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荷兰养老院感染性疾病相关的死亡率
Meghanadh Manyam1, Mirthe Biesheuvel1, Anja Haenen1
1Centre for Infectious Diseases, Epidemiology and Surveillance, Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
季节性传染病,如类似流感的疾病和COVID-19,大大导致了近五分之一的老年院所有死因. 有针对性的感染预防策略对于降低这一脆弱群体的死亡率至关重要.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 养老院居民对传染病的易感性增加了.
- 在这种情况下,这些感染对死亡率的具体贡献以前没有得到量化.
研究的目的:
- 量化荷兰养老院季节性传染病与全因死亡率之间的关联.
主要方法:
- 对荷兰养老院传染病哨戒监测时间序列数据 (2009-2021) 的分析.
- 用于将所有原因死亡率与COVID-19,胃肠炎 (GE),类似流感的疾病 (ILI) 和下呼吸道感染 (LRTI) 的发病率联系在一起的通用线性模型在0-4周的滞后时间内.
主要成果:
- 在13年的时间里,在81所参与的养老院中,发生了11,555起死亡事件.
- 所有四种测试的传染病都与所有原因的死亡率有显著的相关性 (P ≤ .01).
- 总的来说,这些感染占所有死亡的18.6%,其中LRTI (10.2%),ILI (8.2%),COVID-19 (6.5%) 和GE (2.3%) 每年都有所贡献.
结论:
- 季节性呼吸道和胃肠道感染与养老院所有死因中的约18.6%有关.
- 加强针对性的感染预防策略,包括卫生,环境清洁,传播减少和疫苗接种至关重要.
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