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针对 COVID-19 大流行的非药物干预措施对流感负担的影响 - 系统评价。

Impact of non-pharmaceutical interventions targeted at COVID-19 pandemic on influenza burden - a systematic review.

机构信息

Helmholtz Centre for Infection Research (HZI), Inhoffenstraße 7, 38124 Braunschweig, Germany; Hannover Medical School (MHH), Carl-Neuberg-Str. 1, 30625 Hannover, Germany.

Helmholtz Centre for Infection Research (HZI), Inhoffenstraße 7, 38124 Braunschweig, Germany; German Center for Infection Research, Inhoffenstraße 7, 38124 Braunschweig, Germany.

出版信息

J Infect. 2021 Jan;82(1):1-35. doi: 10.1016/j.jinf.2020.11.039. Epub 2020 Dec 3.

DOI:10.1016/j.jinf.2020.11.039
PMID:33278399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9183207/
Abstract

OBJECTIVES

To better understand the impact of comprehensive COVID-19 targeted non-pharmaceutical interventions (NPIs) on influenza burden worldwide.

METHODS

We conducted a systematic literature search in selected databases (PubMed, WHO COVID-19), preprint servers (medRxiv, bioRxiv) and websites of European Public Health institutes. Documents that compared influenza estimates in the 2019/2020 season with previous seasons were included. Information synthesis was qualitative due to a high heterogeneity in the number and periods of comparative seasons, outcome measures and statistical methods.

RESULTS

We included 23 records reporting from 15 countries/regions as well as 8 reports from European Public Health agencies. Estimates in the 2019/2020 season based on influenza virus tests (4 out of 7 countries/regions), defined influenza cases (8 out of 9), influenza positivity rate (7 out of 8), and severe complications (1 out of 2) were lower than in former seasons. Results from syndromic indicators, such as influenza-like-illness (ILI), were less clear or even raised (4 out of 7) after the influenza season indicating a misclassification with COVID-19 cases.

CONCLUSIONS

Evidence synthesis suggests that NPIs targeted at SARS-CoV-2-transmission reduce influenza burden as well. Low threshold NPIs need to be more strongly emphasized in influenza prevention strategies.

摘要

目的

更好地了解针对新冠病毒的综合非药物干预（NPI）对全球流感负担的影响。

方法

我们在选定的数据库（PubMed、世界卫生组织 COVID-19）、预印本服务器（medRxiv、bioRxiv）和欧洲公共卫生研究所的网站上进行了系统文献检索。纳入了比较 2019/2020 年季节与前几个季节流感估计数的文献。由于比较季节的数量和时期、结局指标和统计方法存在高度异质性，因此信息综合采用定性方法。

结果

我们纳入了 23 份来自 15 个国家/地区的记录以及 8 份来自欧洲公共卫生机构的报告。基于流感病毒检测的 2019/2020 年季节估计数（7 个国家/地区中的 4 个）、定义的流感病例数（9 个中的 8 个）、流感阳性率（8 个中的 7 个）和严重并发症（2 个中的 1 个）均低于前几个季节。流感季节后，综合征指标（如流感样疾病（ILI））的结果不太明确，甚至升高（7 个中的 4 个），表明与 COVID-19 病例的分类错误。

结论

综合证据表明，针对 SARS-CoV-2 传播的 NPI 也可降低流感负担。在流感预防策略中，需要更加重视低门槛的 NPI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a0/9183207/a264bc168922/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a0/9183207/ad9d56824a15/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a0/9183207/a264bc168922/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a0/9183207/ad9d56824a15/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72a0/9183207/a264bc168922/gr1_lrg.jpg

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