RESUMO
We report nine severe neonatal infections caused by a new variant of echovirus 11. All were male, eight were twins. At illness onset, they were 3-5 days-old and had severe sepsis and liver failure. This new variant, detected in France since April 2022, is still circulating and has caused more fatal neonatal enterovirus infections in 2022 and 2023 (8/496; 1.6%, seven associated with echovirus 11) compared with 2016 to 2021 (7/1,774; 0.4%). National and international alerts are warranted.
Assuntos
Doenças Transmissíveis , Infecções por Echovirus , Infecções por Enterovirus , Enterovirus , Recém-Nascido , Humanos , Masculino , Feminino , Infecções por Echovirus/diagnóstico , Infecções por Echovirus/epidemiologia , Enterovirus Humano B/genética , Infecções por Enterovirus/diagnóstico , Infecções por Enterovirus/epidemiologia , França/epidemiologiaRESUMO
Neonatal intensive care units receive very immature premature newborns. Mortality and morbidity rates remain high in this particularly fragile population. Caregivers involved with the child and his or her parents may experience moral distress. There are few studies on the experience of caregivers in these situations. Training, service architecture and sharing of experiences with specifically trained psychologists can improve this experience in these highly technical services.
