在住院患者中,鼻病毒/肠病毒感染的流行病学
B Lopez-Villalba1, L Tejedor-Cantero2, M Toquero-Asensio3
1Preventive Medicine and Public Health Unit, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
鼻病毒/肠病毒 (RV/EV) 是病毒性呼吸系统住院的主要原因,特别影响儿童和老年人. 这凸显了加强预防和研究其重大健康影响的必要性.
科学领域:
- 病毒学 病毒学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 鼻病毒/肠病毒 (RV/EV),通常导致轻度感冒,越来越多地被认为是严重的呼吸系统疾病的主要原因,需要住院治疗.
- 了解RV/EV住院的流行病学和临床特征对于公共卫生管理至关重要.
研究的目的:
- 分析患者人口统计学,临床特征和因病毒性呼吸道感染住院的个体的结果.
- 专门调查住院患者中与犀利病毒/肠道病毒 (RV/EV) 感染相关的特征和危险因素.
主要方法:
- 一项回顾性研究分析了瓦拉多利德大学临床医院2019-2022年的1528例病例.
- 数据收集涉及医疗记录和微生物学测试,使用Biofire呼吸系统和NxTAG呼吸系统面板.
主要成果:
- RV/EV是最常见的呼吸道病毒,占病例的42.6%.
- 0-15岁儿童的RV/EV感染风险显著增加,特别是在共感染 (OR 6.887) 和RSV (OR 8.580) 的情况下.
- RV/EV感染与喘 (OR 2.545) 和COPD恶化 (OR 1.781) 的风险增加有关,但支气管炎的风险降低 (OR 0.236).
结论:
- 鼻病毒/肠病毒 (RV/EV) 被确定为主要的呼吸道病毒,导致住院治疗,对儿科和老年人群产生显著影响.
- 季节性和病毒共感染的复杂相互作用使RV/EV的临床表现和管理变得复杂.
- 调查结果强调需要采取强有力的预防措施,并继续研究RV/EV感染对健康的更广泛影响.
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