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열을 동반한 3개월 미만의 환아들에서 호흡기바이러스 감염의 병인론과 임상양상에 대한 연구

Respiratory Viral Etiology and Clinical Features in Febrile Neonates and Young Infants (Younger than three Months of Age)

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The Medical Journal of Chosun University (조선대학교 의대논문집)
조선대학교 의학연구원 (Institute of Medical Science, Chosun University)
초록

This study aimed to identify the respiratory viral etiology and clinical features in febrile neonates and young infants younger than 3 months of age. From June 2015 to March 2016, 126 patients who admitted to the pediatrics department of Kwangju Christian Hospital due to febrile illness (body temperature ≥ 38.0℃) without definite focus of fever. We tested nasopharyngeal aspiration specimens with real time reverse transcriptase polymerase chain reaction. Respiratory viruses identified in 66 patients, and not identified in 60 patients. Among identified viruses, the most common pathogen was rhinovirus. Respiratory virus identified patients showed significantly higher presence of sibling (p=0.015), sibling who attending day care center (p=0.022), respiratory symptoms of family members (p=0.022), concomitant respiratory symptoms of the patient (p=0.001).

목차
서 론
 대상 및 방법
 결 과
  인구학적 자료
  호흡기바이러스 결과
  호흡기바이러스 검출군(respiratory virus detection, RVD)과 비검출군(respiratory virus absence, RVA)의 위험인자 비교
  중증세균감염군(serious bacterial infection, SBI)과 중증세균감염이 아닌 군(Non-SBI)의 위험인자 비교
  최종 진단명
 고 찰
 참고문헌
저자
  • 박병배(광주기독병원 소아청소년과) | Byeong Bae Park (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 조성민(광주기독병원 소아청소년과) | Sung Min Jo (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 김용욱(광주기독병원 소아청소년과) | Yong Wook Kim (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 김경심(광주기독병원 소아청소년과) | Kyoung Sim Kim (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 김은영(광주기독병원 소아청소년과) | Eun Young Kim (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 김령(광주기독병원 소아청소년과) | Young Kim (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 장해인(광주기독병원 소아청소년과) | Hae In Jang (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea)
  • 조형민(광주기독병원 소아청소년과) | Hyoung Min Cho (Department of Pediatrics, Kwangju Christian Hospital, Gwangju, Republic of Korea) Corresponding author