儿科尿路感染的时间趋势和地理变化:使用全球疾病负担研究2021年的综合分析
Yulin Zhang1, Shenghan Huang1, Yaru Wang1
1Jinjiang Municipal Hospital, Shanghai Sixth People's Hospital Fujian, Quanzhou, China.
Tropical medicine and health
|November 25, 2025
概括
从1990年到2021年,儿童尿路感染 (UTI) 的绝对负担在全球范围内增加,尽管年龄标准化率有所下降. 有针对性的公共卫生战略对于减少儿童尿道感染的影响至关重要,尤其是在中低收入地区.
科学领域:
- 儿童传染病 儿童传染病
- 全球公共卫生全球公共卫生
- 流行病学 流行病学
背景情况:
- 尿路感染 (UTI) 是一个重大的全球健康挑战,特别是在儿童群体中.
- 儿童尿路感染的确切全球负担在历史上一直被低估.
- 本研究旨在量化1990年至2021年间儿科尿路感染的全球,区域和国家趋势.
研究的目的:
- 分析1990年至2021年间儿童尿路感染的全球,区域和国家发病率和疾病负担趋势.
- 评估14岁及以下儿童年龄标准化发病率和残疾调整寿命年率 (DALY) 的变化.
- 确定儿科尿路感染负担的区域差异.
主要方法:
- 利用了2021年全球疾病负担研究 (GBD) 的数据.
- 儿童群体 (≤14岁) 的估计发病率和DALY.
- 计算年龄标准化发病率和DALY率 (ASIR和ASDR),以及按年龄,性别和地区估计的年度百分比变化 (EAPC).
主要成果:
- 在全球范围内,儿科尿路感染病例从1990年的45,485,831例增加了10%,到2021年的50,173,655例.
- 年龄标准化发病率从每10万人口中的2615.40下降到2493.89 (EAPC: -0.17%).
- 与儿科尿路感染相关的残疾调整寿命年 (DALYs) 减少了33%,年龄标准化率从每10万人中从0.53降至0.30 (EAPC:-1.36%).
- 在社会人口指数 (SDI) 中低的地区,特别是南亚和撒哈拉以南非洲,观察到的负担最高.
结论:
- 尽管年龄标准化率有所降低,但儿科尿道感染的绝对负担却有所增加.
- 管道卫生信息负担存在显著的区域差异,特别是在中低水平的SDI地区.
- 量身定制的,特定于年龄和地区的公共卫生干预措施对于减轻儿科尿路感染的全球影响至关重要.
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