Burden of herpes zoster among Brazilian adults - a hospital-based study

OBJECTIVE: To describe the clinical features of herpes zoster in adult patients treated at a large tertiary care hospital in Brazil over a 5-year period. METHODS: The medical records of suspected herpes zoster cases (based on ICD-10 codes) were identified for full review. Convenience sampling was us...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ariane de Jesus Lopes de Abreu, Amanda Venys, Wilson Jacob, Thiago da Silva, Angela Henrique, Kusuma Gopala, Eliana Nogueira Castro de Barros
Formato:	article
Lenguaje:	EN PT
Publicado:	Brazilian Society of Geriatrics and Gerontology 2021
Materias:	herpes zoster neuralgia postherpetic epidemiology aged Nursing RT1-120 Geriatrics RC952-954.6 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/48483c1685ad452f83a35f977df7dd84
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:48483c1685ad452f83a35f977df7dd84
record_format	dspace
spelling	oai:doaj.org-article:48483c1685ad452f83a35f977df7dd842021-11-22T20:46:28ZBurden of herpes zoster among Brazilian adults - a hospital-based study2447-212310.53886/gga.e0210035https://doaj.org/article/48483c1685ad452f83a35f977df7dd842021-11-01T00:00:00Zhttps://ggaging.com/details/1693/en-US/burden-of-herpes-zoster-among-brazilian-adults---a-hospital-based-studyhttps://doaj.org/toc/2447-2123OBJECTIVE: To describe the clinical features of herpes zoster in adult patients treated at a large tertiary care hospital in Brazil over a 5-year period. METHODS: The medical records of suspected herpes zoster cases (based on ICD-10 codes) were identified for full review. Convenience sampling was used to select the medical records from a tertiary hospital in São Paulo. We collected data about co-existing medical conditions, medication use, herpes zoster-related clinical features and outcomes, and healthcare resource utilization. RESULTS: A total of 249 individuals whose first episode of herpes zoster occurred between 2010 and 2014 were included. The mean patient age was 55 years (range 18-96), and the majority were women (63.05%) and aged = 50 years (63.86%). Medical comorbidities were reported in 92.77%, including diabetes (19.68%) and HIV infection (7.63%). Current/recent use of immunosuppressive agents was reported in 31.73%. A total of 65.86% of the patients were hospitalized: 102 patients (40.96%) were admitted for herpes zoster management, while 62 (24.90%) were already receiving inpatient care. The mean hospital length of stay was 16.60 days. One-third (34.14%) were managed as outpatients. Postherpetic neuralgia was reported as a complication in 18.07%. CONCLUSIONS: This retrospective descriptive study found a high frequency of herpes zoster episodes in older adults with comorbidities who sought medical care at a tertiary hospital. These results also underscore the importance of understanding the epidemiology of this disease and developing control strategies for these at-risk populations in Brazil.Ariane de Jesus Lopes de AbreuAmanda VenysWilson JacobThiago da SilvaAngela HenriqueKusuma GopalaEliana Nogueira Castro de BarrosBrazilian Society of Geriatrics and Gerontologyarticleherpes zosterneuralgiapostherpeticepidemiologyagedNursingRT1-120GeriatricsRC952-954.6Public aspects of medicineRA1-1270ENPTGeriatrics, Gerontology and Aging, Vol 15, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	herpes zoster neuralgia postherpetic epidemiology aged Nursing RT1-120 Geriatrics RC952-954.6 Public aspects of medicine RA1-1270
spellingShingle	herpes zoster neuralgia postherpetic epidemiology aged Nursing RT1-120 Geriatrics RC952-954.6 Public aspects of medicine RA1-1270 Ariane de Jesus Lopes de Abreu Amanda Venys Wilson Jacob Thiago da Silva Angela Henrique Kusuma Gopala Eliana Nogueira Castro de Barros Burden of herpes zoster among Brazilian adults - a hospital-based study
description	OBJECTIVE: To describe the clinical features of herpes zoster in adult patients treated at a large tertiary care hospital in Brazil over a 5-year period. METHODS: The medical records of suspected herpes zoster cases (based on ICD-10 codes) were identified for full review. Convenience sampling was used to select the medical records from a tertiary hospital in São Paulo. We collected data about co-existing medical conditions, medication use, herpes zoster-related clinical features and outcomes, and healthcare resource utilization. RESULTS: A total of 249 individuals whose first episode of herpes zoster occurred between 2010 and 2014 were included. The mean patient age was 55 years (range 18-96), and the majority were women (63.05%) and aged = 50 years (63.86%). Medical comorbidities were reported in 92.77%, including diabetes (19.68%) and HIV infection (7.63%). Current/recent use of immunosuppressive agents was reported in 31.73%. A total of 65.86% of the patients were hospitalized: 102 patients (40.96%) were admitted for herpes zoster management, while 62 (24.90%) were already receiving inpatient care. The mean hospital length of stay was 16.60 days. One-third (34.14%) were managed as outpatients. Postherpetic neuralgia was reported as a complication in 18.07%. CONCLUSIONS: This retrospective descriptive study found a high frequency of herpes zoster episodes in older adults with comorbidities who sought medical care at a tertiary hospital. These results also underscore the importance of understanding the epidemiology of this disease and developing control strategies for these at-risk populations in Brazil.
format	article
author	Ariane de Jesus Lopes de Abreu Amanda Venys Wilson Jacob Thiago da Silva Angela Henrique Kusuma Gopala Eliana Nogueira Castro de Barros
author_facet	Ariane de Jesus Lopes de Abreu Amanda Venys Wilson Jacob Thiago da Silva Angela Henrique Kusuma Gopala Eliana Nogueira Castro de Barros
author_sort	Ariane de Jesus Lopes de Abreu
title	Burden of herpes zoster among Brazilian adults - a hospital-based study
title_short	Burden of herpes zoster among Brazilian adults - a hospital-based study
title_full	Burden of herpes zoster among Brazilian adults - a hospital-based study
title_fullStr	Burden of herpes zoster among Brazilian adults - a hospital-based study
title_full_unstemmed	Burden of herpes zoster among Brazilian adults - a hospital-based study
title_sort	burden of herpes zoster among brazilian adults - a hospital-based study
publisher	Brazilian Society of Geriatrics and Gerontology
publishDate	2021
url	https://doaj.org/article/48483c1685ad452f83a35f977df7dd84
work_keys_str_mv	AT arianedejesuslopesdeabreu burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy AT amandavenys burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy AT wilsonjacob burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy AT thiagodasilva burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy AT angelahenrique burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy AT kusumagopala burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy AT eliananogueiracastrodebarros burdenofherpeszosteramongbrazilianadultsahospitalbasedstudy
_version_	1718417373225025536

Burden of herpes zoster among Brazilian adults - a hospital-based study

Ejemplares similares