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[2010 - 2014年苏州5岁以下儿童社区获得性肺炎相关住院率的估算]

[Estimation of hospitalization rate of associated community-acquired pneumonia in children under 5 years in Suzhou, 2010-2014].

作者信息

Dai Z R, Shao X J, Tao Y Z, Shen S, Feng S, Ren S L, Luan L, Zhang J, Tian J M, Zhang T, Zhao G M

机构信息

Department of Epidemiology, School of Public Health, Fudan University/Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China.

Department of Infection, Children's Hospital of Soochow University,Suzhou 215003, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jul 10;42(7):1246-1251. doi: 10.3760/cma.j.cn112338-20210111-00029.

Abstract

To estimate the hospitalization rate of () associated community-acquired pneumonia in children under 5 years in Suzhou. From 2010 to 2014, medical records and bacteriology results of children under 5 years hospitalized with community-acquired pneumonia in Children's Hospital of Soochow University were collected, retrospectively. Detection rate of was describe. The hospitalization rate of associated community-acquired pneumonia was estimated using the number of local children in urban area of Suzhou, which was obtained from the immunization platform of Suzhou Center for Disease Prevention and Control. A total of 28 043 hospitalized pneumonia cases were included from 2010 to 2014, in which 19 526 (69.63%) had bacteriological examination. The overall detection rate of was 11.06% (2 160/19 526), and children aged 12-23 months had the highest positive rate (14.29%, 550/3 850), and the rate was higher during winter-spring than during summer-autumn (=455.11,<0.01). The average hospitalization rate of associated pneumonia in children under 5 years was 760.36/100 000 (95%: 733.70/100 000-787.01/100 000), which was higher in winter and spring (898.79/100 000 and 1 249.52/100 000) than in summer and autumn (514.35/100 000 and 359.04/100 000), and the hospitalization rate was higher in boys (942.12/100 000) than in girls (563.76/100 000), the differences were all significant (<0.01). The highest hospitalization rate was observed in children aged 1-5 months (2 478.31/100 000) and the hospitalization rate decreased with age (=2 129.80, <0.01). There was a considerable burden of associated community-acquired pneumonia in children under 5 years in Suzhou, especially in children under 6 months.

摘要

评估苏州5岁以下儿童()相关社区获得性肺炎的住院率。回顾性收集2010年至2014年苏州大学附属儿童医院5岁以下社区获得性肺炎住院患儿的病历和细菌学检查结果。描述()的检出率。利用苏州市疾病预防控制中心免疫规划平台获取的苏州城区本地儿童数量,估算()相关社区获得性肺炎的住院率。2010年至2014年共纳入28043例住院肺炎病例,其中19526例(69.63%)进行了细菌学检查。()的总体检出率为11.06%(2160/19526),12至23个月龄儿童的阳性率最高(14.29%,550/3850),冬春季的检出率高于夏秋季(χ² = 455.11,P < 0.01)。5岁以下儿童()相关肺炎的平均住院率为760.36/10万(95%CI:733.70/10万 - 787.01/10万),冬春季(898.79/10万和1249.52/10万)高于夏秋季(514.35/10万和359.04/10万),男孩的住院率(942.12/10万)高于女孩(563.76/10万),差异均有统计学意义(P < 0.01)。1至5个月龄儿童的住院率最高(2478.31/10万),且住院率随年龄增长而降低(χ² = 2129.80,P < 0.01)。苏州5岁以下儿童()相关社区获得性肺炎负担较重,尤其是6个月以下儿童。

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