十倍增加:COVID-19限制之前,期间和之后的急性儿科乳腺炎
Sarah Draut1, Joachim Müller, John-Martin Hempel
1Department of Otorhinolaryngology, Head and Neck Surgery, LMU University Hospital, München, Germany.
概括
在COVID-19限制解除后,急性乳腺炎 (AM) 病例和并发症在儿童中显著增加. 加强成像和监测对于在卫生危机期间管理传染病趋势至关重要.
科学领域:
- 儿童传染病 儿童传染病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 流行病学 流行病学
背景情况:
- 急性乳腺炎 (AM) 是儿童中耳炎的罕见并发症.
- 由于COVID-19的流行,AM的发生率受到影响.
- 德国在2022年解除限制后观察到儿科AM病例的激增.
研究的目的:
- 评估COVID-19大流行之前,期间和之后儿童的AM发生率和临床过程.
- 评估并发症率和微生物谱的变化.
- 了解与流行病相关的限制对儿科AM的影响.
主要方法:
- 对接受乳腺切除术的儿童 (0-18岁) 被诊断为AM的回顾性研究 (2012年1月 - 2023年6月).
- 在COVID前,COVID后和COVID后期间的AM发病率,并发症率和病原体谱的比较.
- 分析包括来自第三级医疗保健大学医院的数据.
主要成果:
- 在COVID后期与COVID前和COVID期间相比,AM发生率显著增加.
- 在COVID后期,并发症率也大幅上升,可能是由于先进的成像技术.
- 期间之间没有观察到病原体分布的显著差异; 链球菌种仍然很常见.
结论:
- 儿童AM病例和并发症在COVID-19大流行后在德国大幅增加.
- 对比增强成像对于AM治疗决策至关重要.
- 在健康危机期间,持续监测和适应性医疗保健策略是必不可少的.
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