Complications and risk factors for severe outcome in children with measles: Archives of Disease in Childhood

SITIP Measles Study Group, A. Lo Vecchio, A. Krzysztofiak, C. Montagnani, P. Valentini, N. Rossi, S. Garazzino, I. Raffaldi, M. Di Gangi, S. Esposito, B. Vecchi, M.L. Melzi, M. Lanari, G. Zavarise, S. Bosis, M. Valenzise, S. Cazzato, M. Sacco, M.R. Govoni, E. MozzoM.D. Cambriglia, E. Bruzzese, C. Di Camillo, D. Pata, A. Graziosi, D. Sala, F. Magurano, A. Villani, A. Guarino, L. Galli

Research output: Contribution to journalArticlepeer-review

Abstract

Objective and design Risk factors for severe measles are poorly investigated in high-income countries. The Italian Society for Paediatric Infectious Diseases conducted a retrospective study in children hospitalised for measles from January 2016 to August 2017 to investigate the risk factors for severe outcome defined by the presence of long-lasting sequelae, need of intensive care or death. Results Nineteen hospitals enrolled 249 children (median age 14.5 months): 207 (83%) children developed a complication and 3 (1%) died. Neutropaenia was more commonly reported in children with B3-genotype compared with other genotypes (29.5% vs 7.7%, p=0.01). Pancreatitis (adjusted OR [aOR] 9.19, p=0.01) and encephalitis (aOR 7.02, p=0.04) were related to severe outcome in multivariable analysis, as well as C reactive protein (CRP) (aOR 1.1, p=0.028), the increase of which predicted severe outcome (area under the receiver operating characteristic curve 0.67, 95% CI 0.52 to 0.82). CRP values >2 mg/dL were related to higher risk of complications (OR 2.0, 95% CI 1.15 to 3.7, p=0.01) or severe outcome (OR 4.13, 95% CI 1.43 to 11.8, p<0.01). Conclusion The risk of severe outcome in measles is independent of age and underlying conditions, but is related to the development of organ complications and may be predicted by CRP value.

Original languageEnglish
Pages (from-to)896-899
Number of pages4
JournalArch. Dis. Child.
Volume105
Issue number9
DOIs
Publication statusPublished - Sep 1 2020

Keywords

  • children
  • complication
  • genotype
  • measles
  • severe outcome

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