1999 年至 2019 年期间英格兰和威尔士因感染和寄生虫病住院的情况：一项生态学研究。
Hospital admissions due to infectious and parasitic diseases in England and Wales between 1999 and 2019: an ecological study.
机构信息
Department of Basic Pharmaceutical Sciences, Faculty of Pharmacy, Isra University, Amman, Jordan.
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
出版信息
BMC Infect Dis. 2022 Apr 23;22(1):398. doi: 10.1186/s12879-022-07388-1.
BACKGROUND
Infectious diseases continue to account for considerable illness and death worldwide, and emerging infectious diseases (EIDs) are a significant burden on global economies and public health. This study aimed to investigate the trends in infectious and parasitic disease (IPD) hospital admissions (HA) in England and Wales between 1999 and 2019.
METHODS
This is an ecological study using publicly available data taken from the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admission data were collected for the period between April 1999 to March 2019. IPDHA were identified using the tenth version of the International Statistical Classification of Diseases system, diagnostic codes (A00-B99). The trend in hospital admissions was assessed using a Poisson model.
RESULTS
The overall annual number for IPD hospital admissions for various causes increased by 412.9%, from 151,336 in 1999 to 776,215 in 2019, representing an increase in hospital admission rate of 349.9% from 290.25 (95% CI 288.79-291.71) in 1999 to 1305.88 (95% CI 1303.00-1308.77) in 2019 per 100,000 persons: trend test, p < 0.01. The most common causes of infectious and parasitic disease hospital admissions were intestinal infectious diseases, other bacterial diseases, and other viral diseases, which accounted for 33.6, 27.5, and 23.8%, respectively. Patients aged 15 years and below accounted for 34.2% of the entire number of IPD hospital admissions, followed by the age group 15-59 years with 27.9%, the age group 75 years and above with 22.7%, and then the age group 60-74 years with 15.2%.
CONCLUSION
There was an increase in the hospital admission rate due to infectious diseases in the UK from 1999 to 2019. The most common causes of infectious and parasitic disease hospital admissions were intestinal infectious diseases, other bacterial diseases, and other viral diseases.
背景
传染病在全球范围内仍造成大量疾病和死亡，新发传染病（EID）对全球经济和公共卫生造成重大负担。本研究旨在调查 1999 年至 2019 年期间英国和威尔士传染性和寄生虫病（IPD）住院（HA）的趋势。
方法
这是一项使用英国医院入院统计数据库和威尔士患者入院数据库中公开可用数据进行的生态研究。住院数据收集自 1999 年 4 月至 2019 年 3 月。使用第十版国际疾病统计分类系统（ICD-10）诊断代码（A00-B99）确定 IPDHA。使用泊松模型评估住院人数趋势。
结果
各种原因导致的 IPD 住院人数总体呈 412.9%的年增长率，从 1999 年的 151,336 例增至 2019 年的 776,215 例，这代表 1999 年住院率为 290.25（95%CI 288.79-291.71），到 2019 年增加了 349.9%，达到 1305.88（95%CI 1303.00-1308.77）/每 10 万人：趋势检验，p<0.01。传染性和寄生虫病住院的最常见原因是肠道传染病、其他细菌病和其他病毒性疾病，分别占 33.6%、27.5%和 23.8%。15 岁及以下的患者占所有 IPD 住院患者的 34.2%，其次是 15-59 岁的患者，占 27.9%，75 岁及以上的患者占 22.7%，60-74 岁的患者占 15.2%。
结论
1999 年至 2019 年，英国因传染病导致的住院率上升。传染性和寄生虫病住院的最常见原因是肠道传染病、其他细菌病和其他病毒性疾病。
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