Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain

被引：5

作者：

Garcia-Garcia, Elisa ^{[1
]}

Rodriguez-Perez, Mercedes ^{[2
]}

Melon Garcia, Santiago ^{[2
]}

Fernandez Montes, Reyes ^{[3
]}

Suarez Castanon, Cristina ^{[4
]}

Amigo Bello, Ma Cristina ^{[5
]}

Rodriguez Dehli, Cristina ^{[6
]}

Perez-Mendez, Carlos ^{[7
]}

Alonso Alvarez, Ma Agustina ^{[8
,9
]}

Calle-Miguel, Laura ^{[8
,9
]}

机构：

[1] Ctr Salud Laviada, Pediat Dept, Gijon 33207, Asturias, Spain

[2] Hosp Univ Cent Asturias, Microbiol Dept, Oviedo 33011, Asturias, Spain

[3] Hosp Valle Nalon, Pediat Dept, Sama De Langreo 33920, Asturias, Spain

[4] Hosp Oriente Asturias Francisco Grande Covian, Pediat Dept, Arriondas 33540, Asturias, Spain

[5] Hosp Alvarez Buylla, Pediat Dept, Mieres 33611, Asturias, Spain

[6] Hosp Univ San Agustin, Pediat Dept, Aviles 33402, Asturias, Spain

[7] Hosp Univ Cabuenes, Pediat Dept, Gijon 33394, Asturias, Spain

[8] Hosp Univ Cent Asturias, Pediat Dept, Oviedo 33011, Asturias, Spain

[9] Inst Invest Sanitaria Principado Asturias ISPA, Oviedo 33011, Asturias, Spain

来源：

CHILDREN-BASEL | 2022年 / 9卷 / 10期

关键词：

COVID-19; respiratory virus; circulation; children; SARS-CoV-2; EPIDEMIOLOGY; CHILDREN;

D O I：

10.3390/children9101464

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

(1) Background: The COVID-19 pandemic and the implementation of restrictions and nonpharmaceutical interventions (NPIs) changed the trends in respiratory viral circulation and the pattern in pediatric healthcare utilization; (2) Methods: A retrospective, multicenter observational study designed to analyze the impact of the pandemic on pediatric healthcare utilization and the viral circulation pattern in children in a region in Northern Spain was carried out. Viral diagnostics data from all nasal or pharyngeal swabs collected in children in Asturias during the periods of March 2018-September 2019 and March 2020-September 2021 were analyzed, as well as the number of pediatric hospitalizations and emergency visits; (3) Results: A total of 14,640 samples were collected during the pandemic period. Of these, at least one respiratory virus was detected in 2940 (20.1%) while 5568/10,298 samples were positive in the pre-pandemic period (54.1%); p < 0.001. The detection of both enveloped and non-enveloped viruses decreased among periods (p < 0.001). After week 14, 2020, enveloped viruses were no longer detected until one year later, while non-enveloped viruses continued to be detected in children. Overall, a mean of 4946.8 (95% CI 4519.1-5374.4) pediatric emergency visits per month during the period 2018-2019 as compared to 2496.5 (95% CI 2086.4-2906.5) for 2020-2021 occurred (p < 0.001). The mean of pediatric hospitalizations also significantly decreased between periods, as follows: 346.6 (95% CI 313-380.2) in 2018-2019 vs. 161.1 (95% CI 138.4-183.8); p < 0.001; (4) Conclusions: Our study showed a remarkably reduction in pediatric hospitalizations and emergency visits and a change in the pattern of viral circulation during the COVID-19 pandemic in Asturias. The usual seasonal respiratory viruses, namely influenza or RSV were nearly absent in the pediatric population during the pandemic.

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