非结核性菌根性宫面膜淋巴腺炎的流行病学评估:一个PHIS数据库研究
David Hoying1, Sindhoosha Malay2, Matthew Gropler3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
International journal of pediatric otorhinolaryngology
|June 30, 2024
概括
非结核性菌根性 (NTM) 宫面膜淋巴炎在儿童中很常见. 与抗生素结合的手术是最常见的治疗方法,尽管发病率可能因州而异.
科学领域:
- 儿童传染病 儿童传染病
- 菌根菌感染 菌根菌感染
- 流行病学 流行病学
背景情况:
- 由于非结核性真菌菌 (NTM) 的宫面淋巴腺炎不成比例地影响儿童.
- 了解疾病模式对于有效的管理和公共卫生战略至关重要.
研究的目的:
- 分析患者的人口统计,治疗方式,以及天气和地理因素对NTM面淋巴腺炎发病率的影响.
- 为了确定NTM宫面临性淋巴腺炎的风险因素和地理差异.
主要方法:
- 使用儿科健康信息系统 (PHIS) 数据库 (2004-2022) 来获取患者数据.
- 与NOAA的月度天气数据相关联的NTM宫面膜淋巴腺炎病例.
- 根据医院出院的情况计算出发病率.
主要成果:
- 确定了992例NTM宫面淋巴腺炎病例,平均年龄为2岁;59%是女性.
- 使用抗生素的手术是最常见的治疗方法 (37%),其次是不治疗 (35%).
- 华盛顿和内布拉斯加州的发病率最高;风速增加与诊断风险的联系较弱.
结论:
- 同时进行手术和使用抗生素是儿童NTM宫面淋巴腺炎的首要治疗方法.
- 发病率存在地理差异,需要进一步调查,包括更广泛的州.
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