularly among children with asthma, during the late summer and early fall.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/cix314</identifier><identifier>PMID: 28379349</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Acute Disease ; Adolescent ; ARTICLES AND COMMENTARIES ; Asthma ; Asthma - complications ; Child ; Child, Preschool ; Children ; Confidence intervals ; Disease Outbreaks ; Emergency medical services ; Enterovirus D, Human - genetics ; Enterovirus D, Human - isolation & purification ; Enterovirus Infections - epidemiology ; Enterovirus Infections - virology ; Enteroviruses ; Epidemics ; Female ; Health care ; Hospitalization ; Hospitals, Pediatric ; Humans ; Infant ; Infections ; Male ; Mechanical ventilation ; Medical Records ; Nose - virology ; Ohio - epidemiology ; Outbreaks ; Parents ; Pharynx ; Pharynx - virology ; Polymerase chain reaction ; Prospective Studies ; Real-Time Polymerase Chain Reaction ; Respiratory diseases ; Respiratory Tract Infections - epidemiology ; Respiratory Tract Infections - virology ; Risk analysis ; Risk factors ; Seasons ; Ventilation ; Viruses</subject><ispartof>Clinical infectious diseases, 2017-07, Vol.65 (2), p.315-323</ispartof><rights>Copyright © 2017 Oxford University Press on behalf of the Infectious Diseases Society of America</rights><rights>Published by Oxford University Press for the Infectious Diseases Society of America 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.</rights><rights>Copyright Oxford University Press, UK Jul 15, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-9bce36450d1e07b10079f822f3776ab959551b784075bf463a03c5e8b2e3be8c3</citedby><cites>FETCH-LOGICAL-c428t-9bce36450d1e07b10079f822f3776ab959551b784075bf463a03c5e8b2e3be8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26374924$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26374924$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,27923,27924,58016,58249</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28379349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Biggs, Holly M.</creatorcontrib><creatorcontrib>McNeal, Monica</creatorcontrib><creatorcontrib>Nix, W. Allan</creatorcontrib><creatorcontrib>Kercsmar, Carolyn</creatorcontrib><creatorcontrib>Curns, Aaron T.</creatorcontrib><creatorcontrib>Connelly, Beverly</creatorcontrib><creatorcontrib>Rice, Marilyn</creatorcontrib><creatorcontrib>Chern, Shur-Wern Wang</creatorcontrib><creatorcontrib>Prill, Mila M.</creatorcontrib><creatorcontrib>Back, Nancy</creatorcontrib><creatorcontrib>Oberste, M. Steven</creatorcontrib><creatorcontrib>Gerber, Susan I.</creatorcontrib><creatorcontrib>Staat, Mary A.</creatorcontrib><title>Enterovirus D68 Infection Among Children With Medically Attended Acute Respiratory Illness, Cincinnati, Ohio, July–October 2014</title><title>Clinical infectious diseases</title><addtitle>Clin Infect Dis</addtitle><description>Background. Enterovirus D68 (EV-D68) caused a widespread outbreak of respiratory illness in the United States in 2014, predominantly affecting children. We describe EV-D68 rates, spectrum of illness, and risk factors from prospective, population-based acute respiratory illness (ARI) surveillance at a large US pediatric hospital. Methods. Children <13 years of age with ARI and residence in Hamilton County, Ohio were enrolled from the inpatient and emergency department (ED) settings at a children's hospital in Cincinnati, Ohio, from 1 July to 31 October 2014. For each participant, we interviewed parents, reviewed medical records, and tested nasal and throat swabs for EV-D68 using real-time reversetranscription polymerase chain reaction assay. Results. EV-D68 infection was detected in 51 of 207 (25%) inpatients and 58 of 505 (11%) ED patients. Rates of EV-D68 hospitalization and ED visit were 1.3 (95% confidence interval [CI], 1.0–1.6) and 8.4 per 1000 children <13 years of age, respectively. Preexisting asthma was associated with EV-D68 infection (adjusted odds ratio, 3.2; 95% CI, 