An overview on viral interference during SARS-CoV-2 pandemic

Frontiers in Pediatrics, Journal Year: 2023, Volume and Issue: 11

Published: Dec. 21, 2023

Respiratory viruses represent the most frequent cause of mortality, morbidity and high healthcare costs for emergency visits hospitalization in pediatric age. can circulate simultaneously potentially infect same host, determining different types interactions, so-called viral interference. The role interference has assumed great importance since December 2019, when severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) came on scene. aim this narrative review is to present our perspective regarding research virus discuss recent advances topic because, following SARS-CoV-2 restrictions mitigation, we are experimenting co-circulation along with SARS-CoV-2. This scenario raising many concerns about possible virus-virus both positive negative, clinical, diagnostic therapeutic management these coinfections. Moreover, cannot rule out that also climatic conditions social behaviours involved. Thus, situation lead population epidemic dynamics, including changes age targeted population, disease course severity, highlighting need prospective epidemiologic studies mathematical modelling able predict timing magnitude epidemics caused by SARS-CoV-2/seasonal interactions order adjust better public health interventions.

Language: Английский

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Implementation of the WHO standards to assess the quality of care for children with acute diarrhoea: findings of a multicentre study (CHOICE) in Italy

BMJ Paediatrics Open, Journal Year: 2024, Volume and Issue: 8(Suppl 7), P. e002569 - e002569

Published: Aug. 1, 2024

There is no documented experience in the use of WHO standards for improving quality care (QOC) children at facility level. We describe 10 prioritised WHO-Standard-based Quality Measures to assess QOC with acute diarrhoea (AD) Italy.

Language: Английский

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PERFIL CLÍNICO-EPIDEMIOLÓGICO DE CRIANÇAS E ADOLESCENTES ATENDIDOS POR SERVIÇO DE URGÊNCIA E EMERGÊNCIA EM UM MUNICÍPIO DO OESTE DO PARANÁ

Revista Multidisciplinar do Nordeste Mineiro, Journal Year: 2023, Volume and Issue: 12(1)

Published: Oct. 30, 2023

O presente estudo teve por objetivo analisar o perfil clínico-epidemiológico de crianças e adolescentes atendidos serviço urgência emergência em um município do oeste Paraná entre os anos 2018 2022.Trata-se retrospectivo análise qualitativa quantitativa com avaliação dos prontuários médicos pacientes idade inferior a 18 atendidos, 2022 público pronto atendimento. As variáveis analisadas foram: sexo, idade, motivo da procura serviço, exames laboratoriais disponíveis desfecho. A coleta dados ocorreu após aprovação comitê ética pesquisa seres humanos Centro Universitário Fundação Assis Gurgacz sob CAAE 67908923.5.0000.5219. Com relação aos eventos saúde no atendimento, foram registradas 11.637 consultas menores anos, sendo 2928 (25,5%) 2018, 2184 (18,8%) 2019, 1825 (15,6%) 2020, 2166 (18,6%) 2021 2534 (21,8%) ano 2022. Os motivos mais frequentes para doenças aparelho respiratório (28,8%), causas externas (14,4%), infecciosas parasitárias (12,2%), gravidez, parto puerpério (10,5%), digestivo (9,5%), geniturinário (6,7%). Do total, 362 tiveram como desfecho transferência hospital referência internamento. No que diz respeito faixa etária, 26,2% tinham 15 17 25% possuíam 1 4 anos. É importante profissionais saibam sobre as características dessas demandas, estejam bem preparados lidar essas emergências médicas ofereçam atendimento qualidade humanizado às suas famílias.

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Impact of Earthquakes During COVID-19 Lockdown on the Pediatric Injury Pattern in the Zagreb Urban Area

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(2), P. 640 - 640

Published: Jan. 20, 2025

Background/Objectives: Previous works on the epidemiology of pediatric trauma during COVID-19 lockdown observed a decrease in surgical emergency consultations and fracture referrals. None those describes unique situation which there is coexistence another opposing factor, like an earthquake, that influences number injured children’s Therefore, this study aimed to investigate influence earthquakes injury pattern referrals at tertiary care hospital urban setting. Methods: A retrospective single-center case-control comprised time interval lockdown, starting with day when biggest earthquake happened finishing end confinement period Zagreb, Croatia (22 March–27 April 2020). The control group identical 2019. We identified all successive patients referred Pediatric Emergency Department. Demographics leading characteristics were analyzed. Results: analyzed data from 1166 patients. In case group, median age was lower than but without gender differences. detected Department reduced proportion group. Additionally, shoulder/elbow injuries head higher, foot/ankle period. Conclusions: Earthquakes changed injuries. These can be used restructure health resources similar conditions provide optimal children.

