The Resource Burden of Infections With Rhinovirus/Enterovirus, Influenza, and Respiratory Syncytial Virus in Children

We reviewed the resource utilization of patients with human rhinovirus/enterovirus (HRV/ENT), influenza A/B (FLU), or respiratory syncytial virus (RSV). A total of 2013 patients with nasopharyngeal swabs positive for HRV/ENT, RSV, or FLU were included. Records were reviewed for respiratory support,...

Full description

Saved in:
Bibliographic Details
Published in:Clinical pediatrics 2019-02, Vol.58 (2), p.177-184
Main Authors: Fine, Jenna, Bray-Aschenbrenner, Amelia, Williams, Howard, Buchanan, Paula, Werner, Jason
Format: Article
Language:English
Subjects:
Antibiotics
Children
Emergency medical services
Emergency procedures
Enteroviruses
Infections
Influenza
Influenza A
Intensive care
Pediatrics
Resource utilization
Respiratory syncytial virus
Rhinovirus
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We reviewed the resource utilization of patients with human rhinovirus/enterovirus (HRV/ENT), influenza A/B (FLU), or respiratory syncytial virus (RSV). A total of 2013 patients with nasopharyngeal swabs positive for HRV/ENT, RSV, or FLU were included. Records were reviewed for respiratory support, vascular access procedures, emergency department care only versus admission versus pediatric intensive care unit (PICU) care, antibiotics, length of stay, and billing data. Of the 2013 subjects, 1251 tested positive for HRV/ENT, 558 for RSV, and 204 for FLU. Fewer HRV/ENT patients were discharged from the emergency department (P < .001); and they were more likely to be admitted to the pediatric intensive care unit (P < .001). HRV/ENT and RSV patients were more likely to require invasive procedures (P = .01). Median hospital costs for HRV/ENT patients were more than twice that of FLU patients (P < .001). HRV/ENT infection in pediatric patients poses a significant resource and cost burden, even when compared with other organisms.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922818809483