Hospitalization due to varicella in the Netherlands

<p>Abstract</p> <p>Background</p> <p>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. Ther...

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Main Authors: Sanders Elisabeth AM, Rodenburg Gerwin D, van der Maas Nicoline AT, van Lier Alies, de Melker Hester E
Format: Article
Language:English
Published: BMC 2011-04-01
Series:BMC Infectious Diseases
Online Access:http://www.biomedcentral.com/1471-2334/11/85
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author Sanders Elisabeth AM
Rodenburg Gerwin D
van der Maas Nicoline AT
van Lier Alies
de Melker Hester E
author_facet Sanders Elisabeth AM
Rodenburg Gerwin D
van der Maas Nicoline AT
van Lier Alies
de Melker Hester E
author_sort Sanders Elisabeth AM
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>
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spelling doaj.art-a6e00e8103014a74872a608a386cba002022-12-22T03:08:41ZengBMCBMC Infectious Diseases1471-23342011-04-011118510.1186/1471-2334-11-85Hospitalization due to varicella in the NetherlandsSanders Elisabeth AMRodenburg Gerwin Dvan der Maas Nicoline ATvan Lier Aliesde Melker Hester E<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>http://www.biomedcentral.com/1471-2334/11/85
spellingShingle Sanders Elisabeth AM
Rodenburg Gerwin D
van der Maas Nicoline AT
van Lier Alies
de Melker Hester E
Hospitalization due to varicella in the Netherlands
BMC Infectious Diseases
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
url http://www.biomedcentral.com/1471-2334/11/85
work_keys_str_mv AT sanderselisabetham hospitalizationduetovaricellainthenetherlands
AT rodenburggerwind hospitalizationduetovaricellainthenetherlands
AT vandermaasnicolineat hospitalizationduetovaricellainthenetherlands
AT vanlieralies hospitalizationduetovaricellainthenetherlands
AT demelkerhestere hospitalizationduetovaricellainthenetherlands