Measles outbreak in a high-income country: Are pediatricians ready? Journal of the Pediatric Infectious Diseases Society

A.L. Vecchio, C. Montagnani, A. Krzysztofiak, P. Valentini, N. Rossi, E. Bozzola, G.C. Gattinara, F. Magurano, A. Guarino, L. Galli, the Italian Society for Pediatric Infectious Diseases Measles Study Group

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Measles is a highly communicable infection with potentially severe complications. It is rarely reported in high-income countries and the limited awareness and experience of pediatricians may result in misdiagnosis. The present study aimed at investigating physician's ability and timing to reach diagnosis during a recent outbreak in Italy. Methods. The Italian Society for Pediatric Infectious Diseases conducted a retrospective, multicenter study in children hospitalized for measles between 1 January 2016 and 30 August 2017 in secondary and tertiary care hospitals. The appropriateness of diagnosis at admission, the time to reach clinical diagnosis, and serological confirmation of measles were recorded. Results. At hospital admission, measles was misdiagnosed in 101 (40.5%) of the 249 children (median age, 14.5 months) enrolled. The appropriate diagnosis increased from 30% to 72.5% during the period of observation (P
Original languageEnglish
Pages (from-to)416-420
Number of pages5
JournalJ. Pediatric Infect. Dis. Soc.
Volume9
Issue number4
DOIs
Publication statusPublished - 2020

Keywords

  • Diagnosis
  • Epidemics
  • Viral infections

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