在Covid时代儿童的急性乳腺炎:系统性审查和元分析
Erin E Briggs1, Isabelle J Chau2, Shaun A Nguyen3
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Ave, MSC 550, Charleston, SC, 29425, USA; Thomas Jefferson University School of Medicine, Philadelphia, PA, USA.
随着COVID-19大流行,儿科急性乳头炎 (AM) 的内并发症增加. 较少的AM病例仅用抗生素治疗,细菌模式转移,需要新的管理策略.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 儿科健康 儿科健康
背景情况:
- 儿科急性乳腺炎 (AM) 是一个重大问题.
- 由于COVID-19的流行,可能影响了AM的呈现和管理.
- 了解这些变化对于最佳的儿科护理至关重要.
研究的目的:
- 为了调查COVID-19大流行对儿科急性乳腺炎的影响.
- 分析疫情期间AM临床表现,细菌流行病学,并发症和AM管理的变化.
主要方法:
- 在主要数据库 (CINAHL,Cochrane图书馆,PubMed,Scopus) 进行了系统的文献搜索.
- 包括在2014年至2025年间发表的关于儿科AM的报告研究.
- 评估结果包括临床表现,细菌流行病学,并发症和治疗,并对比例和风险进行统计分析.
主要成果:
- 分析了七项研究 (N=1001名儿童),比较了COVID前和COVID时代的队列.
- 流行后观察到内并发症的显著增加 (RR: 1.2).
- 保守的抗生素治疗显著下降 (平均差异为10.8%),细菌流行病学发生了转变.
结论:
- COVID-19大流行与儿科AM的内并发症增加有关.
- 仅用抗生素治疗的病例越来越少,细菌模式也发生了变化.
- 需要进一步的研究,以适应AM管理策略在后疫情时代.
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