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[摩洛哥拉巴特儿童医院住院儿童呼吸道疾病的流行病学概况]

[Epidemiological profile of respiratory diseases in children hospitalized at the Rabat Children's Hospital, Morocco].

作者信息

Benchekroun Ilham, Boubkraoui Mohamed El Mahdi, Mekaoui Nour, Karboubi Lamia, Mahraoui Chafiq, Dakhama Badr Sououd Benjelloun

机构信息

Service des Urgences Médicales Pédiatriques, Hôpital d'Enfants de Rabat, Maroc.

Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Maroc.

出版信息

Pan Afr Med J. 2017 Dec 4;28:288. doi: 10.11604/pamj.2017.28.288.13405. eCollection 2017.

Abstract

INTRODUCTION

Respiratory diseases are a common cause of pediatric hospitalization. This study aimed to evaluate the epidemiological profile of respiratory diseases among children at the Rabat Children's Hospital, Morocco.

METHODS

We conducted an observational-cross sectional study of all children aged 3 months to 15 years hospitalized for respiratory disease at the Department of Pneumoallergology and Pediatric Infectious Diseases at the Rabat Children's Hospital, Morocco over a one-year period, from 1 January 2014 to 31 December 2014.

RESULTS

Out of 3537 hospitalized patients, 2493 (70.5%) had respiratory disease. Hospitalizations due to asthmatic exacerbation (p < 0.001), acute bronchiolitis (p < 0.001) and laryngeal dyspnoea (p = 0.004) were more frequent among boys, while hospitalizations due to acute pneumonia (p = 0.005), inhalation of a foreign body (p = 0.007) and pertussis (p = 0.020) were frequent among girls. Hospitalizations due to acute pneumonia (p < 0.001), exacerbation of serious viral disease sequelae (p < 0.001) and pertussis (p < 0.001) were more frequent among infants. Hospitalizations due to acute pneumonia (p < 0.001) and pertussis (p = 0.015) were more frequent during the autumn-winter period.

CONCLUSION

The causes of hospitalization were dominated by asthmatic exacerbations and acute bronchiolitis, which were more frequent among boys. Respiratory infections, such as acute pneumonitis and pertussis, were more frequent during the autumn-winter period and mainly affected the infants.

摘要

引言

呼吸系统疾病是儿童住院的常见原因。本研究旨在评估摩洛哥拉巴特儿童医院儿童呼吸系统疾病的流行病学特征。

方法

我们对2014年1月1日至2014年12月31日期间在摩洛哥拉巴特儿童医院肺变态反应科和儿科传染病科因呼吸系统疾病住院的所有3个月至15岁儿童进行了一项观察性横断面研究。

结果

在3537名住院患者中,2493名(70.5%)患有呼吸系统疾病。哮喘加重(p<0.001)、急性细支气管炎(p<0.001)和喉喘鸣(p = 0.004)导致的住院在男孩中更为常见,而急性肺炎(p = 0.005)、异物吸入(p = 0.007)和百日咳(p = 0.020)导致的住院在女孩中更为常见。急性肺炎(p<0.001)、严重病毒病后遗症加重(p<0.001)和百日咳(p<0.001)导致的住院在婴儿中更为常见。急性肺炎(p<0.001)和百日咳(p = 0.015)导致的住院在秋冬季节更为常见。

结论

住院原因以哮喘加重和急性细支气管炎为主,在男孩中更为常见。呼吸系统感染,如急性肺炎和百日咳,在秋冬季节更为常见,主要影响婴儿。

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