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并非所有呼吸道感染都是大流行期间的 SARS-CoV-2,对哥伦比亚加勒比海岸一家诊所的分析。

Not all respiratory infections were SARS-CoV-2 during the pandemic, analysis in a clinic on the Colombian Caribbean coast.

机构信息

Infectology and Epidemiology Service, IMAT-Oncomédica Auna, Montería, Colombia.

Internal Medicine Service, IMAT-Oncomédica Auna, Montería, Colombia.

出版信息

J Infect Public Health. 2023 Sep;16(9):1403-1409. doi: 10.1016/j.jiph.2023.06.008. Epub 2023 Jun 16.

Abstract

INTRODUCTION

Acute Respiratory Infections (ARIs) are considered one of the leading causes of morbidity and mortality worldwide. Children under five and older adults are most likely to die from this cause.

OBJECTIVE

To describe the behavior of infection by respiratory viruses other than SARS-CoV-2 during the pandemic in a clinic in the Colombian Caribbean.

METHODS

This descriptive and retrospective study evaluates the characteristics, associated comorbidities, and requirements of hospitalization or Intensive Care Unit in patients diagnosed with respiratory viral infections treated at IMAT Oncomedica clinic from July 2020 to August 2022.

RESULTS

This study evaluated 351 patients with respiratory symptoms, observing an exponential increase in cases of respiratory infection as of April 2022, with a high proportion of syncytial virus infections mainly in children under 18 years of age (22.1%) and Human Rhinovirus/Enterovirus in patients with solid tumors and hematological disorders (48.8%), the latter was associated with a higher rate of hospitalization and ICU requirement in the individuals evaluated.

CONCLUSIONS

Respiratory viruses other than SARS-CoV-2, such as Rhino/Enterovirus, RSV, and adenovirus, are circulating in the population at a clinic on the Colombian Caribbean coast. The findings should motivate public health authorities to conduct more thorough surveillance in the rest of the state.

摘要

引言

急性呼吸道感染(ARI)被认为是全球发病率和死亡率的主要原因之一。五岁以下儿童和老年人最有可能因此原因死亡。

目的

描述在哥伦比亚加勒比地区的一家诊所中,SARS-CoV-2 以外的呼吸道病毒感染在大流行期间的表现。

方法

本描述性和回顾性研究评估了 2020 年 7 月至 2022 年 8 月在 IMAT Oncomedica 诊所接受治疗的呼吸道病毒感染患者的特征、相关合并症以及住院或重症监护病房的需求。

结果

本研究评估了 351 例有呼吸道症状的患者,观察到自 2022 年 4 月以来呼吸道感染病例呈指数增长,合胞病毒感染主要发生在 18 岁以下儿童(22.1%)和实体瘤和血液系统疾病患者中的人类鼻病毒/肠道病毒(48.8%),后者与评估个体的住院率和 ICU 需求较高相关。

结论

除 SARS-CoV-2 以外的呼吸道病毒,如 Rhino/Enterovirus、RSV 和腺病毒,在哥伦比亚加勒比海岸的一家诊所中正在人群中传播。这些发现应促使公共卫生当局在该州其他地区进行更全面的监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da5/10270728/6facf2e6fea4/gr1_lrg.jpg

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