Print

Print


 1. Are PEM docs testing for RSV in patients who are clinically  OK to be 
ischarged?
NO
. Do you have a patient age that determines your decision?

NO
. Do you have a patient age that determines your decision?
NO

. Do you admit RSV positive infants who are clinically stable, in no 
espiratory distress and good sats?
No
 
-Todd Z
-----Original Message-----
rom: James Wilson <[log in to unmask]>
o: PED-EM-L <[log in to unmask]>
ent: Sun, Feb 19, 2012 7:54 pm
ubject: Re: RSV Co-Infection Rates
 


hanks James, Ethan, Robert, and others who have graciously responded to my  
uery.   

 literature review certainly does remind us of the morbidity associated with  
SV coinfection, but also raises questions about WHEN to initiate antibiotic  
herapy for these inpatients.  "In the old days" we would not prophylax if  
linical findings indicated straightforward RSV.  However I am beginning to  
uestion this given several recent uncomfortable surprises we've had.   

re there any thoughts on the list about RSV antibiotic prophylaxis protocols? 

heers, 


ames M. Wilson V, M.D. 
elta Pediatrics 
elta County Memorial Hospital 
and- 
hief of Station 
lack Canyon Infectious Disease Forecast Station #1 



n Feb 19, 2012, at 3:51 PM, james reingold wrote: 

gt; We're having a very mild RSV season, about 1/2 to 2/3 below last year, 
hich  
as really rough.  Only just starting to see influenza. 
gt; James Reingold, M.D.Mesa, AZ 
gt;> Date: Sat, 18 Feb 2012 09:55:26 -0700 
gt;> From: [log in to unmask] 
gt;> Subject: Re: RSV Co-Infection Rates 
gt;> To: [log in to unmask] 
gt;>  
gt;> Nearly identical situation in Tulsa, OK. 
gt;> Started the second week of January. 
gt;> ED volume up 100% over the same weeks last year... many days with a 
ull  
ospital and boarding pts in the ED. 
gt;>  
gt;> Quite a bit of co-infection (mostly adeno and hMPV). Very little 
nfluenza.   
gt;>  
gt;> Increased overall severity of disease with a more debilitating illness 
n  
lder children than we've seen historically (several two/three olds have  
equired intubation). The degree of hypoxia and respiratory distress in  
reviously healthy toddlers has been quite surprising.  
gt;>  
gt;> Sent from my iPhone 
gt;>  
gt;> On Feb 17, 2012, at 9:33 PM, James Wilson <[log in to unmask]>  
wrote: 
gt;>  
gt;>> Right on cue per our infectious disease forecast station's 
dvisory, we are  
eeing RSV.  Quite the abrupt 'pop' of RSV, with both volume and clinical  
everity involving several 2 year olds versus infants.  Beyond the obvious  
ifference from baseline we are observing in our locality, we have noticed  
everal children who were well on the way to recovery and discharge… only to  
apidly deteriorate.  We have been seeing co-infection of RSV and H. flu, and  
thers in our area of the country have noted RSV-adeno, RSV-influenza, and  
SV-hMPV.  This is all interesting when considering this situation now is  
roducing near-diversion-level strain on several hospitals… and this is not  
nfluenza type A. 
gt;>>  
gt;>> Anyone else out there seeing the same thing? 
gt;>>  
gt;>> Jim Wilson, M.D. 
gt;>>  
gt;>> For more information, send mail to [log in to unmask] with 
he  
essage: info PED-EM-L 
gt;>> The URL for the PED-EM-L Web Page is: 
gt;>>                http://listserv.brown.edu/ped-em-l.html 
gt;>  
gt;> For more information, send mail to [log in to unmask] with the  
message: info PED-EM-L 
gt;> The URL for the PED-EM-L Web Page is: 
gt;>                 http://listserv.brown.edu/ped-em-l.html 
gt; 		 	   		   
gt; For more information, send mail to [log in to unmask] with the  
essage: info PED-EM-L 
gt; The URL for the PED-EM-L Web Page is: 
gt;                 http://listserv.brown.edu/ped-em-l.html 


or more information, send mail to [log in to unmask] with the message:  
info PED-EM-L 
he URL for the PED-EM-L Web Page is: 
                http://listserv.brown.edu/ped-em-l.html 

  

or more information, send mail to [log in to unmask] with the message: 
nfo PED-EM-L
he URL for the PED-EM-L Web Page is:
                http://listserv.brown.edu/ped-em-l.html


For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html