与英格兰流行性流感A H1N1感染相关的儿科死亡率:一种基于人口的观察性研究
Nabihah Sachedina1, Liam J Donaldson
1Department of Health, London, UK.
Lancet (London, England)
|October 30, 2010
概括
流行性流感A H1N1导致了显著的儿童死亡率,特别是在婴儿和某些少数民族群体. 疫苗接种和早期护理对于高危儿童至关重要,以防止严重的后果.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 流行性流感A H1N1不成比例地影响了年轻人.
- 对儿科死亡率的分析对于未来的流行病准备至关重要.
研究的目的:
- 分析与流行性流感A H1N1相关的儿科死亡率.
- 为未来的流感季节提供临床和公共卫生政策的信息.
主要方法:
- 英国儿科死亡的回顾性分析 (2009年6月至2010年3月).
- 通过每日报告,记录交叉检查和实验室/死亡证明确认收集的数据.
- 人口和病例死亡率是主要结果指标.
主要成果:
- 报告有70例儿童死亡,儿童死亡率为百万分之一的6人.
- 婴儿 (<1岁) 和来自孟加拉国和巴基斯坦族群的儿童面临更高的死亡率.
- 严重的先前存在的疾病,特别是慢性神经疾病,增加死亡风险;21%的死亡儿童以前健康.
结论:
- 疫苗接种优先应针对严重流感疾病或死亡风险较高的儿童.
- 高风险群体包括患有特定先前存在的疾病和某些少数民族.
- 早期的医院前支持和治疗护理对于改善结果至关重要.
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