COVID-19是否影响了儿童的水病的发生?
Justyna Franczak1,2, Zuzanna Wasielewska1,2, Anna Maria Fotyga2
1Department of Infectious Diseases and Hepatology, Collegium Medicum, Bydgoszcz, Nicolaus Copernicus University, 87-100 Torun, Poland.
Viruses
|January 8, 2025
概括
COVID-19大流行改变了儿童的水病例,大流行期间住院病例减少,但大流行后严重的细菌性皮肤感染增加. 改善的卫生习惯减少了胃肠道症状病例.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- COVID-19 流行病对公共卫生产生了重大影响,可能会改变像水这样的常见儿童感染的过程.
- 了解这些变化对于儿科传染病管理和公共卫生战略至关重要.
研究的目的:
- 评估COVID-19流行病对天花 (水) 流行病学和儿童临床表现的影响.
- 分析流行病前,期间和之后的水并发症和相关病原体的趋势.
主要方法:
- 对2018年1月至2023年12月期间因水住院治疗的350名18岁以下儿童的医疗记录进行了回顾性分析.
- 数据收集包括患者人口统计,临床过程,并发症和微生物学发现.
主要成果:
- 感染水的住院病例在疫情期间是最低的,在2023年显著增加.
- 细菌性皮肤炎和下呼吸道感染是最常见的并发症 (84.86%).
- 流行后,普遍的炎症反应和侵袭性*Streptococcus pyogenes*感染 (41.46%的皮肤病变) 增加,其中5.90%需要手术. 胃肠道症状住院病例在流行病后显著下降.
结论:
- 流行病后的时期,儿科天花病例中严重的细菌性皮肤感染和泛性炎症反应的增加,可能与侵入性A型链球菌感染的增加有关.
- 在大流行期间采取的强化卫生做法有助于显著减少出现胃肠道症状的水病例.
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