儿童呼吸系统疾病 在COVID-19流行之前和之后 限制
Melanie M Randall1, Jennifer Raae-Nielsen1, Christin J Tu1
1Pediatric Emergency Medicine, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|December 6, 2024
概括
儿童呼吸道病毒检测在COVID-19封锁期间下降,但随后急剧反弹. 取消流行病预防措施导致了更早,更大的儿童呼吸系统疾病的季节性高峰.
科学领域:
- 儿童传染病 儿童传染病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行和相关的限制,儿童常见的呼吸道病毒的循环模式发生了显著的变化.
- 了解儿童呼吸道疾病的限制后趋势对于公共卫生准备和资源分配至关重要.
研究的目的:
- 分析COVID-19流行病限制之前,期间和之后的儿科呼吸道病毒测试和阳性率的趋势.
- 描述儿童急诊部人口普查数据的变化,以应对与流行病相关的公共卫生措施.
主要方法:
- 一个大都市儿童医院的呼吸核酸放大测试结果 (2018-2023) 的回顾性分析.
- 包括腺病毒,冠状病毒,甲肺病毒,鼻病毒/肠病毒,流感A/B,类流感病毒,RSV和细菌病原体的测试.
- 审查了儿科急诊部人口普查数据,以与测试趋势相关联.
主要成果:
- 每周的测试从2020年前的1080 (3.7-4.1%阳性) 的中位数下降到2020年的486 (1.74%阳性).
- 限制后的测试在2021年增加到589 (4.07%阳性),并在解除口罩规定后增加到817 (4.71%阳性).
- 紧急部门的访问在2021-2022年大幅反弹,较早的季节性峰值,特别是面具限制结束后.
结论:
- 解除COVID-19大流行预防措施导致了常见的儿科呼吸系统疾病的复苏.
- 在取消限制措施后,观察到呼吸道疾病的早期季节性升,特别是学校的口罩强制.
- 这些发现突出了公共卫生措施和儿科呼吸道病毒流行病学之间的动态相互作用.
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