在长期护理机构的住院:呼吸道结膜病毒住院的重要风险因素
Angela R Branche1, Ann R Falsey1, Lyn Finelli2
1Department of Medicine, Division of Infectious Diseases, University of Rochester, Rochester, New York, USA.
The Journal of infectious diseases
|August 23, 2024
概括
在辅助生活和熟练护理设施中,呼吸道同胞细胞病毒 (RSV) 的住院病例显著增加. 这些发现凸显了居住在这些环境中的老年人急需接受RSV疫苗接种的迫切需要.
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:
- 老年人,特别是那些患有并发症的人,面临严重呼吸道同胞病毒 (RSV) 感染的风险增加.
- 熟练护理设施 (SNF) 和辅助生活设施 (AL) 拥有这些风险因素高度的人群.
研究的目的:
- 为了比较社区居民 (CD) 成人,SNF居民和65岁及以上的AL居民中RSV相关住院病例的基于人口的发病率.
- 为脆弱的老年成人群体提供RSV疫苗接种策略的信息.
主要方法:
- 这是一项为期3年的基于人口的前性研究,在纽约罗切斯特进行.
- 在三个不同的住院环境中比较与RSV相关的住院率:CD,SNF和AL.
- 分析包括中位数年龄和痴呆症和充血性心力衰竭 (CHF) 等疾病的患病率.
主要成果:
- 每10万人的RSV相关住院平均年均发生率:117 (CD),440 (SNF) 和740 (AL).
- 与CD成年人相比,SNF和AL居民年龄较大 (平均年龄分别为83岁和86岁),痴呆和CHF的患病率较高 (平均年龄为76岁).
- 与社区居民相比,SNF和AL居民的发病率要高得多.
结论:
- 在SNF和AL设施的住户体验了与RSV相关的住院病例的不成比例的高率.
- 该研究强调了在SNF和AL环境中广泛推广RSV疫苗接种建议和实施的迫切需要.
- 有针对性的疫苗接种策略对于保护聚集生活环境中的老年人免受严重RSV疾病的侵害至关重要.
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