在2015-2016年和2017-2018年期间,丹麦的成年人中呼吸道同位素病毒编码的住院病例报告不足和错误分类
Amanda Marie Egeskov-Cavling1, Caroline Klint Johannesen2, Birgitte Lindegaard3
1Department of Clinical Research, Copenhagen University Hospital, North Zealand Hospital, Hilleroed, Denmark.
The Journal of infectious diseases
|September 25, 2023
概括
在丹麦成年人住院治疗中,呼吸道同胞性病毒 (RSV) 报告的数量显著不足. 目前的住院数据对于估计RSV负担是不可靠的,建议进行前性监测.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 对于成人呼吸道同胞病毒 (RSV) 的认识和测试较低,导致医院记录中的报告不足.
- 成人RSV感染往往被错误地归类为呼吸道感染 (RTI) 编码住院.
研究的目的:
- 评估在丹麦成年人住院接受RTI编码入院的RSV感染的不足报告和错误分类.
- 评估国家患者登记册对成年人RSV负担估计的可靠性.
主要方法:
- 2015-2018年丹麦成年人 (≥18岁) 的观察队列研究.
- 利用了来自丹麦国家患者登记 (DNPR) 和丹麦微生物学数据库的数据.
- 连接RTI编码的住院病例与阳性RSV测试结果.
主要成果:
- 确定了440例RSV编码的住院治疗;95%的患者有阳性RSV检测.
- 发现570个额外的RSV阳性住院病例缺乏RSV编码的诊断.
- 在成年人入院患者中,显著低于报告RSV.
结论:
- 在丹麦成年人中,RSV的报道显著不足.
- 对于估计成人RSV负担的住院数据的可靠性是可疑的.
- 建议进行前性监测,以准确估计疾病负担.
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