Author/Editor     Ahčan, Jerneja; Čižman, Milan; Pleterski-Rigler, Dušica; Rakar, Rasta
Title     Bolnišnično zdravljenje noric
Translated title     Varicella hospitalisation
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 71, št. 10
Publication year     2002
Volume     str. 621-7
Language     slo
Abstract     Background. The purpose of the retrospective study was to analyse hospitalisation for varicella. Methods. All patients with varicella who were admitted to the Department of lnfectious Diseases, University Medical Centre Ljubljana, between January 1, 1995, and December 31, 1998, were included in the study. Results. The percentage of hospitalised varicella patients was 0.69% of all notified cases in Ljubljana health region. The hospitalisation rate for children younger or equal to 15 years old was 51/10,000 estimated cases of varicella in Ljubljana health region. Varicella complications were the most frequent cause for admission. In children the most common complications were skin and soft tissue complications (35.5%), followed by CNS (17.4%) complications, lower respiratory tract (14.5%), gastrointestinal (11.6%) and others. Primary pneumonia was the most common complication in the patients older than 15 years. The median hospital stay was 6 days (2-39days). Sequelae were recorded in four patients while two patients died. Specific mortality was 1:30,000 notified cases of varicella. Conclusions. Varicella is a common benign and self-limited infectious disease. For majority of patients home care is adequate while hospitalisation is rarely indicated. Severe complications can occur which may be also fatal.
Summary     Izhodišča. Z retrospektivno raziskavo smo analizirali bolnišnično zdrav jenje bolnikov z noricami. Metode. V raziskavi smo obravnavali vse bolnike, ki so bili zaradi noric zdravljeni na Kliniki za infekcijske bolezni in vročinska stanja v Ljubljani od 1. januarja 1995 do 31. decembra 1998. Rezultati. Bolnišnično zdravljenje je potrebovalo 0,69% vseh prijavljenih bolnikov z noricami v ljubljanski zdravstveni regiji. Stopnja hospitalizacije za otroke do vključno 15. leta je bila 51/10.000 pričakovanih primerov noric v ljubljanski zdravstveni regiji. Zapleti zaradi noric so bili najpogostejši vzrok za sprejem v bolnišnico. Pri otrocih so bili najpogostejši zapleti na koži in v mehkih tkivih (35,5%), nato na osrednjem živčevju (17,4%), spodnjih dihalih (14,5%), prebavilih (11, 6%) in drugi. Pri bolnikih, starejših od 15 let, je bil najpogostejši zaplet primarna pljučnica. Srednja vrednost trajanja hospitalizacije je bila 6 dni (2-39 dni). Posledice noric imajo štirje bolniki. Umrli sta dve bolnici. Specifična umrljivost zaradi noric je bila 1:30.000 prijavljenih primerov noric. Zaključki. Norice so večinoma blaga, samoozdravljiva nalezjiva bolezen, ki se praviloma zdravi v domači oskrbi. Bolnišnično zdravljenje je potrebno le izjemoma. Možni so resni zapleti, ki se lahko končajo s smrtjo.
Descriptors     CHICKENPOX
HOSPITALIZATION
CHILD
LENGTH OF STAY
RETROSPECTIVE STUDIES