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418 Usefulness of Rapid Test for Respiratory Syncytial Virus(RSV) in the Diagnosis of Lower Respiratory Tract Infections in 0–3Years Old Children1
  1. T Jackowska1,
  2. A SapalaSmoczynska2,
  3. M Grzelczyk-Wielgorska1
  1. 1Department of Paediatrics, The Medical Centre for Postgraduate Education
  2. 2Department of Paediatrics, Bielanski Hospital, Warsaw, Poland

Abstract

Introduction Lower respiratory tract infections caused by RSV in form of bronchitis or bronchiolitis are the main reasons of hospitalization in infancy and early childhood.

Aim The aim of the study was to evaluate the usefulness of RSV rapid diagnostic test in children (0–3years old) hospitalized due to lower respiratory tract infections.

Materials and methods The study included 256 from 884 children (29%) in the age of 0 to 3 years, who were hospitalized due to bronchitis or pneumonia in the Department of Paediatrics, Bielanski Hospital, Warsaw, Poland from March 2009 to March 2012 (37months). All the children were tested with RSV Test (QuickVue, Biomerieux) and were assigned to one of the separate age groups (group A: 0–3months-96 (37.5%); group B: 3–6months-84 (32.8%); group C: 6–12months-48 (18.8%); group D: 12–24 months-22 (8.6%) and group E: 24–36months-6 (2.34%).

Results In 47.6% causes (121 out of 256) the test results were positive. The majority of the positive results were observed among children up to 6 months of life-93 (76.85%). In detail: results in the A and B group were positive in 51 (42.2%) and 42 (34.7%) children respectively. Tests were positive in C group in the amount of 24(19.8%), D group – 3(2.5%) and E group – 1(0.8%). In the 54 cases (44.6%) of children with the positive result there was a necessity of antibiotic treatment.

Conclusion The use of RSV rapid diagnostic test enabled the diagnosis of RSV infection, which especially among the youngest children, had an influence on treatment.

1 MCPEgrant501-1-1-19-49/2009

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