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新加坡儿童过敏症的发展趋势:2015-2022年
Si Hui Goh1, Gaik Chin Yap2, Hsin Yue Cheng2
1Allergy Service, Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
概括
在新加坡,从2015年到2022年,儿童过敏症的急诊次数翻了一番,特别是在幼儿中. 然而,严重的病例,如需要重症监护的过敏性休克,并没有增加,这表明严重反应的稳定管理.
科学领域:
- 儿科过敏和免疫学
- 过敏症的流行病学 过敏症的流行病学
- 紧急医疗 紧急医疗
背景情况:
- 关于亚洲儿童过敏反应发病率的数据有限.
- 这项研究解决了关于新加坡儿童过敏反应的数据需求.
研究的目的:
- 描述新加坡儿童过敏反应的患者特征,触发因素和临床表现.
- 分析儿童过敏反应发生率的趋势. 紧急访问.
主要方法:
- 对被诊断患有过敏反应的儿童紧急电子医疗记录的回顾性审查.
- 纳入标准基于世界过敏组织 (WAO) 对过敏反应的标准.
- 使用ICD-9代码对患有过敏相关诊断的患者进行查.
主要成果:
- 在2015年至2022年期间,新加坡的儿童过敏症急诊次数翻了一番 (每10万人/年18.9至38.8).
- 0-4岁儿童的发病率增加了四倍;常见的触发因素包括蛋,花生,树木坚果,牛奶和贝类.
- 在研究期间,严重过敏反应 (过敏性休克,ICU入院) 的发生率没有增加.
结论:
- 在新加坡,儿童过敏反应的紧急诊所数量显著增加.
- 尽管访问量增加,但严重过敏反应和需要重症监护的过敏反应并没有增加.
- 严重过敏反应的管理似乎稳定,尽管紧急情况增加了.
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