2.0–5.1). Compared with other ARI, children with EV-D68 were more likely to be admitted from the ED (P ≤ .001), receive supplemental oxygen (P= .001), and require intensive care unit admission (P = .04); however, mechanical ventilation was uncommon (2/51 inpatients; P = .64), and no deaths occurred. Conclusions. During the 2014 EV-D68 epidemic, high rates of pediatric hospitalizations and ED visits were observed. Children with asthma were at increased risk for medically attended EV-D68 illness, Preparedness planning for a high-activity EV-D68 season in the United States should take into account increased healthcare utilization, particularly among children with asthma, during the late summer and early fall.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>ARTICLES AND COMMENTARIES</subject><subject>Asthma</subject><subject>Asthma - complications</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Confidence intervals</subject><subject>Disease Outbreaks</subject><subject>Emergency medical services</subject><subject>Enterovirus D, Human - genetics</subject><subject>Enterovirus D, Human - isolation & purification</subject><subject>Enterovirus Infections - epidemiology</subject><subject>Enterovirus Infections - virology</subject><subject>Enteroviruses</subject><subject>Epidemics</subject><subject>Female</subject><subject>Health care</subject><subject>Hospitalization</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Male</subject><subject>Mechanical ventilation</subject><subject>Medical Records</subject><subject>Nose - virology</subject><subject>Ohio - epidemiology</subject><subject>Outbreaks</subject><subject>Parents</subject><subject>Pharynx</subject><subject>Pharynx - virology</subject><subject>Polymerase chain reaction</subject><subject>Prospective Studies</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Respiratory diseases</subject><subject>Respiratory Tract Infections - epidemiology</subject><subject>Respiratory Tract Infections - virology</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Seasons</subject><subject>Ventilation</subject><subject>Viruses</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc-KFDEQhxtR3HX14l0JeBGZ1qSTdJKLMIy7OrIyIIrHkE5X72ToSWaT9OLc9Bl8w30SI7Oufw5FFdTHjyq-qnpM8EuCFX1lXV_qKyXsTnVMOBV1yxW5W2bMZc0klUfVg5Q2GBMiMb9fHTWSCkWZOq6-n_oMMVy5OCX0ppVo6Qew2QWP5tvgL9Bi7cY-gkdfXF6jD9A7a8Zxj-Y5g--hR3M7ZUAfIe1cNDnEPVqOo4eUZmjhvHXem-xmaLV2YYbeT-P--tuPlc2hg4gaTNjD6t5gxgSPbvpJ9fns9NPiXX2-ertczM9ryxqZa9VZoC3juCeARUcwFmqQTTNQIVrTKa44J52QDAveDaylBlPLQXYN0A6kpSfV60Pubuq20FvwOZpR76LbmrjXwTj978a7tb4IV5oLLBtFS8Dzm4AYLidIWW9dsjCOxkOYkiZSMiaEYqqgz_5DN2GKvryniWowFURhXqgXB8rGkFKE4fYYgvUvs7qY1QezBX769_m36G-VBXhyADapWPizb6lgqmH0J1osqlY</recordid><startdate>20170715</startdate><enddate>20170715</enddate><creator>Biggs, Holly M.</creator><creator>McNeal, Monica</creator><creator>Nix, W. Allan</creator><creator>Kercsmar, Carolyn</creator><creator>Curns, Aaron T.</creator><creator>Connelly, Beverly</creator><creator>Rice, Marilyn</creator><creator>Chern, Shur-Wern Wang</creator><creator>Prill, Mila M.</creator><creator>Back, Nancy</creator><creator>Oberste, M. Steven</creator><creator>Gerber, Susan I.</creator><creator>Staat, Mary A.</creator><general>Oxford University Press</general><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>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170715</creationdate><title>Enterovirus D68 Infection Among Children With Medically Attended Acute Respiratory Illness, Cincinnati, Ohio, July–October 2014</title><author>Biggs, Holly M. ; McNeal, Monica ; Nix, W. Allan ; Kercsmar, Carolyn ; Curns, Aaron T. ; Connelly, Beverly ; Rice, Marilyn ; Chern, Shur-Wern Wang ; Prill, Mila M. ; Back, Nancy ; Oberste, M. 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Allan</creatorcontrib><creatorcontrib>Kercsmar, Carolyn</creatorcontrib><creatorcontrib>Curns, Aaron T.</creatorcontrib><creatorcontrib>Connelly, Beverly</creatorcontrib><creatorcontrib>Rice, Marilyn</creatorcontrib><creatorcontrib>Chern, Shur-Wern Wang</creatorcontrib><creatorcontrib>Prill, Mila M.