儿童呼吸道病毒检测在医疗保健机构的主要组成部分模式
Danielle A Rankin1,2, Laura S Stewart1, James C Slaughter3
1Department of Pediatrics.
Hospital pediatrics
|January 16, 2024
概括
临床医生对患有急性呼吸道感染 (ARI) 的儿童进行病毒检测的决定取决于呈现模式. 特定的症状会影响急诊室和医院的检测率.
科学领域:
- 儿童传染病 儿童传染病
- 临床病毒学 临床病毒学
- 医疗服务研究 医疗服务研究
背景情况:
- 病毒检测对于管理儿科急性呼吸道感染 (ARI) 至关重要.
- 影响临床医生决定在儿童中订购病毒检测的因素尚不清楚.
- 了解这些因素对于优化测试策略和患者护理至关重要.
研究的目的:
- 分析促使ARI儿童进行病毒检测的模式.
- 为了比较在急诊室 (ED) 和住院环境中的测试实践.
- 为了确定与病毒测试订购相关的临床表现特征.
主要方法:
- 利用了2017年11月至2020年2月的活跃ARI监测数据.
- 包括30天至17岁的儿童,有发烧或呼吸道症状.
- 采用主要组件分析和后勤回归来分析演示模式和测试几率.
主要成果:
- 分析了4107名儿童;64%的儿童被看到了ED,36%的儿童住院.
- 在ED中,患有冠状病毒呈现模式的儿童接受病毒检测的几率增加了 (OR 1.44).
- 在ED (OR 0.29) 和住院儿童 (OR 0.61) 中,鼻病毒样症状与病毒检测的几率降低有关.
结论:
- 提供者在儿科ARI中进行病毒检测的决定受临床表现和医疗保健环境的影响.
- 特定的症状模式,如冠状病毒或鼻病毒样呈现,显著影响测试率.
- 需要进一步的研究来完善病毒检测策略,以改善儿科ARI管理.
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