Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago, New Zealand.
Epidemiol Infect. 2011 Nov;139(11):1794-804. doi: 10.1017/S0950268810002761. Epub 2010 Dec 15.
The incidence of serious skin infections in New Zealand children is significantly higher than in comparative countries. This study aimed to describe the epidemiology of these infections and identify changes in disease distribution over time. Discharge data were analysed for all children admitted to a New Zealand public hospital with a serious skin infection during the period 1990-2007. Patient and admission variables were compared between 1990-1999 and 2000-2007. The incidence of serious skin infections almost doubled from 298·0/100,000 in 1990 to 547·3/100,000 in 2007. The highest rates were observed in boys, preschool-aged children, Māori and Pacific children, those living in deprived neighbourhoods, urban areas and northern regions. Over time there were disproportionate increases in infection rates in Māori and Pacific children and children from highly deprived areas. Serious skin infections are an increasing problem for New Zealand children. Worsening ethnic and socioeconomic health inequalities may be contributing to increasing rates.
新西兰儿童严重皮肤感染的发病率明显高于其他国家。本研究旨在描述这些感染的流行病学，并确定疾病分布随时间的变化。对 1990-2007 年期间在新西兰一家公立医院因严重皮肤感染住院的所有儿童的出院数据进行了分析。比较了 1990-1999 年和 2000-2007 年之间的患者和入院变量。严重皮肤感染的发病率从 1990 年的 298.0/100,000 几乎翻了一番，达到 2007 年的 547.3/100,000。发病率最高的是男孩、学龄前儿童、毛利人和太平洋岛民、生活在贫困社区、城市地区和北部地区的儿童。随着时间的推移，毛利人和太平洋岛民以及来自高度贫困地区的儿童的感染率不成比例地增加。严重皮肤感染是新西兰儿童日益严重的问题。日益恶化的种族和社会经济健康不平等可能是导致发病率上升的原因。
