Author Interviews, Dengue, Infections, NEJM, Respiratory / 27.02.2014
Most Febrile Childhood Illnesses Are Viral, Do Not Need Antibiotics
MedicalResearch.com Interview with:
Valérie D'Acremont, MD, PhD
Group leader
Swiss Tropical and Public Health Institute | Basel | Switzerland
Médecin-adjointe, PD-MER
Travel clinic | Department of Ambulatory Care and Community Medicine | University hospital of Lausanne | Switzerland
MedicalResearch.com: What are the main findings of the study?
Dr. D'Acremont: We discovered that, in a rural and an urban area of Tanzania, half of the children with fever (temperature >38°C) had an acute respiratory infection, mainly of the upper tract (5% only had radiological pneumonia). These infections were mostly of viral origin, in particular influenza. The other children had systemic viral infections such as HHV6, parvovirus B19, EBV or CMV. Overall viral diseases represented 71% of the cases. Only a minority (22%) had a bacterial infection such as typhoid fever, urinary tract infection or sepsis due to bacteremia. Malaria was found in only 10% of the children, even in the rural setting.
(more…)