Coïncidence des épidémies de rotavirus et de virus respiratoire syncytial à Paris: 12 ans de surveillance

Armengaud, Jean-Baptiste; Hajje, M.-J. El; Moulin, F.; Marc, E.; Lebon, Pierre; Gendrel, D.

doi:10.1016/j.medmal.2007.02.005

Cited by 13 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…36 Leaving without being seen is used as a national health care quality indicator in the ED in the United Kingdom and the United States, with a threshold of 5%. 37 The daily number of hospitalization increased by 18% between the first and the fourth quartiles of DEL and by 25% during the 5% of the days, which were the most highly epidemic (DEL 38 Furthermore, few beds available in admission wards and crowding in PED could impact care's procedures by enhancing the risk taken by physicians in children management. In this situation, if serious ill children would still be admitted, "inbetween" children could be more frequently discharged from the PED as a measure to alleviate crowding.…”

Section: Discussionmentioning

confidence: 99%

“…It consequently extends the boarding time in the PED. The high number of children admitted for viral disease and the overlapping of different virus enhance the risk of nosocomial infection 38 . Furthermore, few beds available in admission wards and crowding in PED could impact care's procedures by enhancing the risk taken by physicians in children management.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Viral Seasonal Outbreaks on Crowding and Health Care Quality in Pediatric Emergency Departments

et al. 2020

View full text Add to dashboard Cite

In pediatric emergency departments (PEDs), seasonal viral outbreaks are believed to be associated with an increase of workload, but no quantification of this impact has been published. A retrospective cross-sectional study aimed to measure this impact on crowding and health care quality in PED. The study was performed in 1 PED for 3 years. Visits related to bronchiolitis, influenza, and gastroenteritis were defined using discharge diagnoses. The daily epidemic load (DEL) was the proportion of visits related to one of these diagnoses. The daily mean of 8 crowding indicators (selected in a published Delphi study) was used. A total of 93,976 children were admitted (bronchiolitis, 2253; influenza, 1277; gastroenteritis, 7678). The mean DEL was 10.4% (maximum, 33.6%). The correlation between the DEL and each indicator was significant. The correlation was stronger for bronchiolitis (Pearson R from 0.171 for number of hospitalization to 0.358 for length of stay). Between the first and fourth quartiles of the DEL, a significant increase, between 50% (patients left without being seen) and 8% (patient physician ratio), of all the indicators was observed. In conclusion, seasonal viral outbreaks have a strong impact on crowding and quality of care. The evolution of "patients left without being seen" between the first and fourth quartiles of DEL could be used as an indicator reflecting the capacity of adaptation of an emergency department to outbreaks.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of Viral Seasonal Outbreaks on Crowding and Health Care Quality in Pediatric Emergency Departments

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Si le nombre de d6cbs annuels li6s au rotavirus dans le monde a diminu6 de moiti6 entre 1995 et 2003 (de 873 000 ~t 440 000), parall~le 5 la diminution de mortalit6 li6e aux diarrh6es quelle qu'en soit la cause [15], la part du rotavirus dans les hospitalisa- [20]. Dans les pays temp6r6s l'infection 6volue sur un mode ~pid6mique sous forme d'6pid6mies hivernales, typiquement de novembre ~ mars avec un pic ~ la saison froide [21,22]. Fait int6ressant, ces 6pid6mies se superposent en France avec les 6pid6mies de virus respiratoire syncitial (VRS), agent de la bronchiolite du nourrisson, qui touche les m~mes classes d'gge.…”

Section: Epid~miologieunclassified

“…Fait int6ressant, ces 6pid6mies se superposent en France avec les 6pid6mies de virus respiratoire syncitial (VRS), agent de la bronchiolite du nourrisson, qui touche les m~mes classes d'gge. L'6tude r6cente d'Armengaut et al, [21] La transmission du virus se fait sur le mode f6cal-oral, directe par les mains, ou indirecte par les surfaces ou les objets souill6s. Si la transmission par les s6cr6tions pharyn-g6es n'a pas 6t6 d6montr6e, la transmission par a6rosols partir des mati~res f6cales, de vomissements, ou de linges contamin6s est possible.…”

