COVID-19期间对儿科深腹的影响:发生情况和临床表现
Gabriela Sara Freixo Lima1, Daniel Yafit1, Benyamin Meir Kaminer1
1Department of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
International journal of pediatric otorhinolaryngology
|October 22, 2024
概括
在COVID-19大流行期间,儿童的深感染 (DNI) 发生率有所下降,但随后急剧增加. 这项研究分析了儿科DNI趋势,揭示了流行病后呈现和结果的变化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿童传染病 儿童传染病
- 流行病学 流行病学
背景情况:
- 深部感染 (DNI) 是一个严重的儿科疾病.
- 了解DNI的流行病相关趋势对于公共卫生至关重要.
- 之前的研究还没有充分探讨大流行对儿科DNI的影响.
研究的目的:
- 调查COVID-19大流行对儿科深部感染 (DNI) 发生率的影响.
- 在此期间描述儿科DNI的临床,实验室和微生物学特征.
- 分析临床结果并确定DNI呈现的趋势.
主要方法:
- 在一个单一的三级医疗中心进行了回顾性队列研究.
- 包括在2010-2022年间被诊断患有DNI的儿科患者 (≤18岁).
- 分析了每年的发病率,按部类型 (逆/副) 和年龄组分层.
主要成果:
- 整体DNI发病率在2020年从2010年 (0.81) 降低 (0.33),但在2022年升至4.85.
- 后腹 (RPAs) 在较小的儿童 (0-4岁) 中更常见,而副腹 (PPAs) 在较大的儿童 (>4-18岁) 中占主导地位.
- 在RPA和年幼儿童中观察到较高的阳性培养率.
结论:
- 儿童DNI发病率在COVID-19大流行期间出现下降,随后在后疫情时代显著增加.
- 研究结果突出显示了儿童群体中DNI流行病学和呈现的变化.
- 建议进行进一步的前性研究,以阐明这些观察到的趋势的原因.
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