小孩和大孩子的腹呈现的方式相同吗?
Sharika Nuzhat1, Baharul Alam1, S M Tafsir Hasan2
1Clinical and Laboratory Services, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, Bangladesh.
PloS one
|May 13, 2024
概括
较年长的儿童 (5-9岁) 出现腹,症状较为严重,病原体不同于较年轻的儿童. 这凸显了为这个年龄组量身定制的临床管理策略的需要,以减少疾病的严重程度.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 腹仍然是一个重要的全球健康问题,不成比例地影响到五岁以下的儿童.
- 增加的生存率意味着越来越多的老年儿童需要注意腹疾病.
- 现有的研究主要集中在年幼的儿童身上,在了解老年儿童的腹疾病方面存在差距.
研究的目的:
- 为了比较临床表现,并确定5至9岁的腹儿童与5岁以下儿童的病原体变异.
- 为老年儿童经历腹的临床管理策略提供信息.
主要方法:
- 利用了2012-2021年孟加拉城市 (达卡) 和农村 (马特拉布) 的腹疾病监测系统 (DDSS) 的数据.
- 对比了5至9岁儿童的临床数据和已识别的便病原体,与5岁以下儿童的匹配队列进行了比较.
- 采用了各种人口和临床因素的统计调整,以确保可靠的比较.
主要成果:
- 与年龄较小的儿童相比,5至9岁的儿童出现吐,腹痛和脱水性腹的发生率显著更高.
- 关键的便病原体,如Vibrio cholerae,沙门氏菌和Shigella在老年人群中更为常见.
- 这些差异在调整多个混变量后仍然存在,包括研究地点,性别和之前的抗生素使用.
结论:
- 尽管入院率较低,但5至9岁的儿童患有严重疾病和明显的病原体概况.
- 研究结果强调,需要专门的临床方法来管理老年儿童的腹.
- 量身定制的策略可能会降低这种未经研究的儿科患者群体的发病率.
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