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Reduced PICU respiratory admissions during COVID-19
Pablo Vásquez-Hoyos1,2,3, Franco Diaz-Rubio3,4,5, Nicolas Monteverde-Fernandez3,6
1Pediatrics, Universidad Nacional de Colombia, Bogota, Colombia pvasquez@fucsalud.edu.co pvasquezh@unal.edu.co.
Archives of Disease in Childhood
|October 8, 2020
Summary
COVID-19 pandemic mitigation strategies significantly reduced pediatric intensive care unit (PICU) admissions for viral lower respiratory tract infections (LRTIs) in South America. This included major drops in respiratory syncytial virus and influenza cases during the 2020 winter season.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- The COVID-19 pandemic coincided with the 2020 viral respiratory season in the Southern Hemisphere.
- The impact of COVID-19 mitigation measures on pediatric viral lower respiratory tract infections (LRTIs) remained unclear.
Purpose of the Study:
- To investigate the effect of COVID-19 pandemic control strategies on pediatric intensive care unit (PICU) admissions for viral LRTIs in South America.
Main Methods:
- Analysis of LRTI admission data from 22 PICUs across four South American countries.
- Utilized data from the Latin American registry of children with acute respiratory failure (LARed Network).
Main Results:
- A significant 83% decrease in PICU admissions for LRTIs was observed in 2020 compared to the 2018/2019 average.
- Admissions for respiratory syncytial virus and influenza decreased by 92% and 78%, respectively.
Conclusions:
- A substantial reduction in PICU admissions for viral LRTIs occurred during the South American winter of 2020.
- COVID-19 pandemic mitigation strategies likely played a role in decreasing pediatric LRTI hospitalizations.
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