在COVID-19期间,儿童医院的性传播感染诊断
Abbey R Masonbrink1, Margarita Abella1, Matt Hall1,2
1Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City, Kansas City, Missouri.
Hospital pediatrics
|December 22, 2023
概括
COVID-19缓解策略影响了青少年的医疗保健,导致2020年夏季和秋季性传播感染 (STIs) 的住院访问增加. 需要进一步的研究来改善STI护理和结果.
科学领域:
- 儿科健康 儿科健康
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19缓解策略改变了医疗保健的获取和利用.
- 患有性传播疾病风险的青少年可能受到这些变化的负面影响.
- 了解这一时期性传播感染诊断的变化对于公共卫生至关重要.
研究的目的:
- 在COVID-19大流行期间,评估青少年性传播感染 (STI) 诊断的变化.
- 将COVID-19 (2020) 期间的性病诊断与儿童医院的COVID-19 之前 (2017-2019) 期间进行比较.
- 在大流行期间分析性病诊断的季节性变化.
主要方法:
- 使用儿科健康信息系统数据库进行回顾性队列研究.
- 在2020年和2017-2019年之间,青少年 (11-18岁) 接受性传播疾病诊断 (ICD-10代码) 的医院访问 (ICD-10代码) 的比较.
- 根据季节 (春季,夏季,秋季) 使用中位数回归分析数据.
主要成果:
- 2020年春季,每周STI访问的总体中位数下降了 (-18.6%),但在2020年夏季增加了 (11%).
- 在2020年夏季 (30%) 和秋季 (27%) 观察到住院性感染病诊所的显著增加.
- 在2020年秋季,尼塞利亚淋病 (50%) 和其他性传播感染的具体增加被注意到,而盆腔炎症在2020年春季下降了 (-28%).
结论:
- 在2020年夏季和秋季,青少年因性传播感染住院的病例增加.
- 这些变化可能与大流行期间的行为改变或医疗保健准入有关.
- 进一步的研究和干预是必要的,以加强性传播感染的护理和改善青少年的健康结果.
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