Infecciones intrahospitalarias por adenovirus en niños asistidos en el Centro Hospitalario Pereira Rossell, 2001-2006

Patricia Barrios; Valeria Le Pera; Ana Icardi; Héctor Chiparelli; Gabriela Algorta; Marina Stoll; María Catalina Pírez

Authors

Patricia Barrios Ministerio de Salud Pública, Administración de los Servicios de Salud del Estado, Centro Hospitalario Pereira Rossell, Clínica Pediátrica. Ex Residente
Valeria Le Pera Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Bacteriología y Virología, Ex Ayudante de Clase. Instituto de Higiene
Ana Icardi Ministerio de Salud Pública, Administración de los Servicios de Salud del Estado, Centro Hospitalario Pereira Rossell, Comité Infecciones Intrahospitalarias. Licenciada en enfermería
Héctor Chiparelli Ministerio de Salud Pública, Servicio Nacional de Laboratorios, Unidad de Virología, Jefe. Universidad de la República, Facultad de Medicina, Departamento de Bacteriología y Virología, Ex Profesor Agregado
Gabriela Algorta Universidad de la República, Facultad de Medicina, Departamento de Bacteriología y Virología, Profesora Agregada. MSP, ASSE, Centro Hospitalario Pereira Rossell, Laboratorio Central
Marina Stoll Ministerio de Salud Pública, Administración de los Servicios de Salud del Estado, Centro Hospitalario Pereira Rossell, Clínica Pediátrica. Hospital Pediátrico, Directora
María Catalina Pírez Universidad de la República, Facultad de Medicina, Clínica Pediátrica, Profesora

Keywords:

HUMAN INFECTIONS BY ADENOVIRUS, RESPIRATORY TRACT INFECTIONS, CROSS INFECTIONS

Abstract

Introduction: nosocomia infections due to adenovirus in children are usually less severe than those acquired in the community. Since 1999 we implemented a strategy named Winter Plan, with the purpose of improving health care services provided to children hospitalized due to acute lower respiratory infections (ALRI) and preventing intra-hospital infections due to respiratory virus, especially adenovirus. In spite of this, cases of adenoviral intra-hospital infections continued to be reported the last year, at the Pereira Rossell Hospital, what encourages us to describe their characteristics from January 1, 2001 through December 31, 2006.
Method: we designed a retrospective descriptive study based on the review of medical histories, the hospital’s pediasia database - version 4.02M-, records by the Intra-Hospital Infections Commission and the Hospital’s Deceased Committee. The sample consisted of 58 patients older than 29 days of age and younger than 5 years old that met the criteria of intra-hospital viral acute lower respiratory infection, confirmed by the detection of adenovirus antigens in respiratory secretions through immuno-chromatographic technique or immunofluorescence.
Results: most patients were healthy boys, 55% of patients required hospitalization in the ICU, 10% presented pulmonary sequels upon discharge, and 19% of patients died. We found a decrease in the number of intra-hospital ALRI in the last two years (2005-2006), there being no deaths.

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