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01-03-2007 | Pediatric Correspondence

Pulmonary bacterial co-infection in children ventilated for severe respiratory syncytial virus bronchiolitis is common

Authors: Kentigern Thorburn, Hendrik Van Saene

Published in: Intensive Care Medicine | Issue 3/2007

Excerpt

Sir, In a retrospective study on concurrent bacterial infection in infants ventilated for respiratory syncytial virus (RSV), bronchiolitis Kneyber et al. concluded that the “improvement in the diagnosis of a pulmonary concurrent bacterial infection is warranted to reduce the overuse of antimicrobial drugs” in this patient group [1]. This issue was highlighted by Andrews et al. in “Intensive Care Medicine's Year in Review” 2005 article [2] as “Only a minority had evidence of bacterial infection”. Our view differs and we question this opinion/interpretation. …

Kneyber MCJ, Blusse van Oud-Albas H, van Vliet M, Uiterwaal CSPM, Kimpen JLL, van Vught AJ (2005) Concurrent bacterial infection and prolonged mechanical ventilation in infants with respiratory syncytial virus lower respiratory tract infection. Intensive Care Med 131:680–685CrossRef

Andrews P, Azoulay E, Antonelli M, Brochard L, Brun-Buisson C, Dobb G, Fagon JY, Gerlach H, Groeneveld J, Mancebo J, Metnitz P, Nava S, Pugin J, Pinsky M, Radermacher P, Richard C, Tasker R (2006) Year in Review in Intensive Care Medicine, 2005. III. Nutrition, pediatric and neonatal critical care, and experimental. Intensive Care Med 32:490–500PubMedCrossRef

Thorburn K, Harigopal S, Reddy V, Taylor N, van Saene HKF (2006) High incidence of pulmonary bacterial co-infection in children ventilated for severe respiratory syncytial virus (RSV) bronchiolitis. Thorax 61:611–615PubMedCrossRef

Duttweiler L, Nadal D, Frey B (2004) Pulmonary and systemic bacterial co-infections in severe RSV bronchiolitis. Arch Dis Child 89:1155–1157PubMedCrossRef

Randolph AG, Reder L, Englund JA (2004) Risk of bacterial infection in previously healthy respiratory syncytial virus-infected young children admitted to the intensive care unit. Pediatr Infect Dis J 23:990–994PubMedCrossRef

Hament JM, Kimpen JL, Fleer A, Wolfs TF (1999) Respiratory viral infection predisposing for bacterial disease: a concise review. FEMS Immunol Med Microbiol 26:189–195PubMedCrossRef

Title: Pulmonary bacterial co-infection in children ventilated for severe respiratory syncytial virus bronchiolitis is common
Authors: Kentigern Thorburn
Hendrik Van Saene
Publication date: 01-03-2007
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 3/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-006-0486-x

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Pulmonary bacterial co-infection in children ventilated for severe respiratory syncytial virus bronchiolitis is common

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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