德国呼吸道传播的侵入性细菌感染的增加,2022/2023年
Regina Singer1, Muna Abu Sin, Tobias Tenenbaum
1Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin; Postgraduate Training in Applied Epidemiology, Robert Koch Institute, Berlin; European Programme for Intervention Epidemiology Training, European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden; Department of Pediatrics, Sana Hospital Lichtenberg, Academic Teaching Hospital of the Charité, Berlin; Department of Pediatrics, Carl Gustav Carus University Hospital and Faculty of Medicine, Technical University of Dresden; Institute for Medical Microbiology, University Hospital, RWTH Aachen University, Aachen; National Reference Center for Meningococci and H. influenzae, Institute for Hygiene and Microbiology, University of Würzburg.
在COVID-19措施放松后,包括Streptococcus pyogenes和Haemophilus influenzae在内的严重细菌感染在德国急剧增加. 病原体循环增加和人口易感性可能导致了这一增长.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 德国在2022年底观察到严重细菌感染的显著增加.
- 这一增长恰逢病毒性呼吸道感染的高发病率.
研究的目的:
- 分析2017年至2023年德国侵袭性细菌感染的趋势.
- 为了确定特定的细菌病原体和受影响的人口群体.
主要方法:
- 利用来自自愿,基于实验室的监控系统的常规诊断数据.
- 数据涵盖了Haemophilus influenzae,Neisseria meningitidis,Staphylococcus aureus,Streptococcus pneumoniae和Streptococcus pyogenes的入侵性感染. 这些都是我们所研究的.
- 分析范围从2017年到2023年,约占德国人口的三分之一.
主要成果:
- 与大流行前水平相比,2023年第一季度侵袭性Streptococcus pyogenes病例增加了142%,Haemophilus influenzae病例增加了90%.
- 在2022年底和2023年初,Streptococcus pneumoniae感染率也在增加.
- 侵袭性感染主要影响55岁以上的成年人和5岁以下的儿童,内炎菌主要出现在最年轻的年龄组.
结论:
- 细菌感染的增加可能与呼吸道病原体循环增加以及COVID-19后限制增加的人口易感性有关.
- 与呼吸道病毒的同时感染可能加剧了这种情况.
- 建议进行持续的监测,开展公众宣传活动,并遵守疫苗接种建议.
相关概念视频
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Infection
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Pneumonia III: Complications and Assessment


