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在新冠疫情之前及期间因肠胃炎住院的儿童。

Children hospitalised with gastroenteritis before and during the COVID-19 pandemic.

作者信息

Saidian Hamida, Daugberg Rie, Jensen Lise Heilmann, Schoos Ann-Marie Malby, Rytter Maren Johanne Heilskov

机构信息

Department of Paediatrics and Adolescent Medicine, Slagelse Hospital, Slagelse, Denmark.

Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

出版信息

Acta Paediatr. 2025 Jan;114(1):148-155. doi: 10.1111/apa.17418. Epub 2024 Sep 5.

Abstract

AIMS

The COVID-19 pandemic altered the pattern of many paediatric infections. We aimed to assess the incidence and characteristics of children hospitalised with gastroenteritis during the early and the late pandemic, relative to previous years.

METHODS

In a retrospective study, we collected data from patient files of children aged 1 month to 5 years, admitted with gastroenteritis to a paediatric department in Denmark during January-June, of 2017 to 2021, comparing incidence rates and clinical features in the early pandemic (March to June 2020), and late pandemic period (January to June 2021), to similar pre-pandemic months.

RESULTS

In the early pandemic, admission rates per 1000 children/month declined to 0.5 (95% CI: 0.3-0.6) from pre-pandemic rates of 1.6 (95% CI: 1.4-1.7) (p < 0.0001) and increased in the late pandemic to 2.2 (95% CI: 1.9-2.6) (p = 0.006). Children admitted in the late pandemic period were older than those admitted previously.

CONCLUSION

A resurgence of gastroenteritis in children occurred in the spring of 2021, with higher hospital admission rates of children, who were older, but not more severely ill than previously.

摘要

目的

新冠疫情改变了许多儿科感染的模式。我们旨在评估疫情早期和晚期因肠胃炎住院儿童的发病率及特征,并与前几年进行比较。

方法

在一项回顾性研究中,我们收集了2017年至2021年1月至6月期间丹麦某儿科收治的1个月至5岁肠胃炎患儿的病历数据,比较了疫情早期(2020年3月至6月)和晚期(2021年1月至6月)与疫情前相似月份的发病率和临床特征。

结果

在疫情早期,每1000名儿童/月的入院率从疫情前的1.6(95%置信区间:1.4 - 1.7)降至0.5(95%置信区间:0.3 - 0.6)(p < 0.0001),在疫情晚期又升至2.2(95%置信区间:1.9 - 2.6)(p = 0.006)。疫情晚期入院的儿童比之前入院的儿童年龄更大。

结论

2021年春季儿童肠胃炎出现反弹,年龄较大儿童的住院率更高,但病情并不比之前更严重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560d/11627442/f95353eb8f0a/APA-114-148-g003.jpg

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