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美国儿童中与支气管炎相关的住院病例,1980-1996年
D K Shay1, R C Holman, R D Newman
1Respiratory and Enteric Viruses Branch, Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. dks4@cdc.gov
JAMA
|October 27, 1999
概括
从1980年到1996年,幼儿患有支气管炎的住院病例显著增加. 呼吸道同胞性病毒 (RSV) 可能导致每年超过5万名婴儿住院治疗,超过了之前的估计.
科学领域:
- 儿童传染病 儿童传染病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 呼吸道综合性病毒 (RSV) 是导致幼儿下呼吸道感染的主要原因之一,特别是支气管炎.
- 现有的国家对RSV相关住院病例的估计是有限的,由于预防的进步,需要更新数据.
研究的目的:
- 确定5岁以下儿童中与支气管炎相关的住院病例率.
- 估计目前因RSV感染而导致的住院病人的数量.
主要方法:
- 对美国国家医院出院调查数据的分析 1980年至1996年.
- 专注于在短期非联邦医院因支气管炎住院的5岁以下儿童.
- 按年龄和年龄计算住院率.
主要成果:
- 估计有165万个支气管炎住院病例发生在17岁以下的5岁以下儿童中.
- 患有支气管炎的婴儿 (<1岁) 的住院率在1980年至1996年间增加了2.4倍.
- 据估计,RSV与1994年至1996年期间因支气管炎每年住院治疗的婴儿数量为51240至81985例有关.
结论:
- 1980年至1996年间,婴儿患有支气管炎的住院率大幅上升.
- 与支气管炎相关的呼吸道住院病人的比例也显著增加.
- 与RSV相关的婴儿住院治疗支气管炎可能高于先前对RSV支气管炎和肺炎的联合估计.
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