title: The Immunization Monitoring Program Active (IMPACT) prospective five year study of Canadian children hospitalized for chickenpox or an associated complication.
abstract: BACKGROUND
  Varicella vaccine was approved for use in Canada in 1998. A major goal of universal varicella vaccine programs is to reduce severe infection and associated complications. Baseline data are essential against which to judge the effectiveness of routine childhood immunization.
  
  
  OBJECTIVE
  To describe morbidity and mortality among children hospitalized for chickenpox. Methods. From January 1, 1991, to March 31, 1996, chickenpox admissions to 11 pediatric referral centers were actively identified. Patient and illness characteristics were compared for 3 subgroups defined by prior health: healthy; unhealthy but immunocompetent; immunocompromised.
  
  
  RESULTS
  Of 861 cases 488 (56.7%) were healthy, 75(8.7%) were unhealthy and 298 (34.6%) were immunocompromised. The immunocompromised children differed from healthy/unhealthy cases in mean age (6.4 vs. 4.0/4.6 years, respectively, P < 0.0001); median interval from rash onset to admission (2 vs. 5/5 days, P < 0.0001); complication rate (20% vs. 90%/79%; P = 0.001); and rate of acyclovir therapy (98% vs. 24%/39%; P = 0.001). Unhealthy vs. healthy cases had a higher frequency (P < 0.01) of intensive care (13.3% vs. 4.7%), ventilation (9.3% vs. 2.0%) and death (4% vs. 0.2%).
  
  
  CONCLUSIONS
  These data provide a baseline for morbidity/mortality resulting from chickenpox before varicella vaccine use in Canada.
authors: Department of Medical Microbiology, Winnipeg, Manitoba, Canada. blaw@ms.umanitoba.ca
authors: B
authors: B
authors: Law
authors: N
authors: N
authors: MacDonald
authors: S
authors: S
authors: Halperin
authors: D
authors: D
authors: Scheifele
authors: P
authors: P
authors: Déry
authors: T
authors: T
authors: Jadavji
authors: M H
authors: MH
authors: Lebel
authors: E
authors: E
authors: Mills
authors: R
authors: R
authors: Morris
authors: W
authors: W
authors: Vaudry
authors: R
authors: R
authors: Gold
authors: V
authors: V
authors: Marchessault
authors: P
authors: P
authors: Duclos
mesh_terms: D000293:Adolescent; D002644:Chickenpox / Q000150:complications* / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D005260:Female; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D007106:Immune Sera / Q000276:immunology; D007114:Immunization; D016867:Immunocompromised Host; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011446:Prospective Studies
chemical_list: D007106:Immune Sera; C030799:varicella-zoster immune globulin