A1 Refereed original research article in a scientific journal
Hospital Length-of-stay Is Associated With Rhinovirus Etiology of Bronchiolitis
Authors: Tuomas Jartti, Matilda Aakula, Jonathan M. Mansbach, Pedro A. Piedra, Eija Bergroth, Petri Koponen, Juho E. Kivistö, Ashley F. Sullivan, Janice A. Espinola, Sami Remes, Matti Korppi, Carlos A. Camargo Jr
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Publishing place: PHILADELPHIA; 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
Publication year: 2014
Journal: Pediatric Infectious Disease Journal
Journal name in source: Pediatric Infectious Disease Journal
Journal acronym: Pediatr.Infect.Dis.J.
Volume: 33
Issue: 8
First page : 829
Last page: 834
Number of pages: 6
ISSN: 0891-3668
eISSN: 1532-0987
DOI: https://doi.org/10.1097/INF.0000000000000313
Objective: To determine whether hospital length-of-stay (LOS) for bronchiolitis is influenced by the causative virus: respiratory syncytial virus (RSV) or rhinovirus. Methods: This prospective study was carried out in 3 university hospitals in Finland during 2 consecutive winter seasons. We enrolled consecutive children <2 years of age hospitalized with an attending physician's diagnosis of bronchiolitis. All enrolled children were included in the primary analysis. A parallel analysis was also conducted using a stricter definition for bronchiolitis (age <12 months and no history of wheeze). Polymerase chain reaction was used to test the nasopharyngeal aspirate samples for multiple respiratory pathogens. Results: The median age of the 408 children was 8 months, 73% had no history of wheeze and their median hospital LOS was 2 days. 144 (35%) children had RSV only and 92 (23%) children rhinovirus only infections. Children with rhinovirus only had shorter duration of prehospital symptoms, higher disease severity score at entry and more often a history of wheezing (all P <= 0.001). Controlling for 7 demographic and clinical characteristics, those with rhinovirus only had shorter hospital LOS when compared with children with RSV only (adjusted odds ratio: 0.45; 95% confidence interval: 0.22-0.92; P = 0.03). The rhinovirus only finding was similar in the subset of 206 children with stricter diagnosis (adjusted odds ratio: 0.30; 0.06-1.49; P = 0.14). Conclusions: Hospital LOS is associated with rhinovirus etiology of bronchiolitis. Our data call attention to the importance of both RSV and rhinovirus testing in clinical research.