Dear VEP Providers,
As you probably know from the national and local media, Enterovirus D68 infection is causing severe respiratory symptoms in children in the central states. Almost 100 cases have been confirmed. Many of these patients required ICU admission. Below are links to two helpful documents: the latest CDC report on EV-D68 and the CDC’s FAQs article for the general public.
Most children with respiratory symptoms, regardless of etiology, are discharged. The decision to admit or not is usually based on severity of symptoms, O2 saturation, and possibly the results of lab tests. EV-D68 infection has not been reported in 2014 in any of the states where VEP operates EDs. Most likely that will change and therefore EV-D68 infection should be considered in your differential diagnosis. You should ensure that the parents of all children with respiratory symptoms fully understand the need to return to the ED quickly if symptoms worsen.
Robert Wyman, MD | Vice President of Quality
Tel: 925-225-5837 | Fax: 925-482-2838