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[非药物预防措施对呼吸道和胃肠道疾病发病率的影响]

[Effect of non-pharmacological preventive measures on the incidence of respiratory and gastrointestinal pathologies].

作者信息

Aldaz Herce Pablo, Huarte Labiano Iranzu, Gonzalo Herrera Nancy, Oscariz Ojer Miren, Bartolome Resano Javier, Lopez Flores Joyssel, Zaragüeta Escribano Mercedes

机构信息

Especialista en medicina familiar y comunitaria. Centro de salud de San Juan. Servicio Navarro de Salud (SNS-O). Pamplona. España.

Grupo de enfermedades infecciosas de la Sociedad Navarra de Medicina Familiar y Comunitaria. Pamplona. España.

出版信息

Rev Esp Salud Publica. 2024 Sep 12;98:e202409050.

Abstract

OBJECTIVE

The use of non-pharmacological preventive measures during the COVID-19 pandemic has helped to reduce the incidence of multiple airborne or contact diseases. The objective of this paper was to evaluate the impact that all preventive measures have had on the transmission of different microorganisms, both by respiratory and contact transmission.

METHODS

We compared the incidence of different infectious episodes coded with the CIAP-2 code (International Classification of Primary Care second edition of the WONCA International Classification Committee) collected from the computerized history of primary care, both with respiratory tract and digestive tract involvement, in the period from March 2018 to February 2020 (pre-pandemic period) and from March 2020 to February 2022 (pandemic period). The data corresponded to the entire region, with an estimated average population for the four years of 650,000 people. The statistical treatment of the data consisted of a descriptive analysis with the calculation of absolute values and percentages. Rates were calculated and compared using data provided by the National Institute of Statistics as a denominator. The P was obtained by statistical comparison by the exact method. A comparison of rates was made.

RESULTS

The incidence in the number of CIAP-2 episodes studied, both corresponding to respiratory and gastrointestinal pathologies, comparing the period March 2018-February 2020 with the period March 2020-February 2022 decreased by 65.81%, from 534,439 cases to 182,707.

CONCLUSIONS

The preventive measures applied during the pandemic produce a significant decrease in pathology involving the respiratory or the digestive tract.

摘要

目的

在新冠疫情期间使用非药物预防措施有助于降低多种空气传播或接触性疾病的发病率。本文的目的是评估所有预防措施对不同微生物通过呼吸道和接触传播的影响。

方法

我们比较了从初级保健计算机化病史中收集的、编码为CIAP - 2代码(世界家庭医生学会国际分类委员会国际初级保健分类第二版)的不同感染发作的发病率,这些发作涉及呼吸道和消化道,时间跨度为2018年3月至2020年2月(疫情前时期)以及2020年3月至2022年2月(疫情时期)。数据涵盖整个地区,四年的估计平均人口为65万。数据的统计处理包括描述性分析,计算绝对值和百分比。使用国家统计局提供的数据作为分母计算并比较发病率。通过精确方法进行统计比较得出P值。对发病率进行了比较。

结果

比较2018年3月至2020年2月期间与2020年3月至2022年2月期间,所研究的CIAP - 2发作次数(对应呼吸道和胃肠道疾病)的发病率下降了65.81%,从5

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The origins of COVID-19 pandemic: A brief overview.新冠疫情的起源:简要概述。
Transbound Emerg Dis. 2022 Nov;69(6):3181-3197. doi: 10.1111/tbed.14732. Epub 2022 Oct 20.
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The use of masks to protect against respiratory infections: An umbrella review.口罩预防呼吸道感染的应用:伞式综述。
Enferm Infecc Microbiol Clin (Engl Ed). 2021 Nov;39(9):436-444. doi: 10.1016/j.eimce.2021.08.002. Epub 2021 Aug 24.
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Hand-washing promotion for preventing diarrhoea.促进洗手预防腹泻。
Cochrane Database Syst Rev. 2021 Jan 6;12(1):CD004265. doi: 10.1002/14651858.CD004265.pub4.
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An evidence review of face masks against COVID-19.针对 COVID-19 的口罩有效性评估综述
Proc Natl Acad Sci U S A. 2021 Jan 26;118(4). doi: 10.1073/pnas.2014564118.

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