Real-life requests for Bordetella polymerase chain reaction testing in children presenting to hospital - 06/01/22
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Abstract |
From 2015 to 2017, 3197 interpretable Bordetella polymerase chain reaction (PCR) tests were performed for 2760 children presenting to our tertiary university hospital. Requests mainly came from the emergency department (62%) and for children older than 1 year (68%). Only 32 PCR (1%) results were positive, mainly in children younger than 1 year (n = 29/32, 90.6%; p<0.001). When focusing on the PCR indications in 2017, we found the requests were mainly based on nonspecific respiratory symptoms and were clinically unjustified in 383 cases (39%). Pediatricians overused Bordetella PCR in clinical practice. They should reserve their requests for cases of young children with symptoms suggestive of respiratory illness and/or incomplete pertussis immunization.
Le texte complet de cet article est disponible en PDF.Keywords : Pertussis, Children, Polymerase chain reaction
Plan
Vol 29 - N° 1
P. 72-74 - janvier 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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