COVID - 19大流行和后COVID - 19时代儿童呼吸道感染诊治现状及思考

Yuyi Tang, Luo Ren, Enmei Liu
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摘要

呼吸道感染(Respiratory tract infections, RTIs)是儿童常见病和多发病,对全球儿童健康构成重大威胁。病毒是儿童呼吸道感染最重要的病原体。自2019冠状病毒病(COVID - 19)暴发以来,全球范围内广泛实施了一系列非药物干预措施(npi),儿童呼吸道疾病和病毒谱发生了重要变化。然而,随着国家行动计划的放松,一些地区出现了“病毒死灰复燃”,多种病毒性传染病同时出现。本文综合总结了COVID - 19大流行背景下儿童呼吸道疾病和病毒谱的变化,探讨了可能的机制,并结合儿童COVID - 19的最新进展,对后COVID - 19时代儿童呼吸道感染的诊断和治疗要点进行了思考。
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Current status and reflections on the diagnosis and treatment of respiratory tract infections in children in the COVID‐19 pandemic and post‐COVID‐19 era
Abstract Respiratory tract infections (RTIs) are common and frequently occurring diseases in children, posing a significant health threat to children worldwide. Viruses are the most important pathogens of childhood RTIs. Since the outbreak of Coronavirus Disease 2019 (COVID‐19), a series of nonpharmaceutical interventions (NPIs) have been widely implemented around the globe, and important changes have taken place in the spectrum of respiratory diseases and viruses in children. However, with relaxation of NPIs, there has been a “virus resurgence” in some areas, with multiple viral infectious diseases appearing simultaneously. This review comprehensively summarizes the changes observed in the spectrum of respiratory diseases and viruses in children in the context of the COVID‐19 pandemic, explores possible mechanisms, and presents reflections on the key points of diagnosis and treatment of RTIs in children in the post‐COVID‐19 era in light of recent advances in COVID‐19 in children.
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