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Pulmonary and systemic bacterial co-infections in severe RSV bronchiolitis
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  • Published on:
    Bacterial pneumonia in RSV infections
    • I-C. Sam, Associate Professor
    • Other Contributors:
      • R. J. Raja Lope

    Dear Editor,

    Duttweiler et al recently reported that 25/57 (43.9%) of intubated infants admitted with RSV bronchiolitis had concomitant bacterial pneumonia.[1] Diagnosis was made on a microbiological basis of significant bacterial growth and leucocytes seen in routinely obtained tracheal aspirates, with no other factors (clinical or radiological) taken into account.

    We agree that diagnosing bact...

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    Conflict of Interest:
    None declared.
  • Published on:
    RSV co-infection in PICU
    • Anton-Paul T Mayer, Consultant Paediatric Intensivist
    • Other Contributors:
      • Patricia A Fenton

    Dear Editor,

    The short report by Duttweiler et al [1] confirms our observation that the sub-population of RSV infected infants and children requiring intensive care needs to be treated differently, in terms of antibiotic treatment, from those who need routine hospital care. Bacterial sepsis is rare in RSV ward admissions as assessed by blood culture and CSF culture positive results [2] but secondary bacter...

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    Conflict of Interest:
    None declared.