Cargando…

Hospitalization due to varicella in the Netherlands

BACKGROUND: In the Netherlands, incidence of physician's consultations and hospitalizations for varicella is low compared to other countries. Better knowledge about the severity of varicella among Dutch hospitalized patients is needed. Therefore, a medical record research was conducted among ho...

Descripción completa

Detalles Bibliográficos
Autores principales: van Lier, Alies, van der Maas, Nicoline AT, Rodenburg, Gerwin D, Sanders, Elisabeth AM, de Melker, Hester E
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080814/
https://www.ncbi.nlm.nih.gov/pubmed/21466668
http://dx.doi.org/10.1186/1471-2334-11-85
_version_ 1782202143661359104
author van Lier, Alies
van der Maas, Nicoline AT
Rodenburg, Gerwin D
Sanders, Elisabeth AM
de Melker, Hester E
author_facet van Lier, Alies
van der Maas, Nicoline AT
Rodenburg, Gerwin D
Sanders, Elisabeth AM
de Melker, Hester E
author_sort van Lier, Alies
collection PubMed
description BACKGROUND: In the Netherlands, incidence of physician's consultations and hospitalizations for varicella is low compared to other countries. Better knowledge about the severity of varicella among Dutch hospitalized patients is needed. Therefore, a medical record research was conducted among hospitalized patients with diagnosis varicella. METHODS: Hospital admissions due to varicella in 2003-2006 were obtained from the National Medical Register. Retrospectively, additional data were retrieved from the medical record of patients hospitalized with varicella in 23 Dutch hospitals using a standardized form. Analyses were performed using descriptive statistics. RESULTS: The study population (N = 296) was representative for all varicella admissions in the Netherlands (N = 1,658) regarding age, sex, duration of admission and type of diagnosis. Complications were recorded in 76% of the patients (37% had at least one relatively severe complication). Bacterial super infections of skin lesions (28%), (imminent) dehydration (19%), febrile convulsions (7%), pneumonia (7%) and gastroenteritis (7%) were most frequently reported. No varicella-related death occurred within the study population and 3% of the patients had serious rest symptoms. CONCLUSIONS: It is not likely that the severity of varicella among hospitalized patients in the Netherlands differs from other countries. A considerable part of the varicella complications among hospitalized patients was rather moderate and can be treated effectively, although in a third of the hospitalized cases with complications, severe complications occurred. These data are relevant in the decision-making process regarding whether or not to introduce routine varicella vaccination in the Netherlands.
format Text
id pubmed-3080814
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-30808142011-04-22 Hospitalization due to varicella in the Netherlands van Lier, Alies van der Maas, Nicoline AT Rodenburg, Gerwin D Sanders, Elisabeth AM de Melker, Hester E BMC Infect Dis Research Article BACKGROUND: In the Netherlands, incidence of physician's consultations and hospitalizations for varicella is low compared to other countries. Better knowledge about the severity of varicella among Dutch hospitalized patients is needed. Therefore, a medical record research was conducted among hospitalized patients with diagnosis varicella. METHODS: Hospital admissions due to varicella in 2003-2006 were obtained from the National Medical Register. Retrospectively, additional data were retrieved from the medical record of patients hospitalized with varicella in 23 Dutch hospitals using a standardized form. Analyses were performed using descriptive statistics. RESULTS: The study population (N = 296) was representative for all varicella admissions in the Netherlands (N = 1,658) regarding age, sex, duration of admission and type of diagnosis. Complications were recorded in 76% of the patients (37% had at least one relatively severe complication). Bacterial super infections of skin lesions (28%), (imminent) dehydration (19%), febrile convulsions (7%), pneumonia (7%) and gastroenteritis (7%) were most frequently reported. No varicella-related death occurred within the study population and 3% of the patients had serious rest symptoms. CONCLUSIONS: It is not likely that the severity of varicella among hospitalized patients in the Netherlands differs from other countries. A considerable part of the varicella complications among hospitalized patients was rather moderate and can be treated effectively, although in a third of the hospitalized cases with complications, severe complications occurred. These data are relevant in the decision-making process regarding whether or not to introduce routine varicella vaccination in the Netherlands. BioMed Central 2011-04-05 /pmc/articles/PMC3080814/ /pubmed/21466668 http://dx.doi.org/10.1186/1471-2334-11-85 Text en Copyright ©2011 van Lier et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
van Lier, Alies
van der Maas, Nicoline AT
Rodenburg, Gerwin D
Sanders, Elisabeth AM
de Melker, Hester E
Hospitalization due to varicella in the Netherlands
title Hospitalization due to varicella in the Netherlands
title_full Hospitalization due to varicella in the Netherlands
title_fullStr Hospitalization due to varicella in the Netherlands
title_full_unstemmed Hospitalization due to varicella in the Netherlands
title_short Hospitalization due to varicella in the Netherlands
title_sort hospitalization due to varicella in the netherlands
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3080814/
https://www.ncbi.nlm.nih.gov/pubmed/21466668
http://dx.doi.org/10.1186/1471-2334-11-85
work_keys_str_mv AT vanlieralies hospitalizationduetovaricellainthenetherlands
AT vandermaasnicolineat hospitalizationduetovaricellainthenetherlands
AT rodenburggerwind hospitalizationduetovaricellainthenetherlands
AT sanderselisabetham hospitalizationduetovaricellainthenetherlands
AT demelkerhestere hospitalizationduetovaricellainthenetherlands