Burden of herpes zoster among Brazilian adults – a hospital-based study
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| Format: | Artículo científico |
| Langue: | en |
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Sociedade Brasileira de Geriatria e Gerontologia
2021
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| _version_ | 1876444325907267584 |
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| author | Ariane de Jesus Lopes de Abreu |
| author_facet | Ariane de Jesus Lopes de Abreu |
| contents | Burden of herpes zoster among Brazilian adults – a hospital-based study Ariane de Jesus Lopes de Abreu Amanda Venys Wilson Jacob Thiago da Silva Angela Henrique Kusuma Gopala Eliana Nogueira Castro de Barros Multidisciplinaria (Ciencias Naturales y Exactas) aged neuralgia postherpetic epidemiology Herpes zoster OBJECTIVE: To describe the clinical features of herpes zoster in adult patients treated at a large tertiary care hospital in Brazil over a 5-year period. METHODS: The medical records of suspected herpes zoster cases (based on ICD-10 codes) were identified for full review. Convenience sampling was used to select the medical records from a tertiary hospital in São Paulo. We collected data about co-existing medical conditions, medication use, herpes zoster-related clinical features and outcomes, and healthcare resource utilization. RESULTS: A total of 249 individuals whose first episode of herpes zoster occurred between 2010 and 2014 were included. The mean patient age was 55 years (range 18–96), and the majority were women (63.05%) and aged ≥ 50 years (63.86%). Medical comorbidities were reported in 92.77%, including diabetes (19.68%) and HIV infection (7.63%). Current/recent use of immunosuppressive agents was reported in 31.73%. A total of 65.86% of the patients were hospitalized: 102 patients (40.96%) were admitted for herpes zoster management, while 62 (24.90%) were already receiving inpatient care. The mean hospital length of stay was 16.60 days. One-third (34.14%) were managed as outpatients. Postherpetic neuralgia was reported as a complication in 18.07%. CONCLUSIONS: This retrospective descriptive study found a high frequency of herpes zoster episodes in older adults with comorbidities who sought medical care at a tertiary hospital. These results also underscore the importance of understanding the epidemiology of this disease and developing control strategies for these at-risk populations in Brazil. 2021 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780782015 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.1 Vol.15 |
| format | Artículo científico |
| id | redalyc_739780782015 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | Burden of herpes zoster among Brazilian adults – a hospital-based study Ariane de Jesus Lopes de Abreu Multidisciplinaria (Ciencias Naturales y Exactas) aged neuralgia postherpetic epidemiology Herpes zoster Burden of herpes zoster among Brazilian adults – a hospital-based study Ariane de Jesus Lopes de Abreu Amanda Venys Wilson Jacob Thiago da Silva Angela Henrique Kusuma Gopala Eliana Nogueira Castro de Barros Multidisciplinaria (Ciencias Naturales y Exactas) aged neuralgia postherpetic epidemiology Herpes zoster OBJECTIVE: To describe the clinical features of herpes zoster in adult patients treated at a large tertiary care hospital in Brazil over a 5-year period. METHODS: The medical records of suspected herpes zoster cases (based on ICD-10 codes) were identified for full review. Convenience sampling was used to select the medical records from a tertiary hospital in São Paulo. We collected data about co-existing medical conditions, medication use, herpes zoster-related clinical features and outcomes, and healthcare resource utilization. RESULTS: A total of 249 individuals whose first episode of herpes zoster occurred between 2010 and 2014 were included. The mean patient age was 55 years (range 18–96), and the majority were women (63.05%) and aged ≥ 50 years (63.86%). Medical comorbidities were reported in 92.77%, including diabetes (19.68%) and HIV infection (7.63%). Current/recent use of immunosuppressive agents was reported in 31.73%. A total of 65.86% of the patients were hospitalized: 102 patients (40.96%) were admitted for herpes zoster management, while 62 (24.90%) were already receiving inpatient care. The mean hospital length of stay was 16.60 days. One-third (34.14%) were managed as outpatients. Postherpetic neuralgia was reported as a complication in 18.07%. CONCLUSIONS: This retrospective descriptive study found a high frequency of herpes zoster episodes in older adults with comorbidities who sought medical care at a tertiary hospital. These results also underscore the importance of understanding the epidemiology of this disease and developing control strategies for these at-risk populations in Brazil. 2021 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739780782015 en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Num.1 Vol.15 |
| title | Burden of herpes zoster among Brazilian adults – a hospital-based study |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) aged neuralgia postherpetic epidemiology Herpes zoster |
| url | https://www.redalyc.org/articulo.oa?id=739780782015 |