The drop in reported invasive pneumococcal disease among adults during the first COVID-19 wave in the Netherlands explained.

被引：14

作者：

Dirkx, Kirsten K. T. ^{[1
,2
]}

Mulder, Bert ^{[1
]}

Post, Annelies S. ^{[1
]}

Rutten, Martijn H. ^{[3
]}

Swanink, Caroline M. A. ^{[4
]}

Wertheim, Heiman F. L. ^{[2
]}

Cremers, Amelieke J. H. ^{[2
]}

机构：

[1] Canisius Wilhelmina Ziekenhuis, Dept Clin Microbiol & Infect Dis, Nijmegen, Netherlands

[2] Radboudumc, Dept Clin Microbiol, Radboud Ctr Infect Dis, Nijmegen, Netherlands

[3] Radboud Univ Nijmegen, Dept Primary & Community Care, Med Ctr, Nijmegen, Netherlands

[4] Rijnstate, Dept Clin Microbiol & Immunol, Arnhem, Netherlands

来源：

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES | 2021年 / 111卷

关键词：

S; pneumoniae; IPD; COVID-19; Surveillance; Pandemic; STREPTOCOCCUS-PNEUMONIAE; HAEMOPHILUS-INFLUENZAE; ANTIBIOTIC-TREATMENT; PATHOGENESIS; ASSOCIATION; INFECTION; DIAGNOSIS; SEVERITY; VOLUME; BLOOD;

D O I：

10.1016/j.ijid.2021.08.060

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Objectives: Streptococcus pneumoniae is the leading bacterial pathogen causing respiratory infections. Since the COVID-19 pandemic emerged, less invasive pneumococcal disease (IPD) was identified by surveillance systems worldwide. Measures to prevent transmission of SARS-CoV-2 also reduce transmission of pneumococci, but this would gradually lead to lower disease rates. Design: Here, we explore additional factors contributing to the instant drop in pneumococcal disease cases captured in surveillance. Results: Our observations on referral practices and other impediments to diagnostic testing indicate that residual IPD has likely occurred but remained undetected by conventional hospital-based surveillance. Conclusions: Depending on the setting, we discuss alternative monitoring strategies that could improve understanding of pneumococcal disease dynamics. (c) 2021 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ )

引用

页码：196 / 203

页数：8

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