5岁以下儿童呼吸道感染的全科医生咨询;回顾性队列研究2016-2023年
Kimberley A Foley1, Dougal S Hargreaves2,3, Alex Bottle4
1Imperial College London, Department of Primary Care & Public Health, London, United Kingdom k.foley@imperial.ac.uk.
儿童呼吸道感染的全科医生咨询率在流行后下降,但桃体炎和链球菌A等细菌感染显著上升. 这些关于儿科呼吸道感染的趋势需要持续监测.
科学领域:
- 儿科健康 儿科健康
- 传染性疾病 传染性疾病
- 一般实践 一般实践
背景情况:
- 在COVID-19流行后,儿童呼吸道感染 (RTI) 咨询与全科医生 (GPs) 的变化尚未得到充分理解.
- 了解这些转变对于公共卫生和医疗保健资源分配至关重要.
研究的目的:
- 分析5岁以下儿童RTIs的GP咨询率的趋势.
- 将流行后的咨询数据 (2021-2023) 与流行前的数据 (2016-2020) 进行比较.
主要方法:
- 进行了以人口为基础的回顾性队列研究.
- 分析了2016年4月至2023年3月期间5岁以下儿童的电子健康记录.
- 在流行病后和流行病前期间,对RTIs的月度GP咨询率进行了比较.
主要成果:
- 与疫情前水平相比,儿科RTIs的月度全科医生咨询在2021/22年下降了16.8%,在2022/23年下降了15%.
- 虽然最初的冬季高峰不那么明显,但2022/23年3至4岁儿童的冬季高峰超过了前几年的43.3%,与A组链球菌疫情相吻合.
- 在所有年龄组中都观察到桃体炎,甲菌菌和细菌耳部感染的显著增加 (约60%).
结论:
- 自从解除COVID-19限制以来,儿科RTIs的GP咨询减少了.
- 显著且令人担忧的特定细菌感染的增加,包括桃体炎和A型 estreptococcus,需要对幼儿进行密切监测.
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