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Acute paediatrics
Pulmonary and systemic bacterial co-infections in severe RSV bronchiolitis
  1. L Duttweiler1,
  2. D Nadal2,
  3. B Frey1
  1. 1Department of Paediatric Intensive Care and Neonatology, University Children’s Hospital, Zurich, Switzerland
  2. 2Department of Infectious Diseases, University Children’s Hospital, Zurich, Switzerland
  1. Correspondence to:
    Dr B Frey
    Department of Intensive Care and Neonatology, University Children’s Hospital, CH-8032 Zurich, Switzerland; Bernhard.Freykispi.unizh.ch

Abstract

In 127 infants admitted to intensive care for RSV bronchiolitis, concomitant bacterial sepsis was a rare event. However, in the subgroup of intubated patients the incidence of bacterial pneumonia was 43.9% (95% CI 31.0–56.8%), half community acquired and half nosocomial. As clinical signs are not helpful in identifying these patients, tracheal aspirates have to be investigated microbiologically on a routine basis in order to start antibiotics in time.

  • ICU, intensive care unit
  • RSV, respiratory syncytial virus
  • SIRS, systemic inflammatory response syndrome
  • respiratory syncytial virus
  • bacterial pneumonia
  • sepsis
  • neonatal-paediatric intensive care

https://doi.org/10.1136/adc.2004.049551

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