疫情后支气管炎负担和严重程度增加:一项国家多中心研究
Sergio Ghirardo1, Nicola Ullmann2, Alessandro Zago3
1Department of Medicine, Surgery and Health Sciences, University of Trieste, via dell'Istria 65/1, Trieste, Italy. ghirardo.sergio@gmail.com.
Italian journal of pediatrics
|February 13, 2024
概括
去年冬天,支气管炎住院病例增加了近70%,增加了对呼吸系统支持和 coinfections 的需求. 这表明,与近年相比,婴儿的疾病过程更为严重.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 制COVID-19的措施暂时减少了病毒循环和支气管炎住院.
- 支气管炎住院病例在2021-2022赛季恢复到大流行前的水平.
- 了解支气管炎严重程度和病毒流行病学的最新趋势至关重要.
研究的目的:
- 分析从2018年到2023年,婴儿因支气管炎住院的趋势.
- 评估疾病严重程度的变化,包括呼吸系统支持需求.
- 检查与支气管炎相关的病毒流行病学和共感染率.
主要方法:
- 一项回顾性研究分析了因支气管炎住院的婴儿的临床记录.
- 数据来自意大利6家医院,收集了5个冬季 (2018年9月至3月至2023年) 的数据.
- 统计分析以比较住院率,住院时间,呼吸系统支持和共感染率.
主要成果:
- 在2022-2023年冬季,由于支气管炎而住院的婴儿数量与前几年相比增加了近70%.
- 与之前的季节相比,2022-2023年 (7.2天) 的住院平均时间明显长.
- 增加了机械通风 (4%),高流量鼻和非侵入性呼吸支的使用. 同感染的患病率上升至42%.
结论:
- 支气管炎住院病例显著增加,这表明疾病的进展更为严重.
- 侵袭性呼吸系统支持和共感染的更高率表明疾病严重程度的恶化趋势.
- 这些发现强调了对儿科支气管炎的持续监测和管理策略的需要.
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