Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos

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 the...

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Autores principales:	Abarca V,Katia, Hirsch B,Tamara, Potin S,Marcela, Perret P,Cecilia, Zamorano R,Juana, González C,Cecilia, Vial C,Pablo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Bacterial infections Chicken pox Cost of illness Viral vaccines
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400008
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spelling	oai:scielo:S0034-988720010004000082003-04-10Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directosAbarca V,KatiaHirsch B,TamaraPotin S,MarcelaPerret P,CeciliaZamorano R,JuanaGonzález C,CeciliaVial C,Pablo Bacterial infections Chicken pox Cost of illness Viral vaccines 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 ß-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. (Rev Méd, Chile 2001; 129, 397-404)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.4 20012001-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400008es10.4067/S0034-98872001000400008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bacterial infections Chicken pox Cost of illness Viral vaccines
spellingShingle	Bacterial infections Chicken pox Cost of illness Viral vaccines Abarca V,Katia Hirsch B,Tamara Potin S,Marcela Perret P,Cecilia Zamorano R,Juana González C,Cecilia Vial C,Pablo Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos
description	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 ß-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. (Rev Méd, Chile 2001; 129, 397-404)
author	Abarca V,Katia Hirsch B,Tamara Potin S,Marcela Perret P,Cecilia Zamorano R,Juana González C,Cecilia Vial C,Pablo
author_facet	Abarca V,Katia Hirsch B,Tamara Potin S,Marcela Perret P,Cecilia Zamorano R,Juana González C,Cecilia Vial C,Pablo
author_sort	Abarca V,Katia
title	Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos
title_short	Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos
title_full	Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos
title_fullStr	Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos
title_full_unstemmed	Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos
title_sort	complicaciones en niños con varicela en cuatro hospitales de santiago- chile: espectro clínico y estimación de costos directos
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000400008
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Complicaciones en niños con varicela en cuatro hospitales de Santiago- Chile: Espectro clínico y estimación de costos directos

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