Section: Epid~miologieunclassified

Épidémiologie des diarrhées aiguës infectieuses en France et en Europe

Alain

Denis

2007

Archives de Pédiatrie

View full text Add to dashboard Cite

Acute infectious diarrhoea can be linked to various pathogens among which viruses are responsible for more than a half cases. Rotaviruses and caliciviruses are the most frequently encountered, in close to 60 % of viral gastroenteritis. Rotaviruses account for more than 50 % of severe diseases and caliciviruses, especially norovirus are responsible for less severe sporadic gastroenteritis and water-or food- borne epidemics. Astroviruses and adenoviruses are minority, excepted for immunocompromised patients. Viral or Bacterial and viral co- infections are frequent (up to 15 %). To date, the first rotavirus vaccine assays did not reveal any shift from a viral genus to another, such as calicivirus or adenovirus, according to the fact that epidemiologic features of these viruses are quite different. Progress in viral diagnosis and genotyping enabled to analyse viral diversity and to follow viral recombination events, and emergence of new variants that could propagate among various countries. This dynamic evolution that concerns not only Europe but also developing countries should be carefully surveyed at the era of rotavirus vaccination.

show abstract

“…Seasonal peaks of RV gastroenteritis occur yearly from November to May [ 3 ] and coincide in many countries with other winter epidemics such as bronchiolitis due to respiratory syncytial virus (RSV) and influenza [ 4 - 7 ] (Figure 1 ), leading potentially to overcrowding with increased risks for nosocomial infections and lessened quality of patient care. In the literature rotavirus has been repeatedly mentioned as a major cause of hospital overcrowding during the winter season [ 3 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Hospital bed occupancy for rotavirus and all cause acute gastroenteritis in two Finnish hospitals before and after the implementation of the national rotavirus vaccination program with RotaTeq®

Hartwig

Uhari

Renko

et al. 2014

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundVaccination-impact studies of the live-attenuated pentavalent oral vaccine Rotateq® have demonstrated that the burden of rotavirus gastroenteritis has been reduced significantly after the introduction of RotaTeq® vaccination, but less is known about the benefit of this vaccination on hospital overcrowding.MethodsAs part of an observational surveillance conducted during the RV seasons 2000/2001 to 2011/2012, we analysed hospital discharge data collected retrospectively from two Finnish hospitals (Oulu and Tampere), concerning ICD 10 codes A00-09 (acute gastroenteritis, AGE) and A08.0 (rotaviral acute gastroenteritis RV AGE). We estimated the reduction in the number of beds occupied and analysed the bed occupancy rate, for RV AGE and all cause AGE, among 0–16 year-old children, before and after the implementation of the RV immunisation program.ResultsThe rate of bed days occupied for RV AGE was reduced by 86% (95% CI 66%-94%) in Tampere and 79% (95% CI 47%-92%) in Oulu after RV vaccination implementation. For all cause AGE, reduction was 50% (95% CI 29% to 65%) in Tampere and 70% (95% CI 58% to 79%) in Oulu. Results were similar among 0–2 year-old children. This effect was also observed on overcrowding in both hospitals, with a bed occupancy rate for all cause AGE >25% in only 1% of the time in Tampere and 9% in Oulu after the implementation of the immunisation program, compared to 13% and 48% in the pre-vaccination period respectively. After extrapolation to the whole country, the annual number of prevented hospitalizations for all cause AGE in the post-vaccination period in Finland was estimated at 1,646 and 2,303 admissions for 0–2 and 0–16 year-old children respectively.ConclusionsThis study demonstrated that universal RV vaccination is associated with a clear decrease in the number of bed days and occupancy rates for RV AGE and all cause AGE. Positive consequences include increase in quality of care and a better healthcare management during winter epidemics.

show abstract

Coïncidence des épidémies de rotavirus et de virus respiratoire syncytial à Paris: 12 ans de surveillance

Cited by 13 publications

References 11 publications

Impact of Viral Seasonal Outbreaks on Crowding and Health Care Quality in Pediatric Emergency Departments

Impact of Viral Seasonal Outbreaks on Crowding and Health Care Quality in Pediatric Emergency Departments

Épidémiologie des diarrhées aiguës infectieuses en France et en Europe

Hospital bed occupancy for rotavirus and all cause acute gastroenteritis in two Finnish hospitals before and after the implementation of the national rotavirus vaccination program with RotaTeq®

Contact Info

Product

Resources

About