2016-2022 年住院病人 Rsv 管理:德国一所大学儿童医院的流行病学和支气管炎治疗标准的遵守情况。

IF 1.2 4区 医学 Q3 PEDIATRICS Klinische Padiatrie Pub Date : 2024-02-06 DOI:10.1055/a-2218-5171
Solvej Heidtmann, Yeliz Baltaci, Sascha Meyer, Michael Zemlin, Rhoikos Furtwängler, Juergen Rissland, Arne Simon
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引用次数: 0

摘要

研究背景本研究分析了一家儿童转诊医院2021/2022年的RSV季节,比较了2016年至2020年RSV感染住院患者的流行病学和疾病严重程度,并审核了我们对RSV支气管炎内部治疗标准的遵守情况:材料:经 rtPCR 确认感染 RSV 的住院患者(2016 年 1 月至 2022 年 1 月):审计包括 306 名 RSV 住院患者,平均每年 50 例住院;2020 年 3 月,观察到 RSV 季节性快速发病。在 2020/2021 年冬季,没有 RSV 患者住院。从 7 月开始,我们注意到 RSV 住院人数迅速增加(大多数病例发生在 9 月/10 月,持续到 2021 年 12 月;n=53)。2021-2022 年,需要入住 PICU 的比例明显增加(9.4% vs 3.2%,P=0.040)。内部指南的遵守率很低;所有患者中只有 11.8%(n=36)接受了不吸入或全身用药的支持性治疗,37% 的患者接受了抗生素治疗:这次审计证实了针对 SARS-CoV-2 传播的公共预防措施对 RSV 流行病学的重大影响。在放宽公共 COVID-19 限制几周后(2021 年夏季),RSV 住院病例迅速增加,一直持续到 2021 年 12 月。尽管在 2021 年 10 月与儿科主治医生进行了面对面的教育,但对支气管炎管理的审计显示,内部指南的遵守率低得令人吃惊。由于遵守率低,导致 RSV 患者不必要地接受了包括抗生素在内的系统性药物治疗,而这些药物的疗效却值得怀疑。
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Inpatient Rsv-Management 2016-2022: Epidemiology and Adherence to A Bronchiolitis Treatment Standard at a German University Children's Hospital.

Background: This study analyzes the RSV season 2021/2022 in a referral children's hospital, compares the epidemiology and illness severity with RSV-infected inpatients from 2016 to 2020 and audits the adherence to our internal therapy standard for RSV bronchiolitis.

Material and methods: Inpatients with rtPCR-confirmed RSV infection (Jan. 2016 to Jan. 2022).

Results: The audit comprises 306 RSV inpatients, on average 50 hospitalizations per year; in 03/2020, a rapid RSV Season-Offset was observed. In the winter season 2020/2021, no patient with RSV was hospitalized. Beginning in July, we noticed a rapid increase of RSV-admissions (most cases in Sept./Oct, duration until Dec. 2021; n=53). In 2021-2022, a significant larger share needed PICU admission (9.4% vs 3.2%, p=0.040). Adherence to the internal guidance was low; only 11.8% (n=36) of all patients received supportive treatment without inhalative or systemic medications, 37% of all patients received antibiotics.

Conclusions: This audit confirms the strong impact of public preventive measures directed against SARS-CoV-2 transmission on RSV epidemiology. Few weeks after easing public COVID-19 restrictions (summer 2021), RSV inpatient cases rapidly increased, lasting until Dec. 2021. The audit of bronchiolitis management revealed surprisingly low adherence to the internal guidance, despite a face-to-face educational session with the attending pediatricians in Oct. 2021. Low adherence resulted in an unnecessary exposure of RSV patients to systemic medications of questionable benefit including antibiotics.

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来源期刊
Klinische Padiatrie
Klinische Padiatrie 医学-小儿科
CiteScore
1.10
自引率
0.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Das Forum für wissenschaftliche Information in der Kinderheilkunde ausgewählte Originalarbeiten aus allen Bereichen der Pädiatrie Visite: Ihr Forum für interessante Krankengeschichten und außergewöhnliche Kasuistiken aktuelle Fortschritte in Diagnostik und Therapie jährliche Schwerpunkthefte: Ergebnisse der pädiatrischen Onkologie plus Medizin und Markt topaktuelle Informationen aus der Industrie
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