</creatorcontrib><creatorcontrib>Back, Nancy</creatorcontrib><creatorcontrib>Oberste, M. Steven</creatorcontrib><creatorcontrib>Gerber, Susan I.</creatorcontrib><creatorcontrib>Staat, Mary A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Biggs, Holly M.</au><au>McNeal, Monica</au><au>Nix, W. Allan</au><au>Kercsmar, Carolyn</au><au>Curns, Aaron T.</au><au>Connelly, Beverly</au><au>Rice, Marilyn</au><au>Chern, Shur-Wern Wang</au><au>Prill, Mila M.</au><au>Back, Nancy</au><au>Oberste, M. Steven</au><au>Gerber, Susan I.</au><au>Staat, Mary A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enterovirus D68 Infection Among Children With Medically Attended Acute Respiratory Illness, Cincinnati, Ohio, July–October 2014</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clin Infect Dis</addtitle><date>2017-07-15</date><risdate>2017</risdate><volume>65</volume><issue>2</issue><spage>315</spage><epage>323</epage><pages>315-323</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><abstract>Background. Enterovirus D68 (EV-D68) caused a widespread outbreak of respiratory illness in the United States in 2014, predominantly affecting children. We describe EV-D68 rates, spectrum of illness, and risk factors from prospective, population-based acute respiratory illness (ARI) surveillance at a large US pediatric hospital. Methods. Children <13 years of age with ARI and residence in Hamilton County, Ohio were enrolled from the inpatient and emergency department (ED) settings at a children's hospital in Cincinnati, Ohio, from 1 July to 31 October 2014. For each participant, we interviewed parents, reviewed medical records, and tested nasal and throat swabs for EV-D68 using real-time reversetranscription polymerase chain reaction assay. Results. EV-D68 infection was detected in 51 of 207 (25%) inpatients and 58 of 505 (11%) ED patients. Rates of EV-D68 hospitalization and ED visit were 1.3 (95% confidence interval [CI], 1.0–1.6) and 8.4 per 1000 children <13 years of age, respectively. Preexisting asthma was associated with EV-D68 infection (adjusted odds ratio, 3.2; 95% CI, 2.0–5.1). Compared with other ARI, children with EV-D68 were more likely to be admitted from the ED (P ≤ .001), receive supplemental oxygen (P= .001), and require intensive care unit admission (P = .04); however, mechanical ventilation was uncommon (2/51 inpatients; P = .64), and no deaths occurred. Conclusions. During the 2014 EV-D68 epidemic, high rates of pediatric hospitalizations and ED visits were observed. Children with asthma were at increased risk for medically attended EV-D68 illness, Preparedness planning for a high-activity EV-D68 season in the United States should take into account increased healthcare utilization, particularly among children with asthma, during the late summer and early fall.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>28379349</pmid><doi>10.1093/cid/cix314</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Disease Adolescent ARTICLES AND COMMENTARIES Asthma Asthma - complications Child Child, Preschool Children Confidence intervals Disease Outbreaks Emergency medical services Enterovirus D, Human - genetics Enterovirus D, Human - isolation & purification Enterovirus Infections - epidemiology Enterovirus Infections - virology Enteroviruses Epidemics Female Health care Hospitalization Hospitals, Pediatric Humans Infant Infections Male Mechanical ventilation Medical Records Nose - virology Ohio - epidemiology Outbreaks Parents Pharynx Pharynx - virology Polymerase chain reaction Prospective Studies Real-Time Polymerase Chain Reaction Respiratory diseases Respiratory Tract Infections - epidemiology Respiratory Tract Infections - virology Risk analysis Risk factors Seasons Ventilation Viruses |
| title | Enterovirus D68 Infection Among Children With Medically Attended Acute Respiratory Illness, Cincinnati, Ohio, July–October 2014 |
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