社区与垂直获得的新生儿SARS-CoV-2感染:EPICENTRE队列研究
Daniele De Luca1,2, Elizabeth Perkins3,4, David G Tingay3,4
1From the Division of Pediatrics and Neonatal Critical Care, "A.Beclere" Medical Center, Paris Saclay University Hospitals, APHP, Paris, France.
The Pediatric infectious disease journal
|July 18, 2023
概括
新生儿严重急性呼吸系统综合征-CoronaVirus-2感染,无论是社区或垂直获得的,都需要在婴儿感染中考虑. 在社区获得的病例与垂直传播相比,具有独特的临床特征和抗生素使用.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 新生儿感染对健康构成重大风险.
- 严重急性呼吸系统综合征-冠状病毒-2 (SARS-CoV-2) 可以影响新生儿.
- 了解传播途径对于诊断和管理至关重要.
研究的目的:
- 在新生儿中比较社区获得的SARS-CoV-2感染与垂直获得的SARS-CoV-2感染的临床特征和治疗.
- 强调在新生儿感染中考虑SARS-CoV-2的重要性.
主要方法:
- 对因SARS-CoV-2住院的新生儿患者的分析.
- 数据来源于EPICENTRE全球注册表.
- 获取组之间的临床特征和抗生素管理的比较.
主要成果:
- 社区获得的SARS-CoV-2感染显示出明显更频繁的临床特征,如发烧,呼吸道症状和食困难 (P < 0.0001).
- 患有社区感染的新生儿也更有可能接受抗生素 (P = 0.014).
结论:
- 应将SARS-CoV-2纳入新生儿感染的差异诊断.
- 独特的临床表现区分了社区获得的和垂直获得的新生儿SARS-CoV-2病毒.
- 临床特征和抗生素使用的差异强调了需要量身定制的诊断和治疗方法.
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