Complicaciones en ninos con varicela en cuatro hospitales de Santiago-Chile: espectro clinico y estimacion de costos directos. [Complications in children with varicella in 4 hospitals in Santiago, Chile: clinical spectrum and estimation of direct costs]
Details
Serval ID
serval:BIB_426EE57BC662
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Complicaciones en ninos con varicela en cuatro hospitales de Santiago-Chile: espectro clinico y estimacion de costos directos. [Complications in children with varicella in 4 hospitals in Santiago, Chile: clinical spectrum and estimation of direct costs]
Journal
Revista Medica de Chile
ISSN
0034-9887 (Print)
Publication state
Published
Issued date
04/2001
Volume
129
Number
4
Pages
397-404
Notes
English Abstract
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Apr
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Apr
Abstract
BACKGROUND: The knowledge of varicella complications and their associated cost may help for a better evaluation of varicella immunization benefits. AIM: To determine frequency, type, outcome and affected population of varicella complications in children requiring hospitalization, and to estimate their direct costs. MATERIAL AND METHODS: Retrospective analysis of medical records of children admitted to four hospitals in Santiago, Chile, due to varicella complications between January 1997 and February 1999. Calculation of direct costs of hospitalizations in a sample of 30 patients. RESULTS: One hundred fifty four patients were identified, 74% were younger than 5 years old, only one was immunocompromised. Complications identified were skin and soft tissue infections in 63%, invasive infections in 25.3%, neurological in 7.1% and miscellaneous in 4.5%. Staphylococcus aureus and Group A beta-haemolytic Streptococcus (GABS) were predominantly isolated. S. aureus was the main agent identified in superficial infections and GABS in invasive infections (sterile sites). Two patients died due to invasive infections (streptococcal toxic shock and S. aureus septicaemia) and 11 required surgical procedures. The average cost per hospitalization was US$ 600 in public hospitals and US$ 1,800 in the private hospital. CONCLUSIONS: Varicella complications requiring hospitalization are due mainly to bacterial infections and they affect immunocompetent toddlers. These complications can be severe and even fatal.
Keywords
Adolescent
Bacterial Infections/economics/etiology
Chickenpox/*complications/economics
Child
Child, Preschool
Chile
*Direct Service Costs
Female
Hospitalization/*economics
Humans
Infant
Infant, Newborn
Male
Retrospective Studies
Pubmed
Web of science
Create date
24/01/2008 20:10
Last modification date
20/08/2019 13:44