儿科急性呼吸道病毒住院:基于人口的队列研究,2017-2024年
Tiffany Fitzpatrick1,2,3,4, Sarah A Buchan1,2,3,4,5, Sanjay Mahant6
1Public Health Ontario; Toronto, Ontario, Canada.
The Journal of infectious diseases
|April 25, 2025
概括
COVID-19措施扰乱了儿科呼吸道病毒住院,RSV和人类甲型肺炎病毒在流行后显著增加. 虽然2023/24年出现回归典型模式,但长期病毒季节性仍然不确定.
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:
- COVID-19缓解措施显著改变了季节性呼吸道病毒的格局.
- 了解对儿科急性呼吸道感染 (ARI) 的影响对于医疗保健规划至关重要.
研究的目的:
- 为了比较观察到的与预期的儿科病毒性ARI病例的流行病后住院.
- 分析受理儿童特征的变化.
主要方法:
- 在加拿大安大略省 (2017-2024) 的年轻人 (<18岁) 的基于人口的队列研究.
- 分析与ARI相关的住院率和相关的行政数据.
- 使用波桑回归估计预期的入学率.
主要成果:
- 2020/21年急剧降低ARI,随后在2022/23年急剧上升,特别是在RSV和人类甲型肺炎病毒.
- 流行病后增加了老年儿童的入院数量和更少的男性;男性的入院数量低于预期的2022/23.
- COVID-19的入院人数最小;在2023/24年,大流行前的季节性几乎恢复了.
结论:
- 流行病后的病毒性ARI流行病学和患者特征发生了显著的转变.
- 虽然2023/24年表现出更典型的模式,但长期恢复大流行前的季节性是不确定的.
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