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occurrence of respiratory syncytial virus subtypes in hospitalized children in cleveland, ohio from 1985 to 1988.in order to determine the frequency of occurrence of the two respiratory syncytial virus (rsv) subtypes in hospitalized children in cleveland, ohio, we analyzed clinical isolates obtained during three consecutive winter epidemic seasons between 1985 and 1988. rsv was recovered from the frozen clinical specimens of 197 patients: 176 subtype a, and 21 subtype b. subtype a predominated during all three epidemic seasons, ranging from 83 to 94% of isolates. we surveyed the clinical records of 16 chil ...19911758737
atypical extrapulmonary presentations of severe respiratory syncytial virus infection requiring intensive care.the patterns and nature of a four-month epidemic of severe respiratory syncytial virus (rsv)-associated disease were analyzed using presenting, demographic, clinical, and therapeutic data. of 218 infants with rsv infection admitted to rainbow babies and childrens hospital, 49 (22.4%), most born prematurely, entered the pediatric intensive care unit (picu). fluorescent antibody and/or enzyme-linked immunosorbent assay documented rsv infection. picu patients underwent airway stabilization; 53.5% w ...19938403742
respiratory syncytial virus is an important cause of community-acquired lower respiratory infection among hospitalized adults.respiratory syncytial virus (rsv), the most important cause of lower respiratory disease in infants and young children, is rarely considered among the causes for community-acquired lower respiratory infection in adults. all noninstitutionalized adults hospitalized with community-acquired pneumonia in two ohio counties were evaluated between december 1990 and may 1992. fifty-three (4.4%) of 1195 adults admitted during the rsv seasons and 4 (1.0%) of 390 in the off-season had serologic evidence of ...19968769600
evaluation of an evidence-based guideline for bronchiolitis.to describe the effect of implementing an evidence-based clinical practice guideline for the inpatient care of infants with bronchiolitis at the children's hospital medical center in cincinnati, ohio.199910585985
sustaining the implementation of an evidence-based guideline for bronchiolitis.to describe the changes occurring over a 3-year period after implementation of an evidence-based clinical practice guideline for the care of infants with bronchiolitis.200011030852
decreasing overuse of therapies in the treatment of bronchiolitis by incorporating evidence at the point of care.to describe the effect of evidence-based point-of-care algorithms and rules, based on guideline recommendations, on the overuse of therapies for bronchiolitis. study design pre-postintervention for infants <1 year of age admitted with a first-time episode of bronchiolitis. data collected for guideline-eligible patients discharged between january 15, 2002, and march 27, 2002, were compared with data collected for guideline-eligible patients discharged from the hospital with a diagnosis of bronchi ...200415192613
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