支气管炎模式的流行病学转变和COVID-19的影响:一项为期两季的比较研究
Santiago Presti1, Sara Manti1,2, Carmela Gammeri1
1Pediatric Respiratory Unit, AOUP "G. Rodolico-San Marco", University of Catania, Catania, Italy.
Pediatric pulmonology
|February 14, 2024
概括
随着COVID-19大流行,支气管炎的模式发生了变化,其他病毒,如鼻病毒和流感变得越来越突出. 呼吸道同胞性病毒 (RSV) 仍然很常见,但在某些情况下不那么严重.
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:
- 支气管炎是一种常见的婴儿LRTI,历史上由RSV主导.
- 随着COVID-19的流行,人们对改变LRTI的流行病学和临床表现产生了担忧.
研究的目的:
- 分析COVID-19流行病对支气管炎流行病学和严重程度的影响.
- 为了比较两个连续的支气管炎季节的病毒病因和临床结果.
主要方法:
- 对患有支气管炎住院的儿科患者的回顾性分析.
- 两个季节的比较:2021-2022年和2022-2023年.
- 收集的数据包括病毒病原体,住院时间,临床严重程度和呼吸支持.
主要成果:
- 在这两个季节,RSV的流行率都很高,但其他病毒 (犀牛病毒,流感) 在2022-2023年显著增加.
- 支气管炎发病率转移到11月的早期峰值.
- 与非RSV病例相比,RSV相关的支气管炎在2022-2023年没有增加严重程度.
结论:
- 疫情重塑了支气管炎的流行病学,非RSV病毒感染的增加.
- 减少的流行病限制可能促进了其他呼吸道病毒的传播.
- 虽然RSV仍然很重要,但其在严重支气管炎中的作用可能相对于其他病原体而言正在减少.
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