Surveillance in hospitalized children with infectious diseases in Japan: Pre-and post-coronavirus disease 2019

被引:45
作者
Fukuda, Yuya [1 ]
Tsugawa, Takeshi [2 ]
Nagaoka, Yoshinobu [2 ]
Ishii, Akira [2 ]
Nawa, Tomohiro [3 ]
Togashi, Atsuo [4 ]
Kunizaki, Jun [5 ,19 ]
Hirakawa, Satoshi [6 ]
Iida, Junya [7 ,20 ]
Tanaka, Toju [8 ]
Kizawa, Toshitaka [9 ]
Yamamoto, Dai [10 ]
Takeuchi, Ryoh [11 ]
Sakai, Yoshiyuki [12 ]
Kikuchi, Masayoshi [13 ]
Nagai, Kazushige [14 ]
Asakura, Hirofumi [15 ]
Tanaka, Rina [16 ,19 ]
Yoshida, Masaki [17 ]
Hamada, Ryo [18 ,19 ]
Kawasaki, Yukihiko [2 ,21 ]
机构
[1] Steel Mem Muroran Hosp, Dept Pediat, 45-1 Chiribetsucho, Muroran, Hokkaido 0500076, Japan
[2] Sapporo Med Univ, Sch Med, Dept Pediat, Chuo Ku, South 1,West 16, Sapporo, Hokkaido 0608543, Japan
[3] Hokkaido Med Ctr Child Hlth & Rehabil, Dept Pediat Cardiol & Pediat Intens Care, Kanayama Teine Ku, 6-240-1-1 Kanayama Teine Ku, Sapporo, Hokkaido 0060041, Japan
[4] Iwamizawa Municipal Gen Hosp, Dept Pediat, 2 West 7,9 Jo, Iwamizawa, Hokkaido 0688555, Japan
[5] Japan Red Cross Urakawa Hosp, Dept Pediat, 1-2-1 Chinomi, Urakawacho, Hokkaido 0570007, Japan
[6] NTT Med Ctr Sapporo, Dept Pediat, South 1,West 15, Sapporo, Hokkaido 0600061, Japan
[7] Otaru Kyokai Hosp, Dept Pediat, 15-6-1 Suminoe, Otaru, Hokkaido 0478510, Japan
[8] Hokkaido Med Ctr, Dept Pediat, Nishi Ku, 1-1-7-5 Yamanote, Sapporo, Hokkaido 0630005, Japan
[9] Japan Community Hlth Care Org Sapporo Hokushin Ho, Dept Pediat, Atsubetsu Ku, 1-2-6-2 Atsubetsuchuo, Sapporo, Hokkaido 0048618, Japan
[10] Kushiro City Gen Hosp, Dept Pediat, 12-1 Shunkodai, Kushiro, Hokkaido 0850822, Japan
[11] Nemuro City Hosp, Dept Pediat, 2-1 Ariisocho, Nemuro, Hokkaido 0878686, Japan
[12] Hakodate Municipal Hosp, Dept Pediat, 1-10-1 Minatomachi, Hakodate, Hokkaido 0418680, Japan
[13] Sunagawa City Med Ctr, Dept Pediat, 1-1,North 3,West 4, Sunagawa, Hokkaido 0730196, Japan
[14] Takikawa Municipal Hosp, Dept Pediat, 34-2-2 Oomachi, Takikawa, Hokkaido 0730022, Japan
[15] Hokkaido Esashi Hosp, Dept Pediat, 484 Fushikidocho, Hiyamagun Esashicho, Hokkaido 0430022, Japan
[16] Tomakomai City Hosp, Dept Pediat, 20-5-1 Shimizucho, Tomakomai, Hokkaido 0538567, Japan
[17] Yakumo Gen Hosp, Dept Pediat, 50 Shinonomecho, Futamigun Yakumocho, Hokkaido 0493197, Japan
[18] Rumoi City Hosp, Dept Pediat, 1-16-2 Shinonomecho, Rumoi, Hokkaido 0778511, Japan
[19] Sapporo Med Univ, Sch Med, Dept Pediat, Sapporo, Hokkaido, Japan
[20] Otrau Child Clin, Otrau, Hokkaido, Japan
[21] Fukushima Rehabil Ctr Children, Dept Pediat, Fukushima, Japan
关键词
COVID-19; Infection; Virus; Bacteria; Hospitalization; Child; TRANSMISSION; VIRUS; OUTBREAK;
D O I
10.1016/j.jiac.2021.07.024
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Introduction: The epidemic of coronavirus disease 2019 (COVID-19) rapidly spread worldwide, and the various infection control measures have a significant influence on the spread of many infectious diseases. However, there have been no multicenter studies on how the number of hospitalized children with various infectious diseases changed before and after the outbreak of COVID-19 in Japan. Methods: We conducted a multicenter, prospective survey for hospitalized pediatric patients in 18 hospitals in Hokkaido Prefecture, Japan, from July 2019 to February 2021. We defined July 2019 to February 2020 as preCOVID-19, and July 2020 to February 2021 as post-COVID-19. We surveyed various infectious diseases by sex and age. Results: In total, 5300 patients were hospitalized during the study period. The number of patients decreased from 4266 in the pre-COVID-19 period to 701 (16.4%) post-COVID-19. Patients with influenza and RSV decreased from 308 to 795 pre-COVID-19 to zero and three (0.4%) post-COVID-19. However, patients with adenovirus (respiratory infection) only decreased to 60.9% (46-28) of pre-COVID levels. Patients with rotavirus, norovirus, and adenovirus gastroenteritis decreased markedly post-COVID-19 to 2.6% (38-1), 27.8% (97-27) and 13.5%(37-5). The number of patients with UTIs was similar across the two periods (109 and 90). KD patients decreased to 31.7% (161-51) post-COVID-19. Conclusions: We suggest that current infection control measures for COVID-19 such as wearing masks, washing hands, and disinfecting hands with alcohol are effective against various infectious diseases. However, these effects vary by disease.
引用
收藏
页码:1639 / 1647
页数:9
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