印度北部各州住院肠套叠病例的流行病学。
Epidemiology of Hospitalized Intussusception Cases from Northern States in India.
机构信息
Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Department of Pediatric Surgery, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Indian J Pediatr. 2021 Mar;88(Suppl 1):118-123. doi: 10.1007/s12098-020-03609-0. Epub 2021 Jan 16.
OBJECTIVE
To describe epidemiology of intussusception post-introduction of the rotavirus vaccine.
METHODS
Hospital-based active surveillance system was set up in three tertiary care hospitals in Chandigarh and Haryana, India, to enroll children <2 y of age admitted with intussusception as per Brighton Collaboration Level-I criteria. The clinical characteristics, treatment modalities, seasonal trends, and outcome of the illness episodes were described.
RESULTS
A total of 224 cases were reported. Majority were males (71%) and infants (69.5%). Number of intussusception was more in summer season. Location of intussusception was ileo-colic in 85% of the cases. Nearly 54% cases were treated conservatively and 46% needed surgical intervention.
CONCLUSION
Surveillance data provided the epidemiological description of intussusception cases post-introduction of the rotavirus vaccine in northern India. This data could be used to assess the impact of vaccine and safety with a special focus on intussusception.
目的
描述轮状病毒疫苗引入后肠套叠的流行病学情况。
方法
在印度昌迪加尔和哈里亚纳邦的三家三级保健医院设立了基于医院的主动监测系统，以根据布莱顿合作组织一级标准纳入因肠套叠住院的<2 岁儿童。描述了疾病发作的临床特征、治疗方式、季节性趋势和结果。
结果
共报告了 224 例病例。大多数为男性（71%）和婴儿（69.5%）。肠套叠的数量在夏季较多。85%的病例为回盲肠型肠套叠。近 54%的病例接受了保守治疗，46%的病例需要手术干预。
结论
监测数据提供了印度北部轮状病毒疫苗引入后肠套叠病例的流行病学描述。该数据可用于评估疫苗的效果和安全性，特别关注肠套叠。
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