Language: Английский

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Reductions in hospital care among clinically vulnerable children aged 0–4 years during the COVID-19 pandemic

Archives of Disease in Childhood, Journal Year: 2022, Volume and Issue: 107(10), P. e31 - e31

Published: June 21, 2022

Objective To quantify reductions in hospital care for clinically vulnerable children during the COVID-19 pandemic. Design Birth cohort. Setting National Health Service hospitals England. Study population All aged <5 years with a birth recorded administrative data (January 2010–March 2021). Main exposure Clinical vulnerability defined by chronic health condition, preterm (<37 weeks’ gestation) or low weight (<2500 g). outcomes Reductions predicted contact rates 2020, estimated from 2015 to 2019, minus observed per 1000 child first year of pandemic (March 2020–2021). Results Of 3 813 465 children, 17.7% (one six) were (9.5% born weight, 10.3% had condition). much higher than peers: respectively, outpatient attendances (314 vs 73 years), planned admissions (55 10) and unplanned (105 79). Clinically accounted 50.1% reduction attendances, 55.0% 32.8% admissions. During pandemic, weekly returned prepandemic levels infants conditions but not older children. differed ethnic group level deprivation. Virtual increased 3.2% 24.8% Conclusion One six one-third one half

Language: Английский

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Impact of the COVID-19 Pandemic on Pediatric Emergency Medicine: A Systematic Review

Medicina, Journal Year: 2022, Volume and Issue: 58(8), P. 1112 - 1112

Published: Aug. 17, 2022

(1) Background and Objectives: The COVID-19 pandemic has considerably affected clinical systems, especially the emergency department (ED). A decreased number of pediatric patients changes in disease patterns at ED have been noted recent research. This study investigates real effect on comprehensively by performing a systematic review relevant published articles. (2) Materials Methods: was conducted based predesigned protocol. We searched PubMed EMBASE databases for articles until 30 November 2021. Two independent reviewers extracted data using customized form, any conflicts were resolved through discussion with another reviewer. aggregated summarized analyzed. (3) Results: total 25 discussing impact emergencies included after full-text evaluation. Geographic distribution analysis indicated that majority studies from European continent Italy (32%, 8/25), whereas North America United States (24%, 6/25). period less than 6 months mostly focused first half 2020. All revealed decline (100%, 25/25), most mentioned infectious cases (56%, 14/25) trauma (52%, 13/25). (4) Conclusions: resulted ED, low-acuity patient group. Medical behavior changes, anti-epidemic policies, increased telemedicine use, family financial hardship possible factors. common diseases noted. Researchers should focus potential child abuse mental health problems during pandemic.

Language: Английский

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Impact of the First Year of the COVID-19 Pandemic on Pediatric Emergency Department Attendance in a Tertiary Center in South Italy: An Interrupted Time-Series Analysis

Healthcare, Journal Year: 2023, Volume and Issue: 11(11), P. 1638 - 1638

Published: June 2, 2023

The evidence shows a reduction in pediatric emergency department (PED) flows during the early stages of COVID-19 pandemic. Using interrupted time-series analysis, we evaluated impact different pandemic response on overall and cause-specific PED attendance at tertiary hospital south Italy. Our methods included evaluations total visits, hospitalizations, accesses for critical illnesses four etiological categories (transmissible non-transmissible infectious diseases, trauma mental-health) March-December 2020, which were compared with analogous intervals from 2016 to 2019; period was divided into three segments: "first lockdown" (FL, 9 March-3 May), "post-lockdown" (PL, 4 May-6 November) "second (SL, 7 November-31 December). results showed that dropped by mean 50.09% stages, while hospitalizations increased. Critical decreased FL (incidence rate ratio -IRR- 0.37, 95% CI 0.13, 0.88) e SL (IRR 0.09, 0.01, 0.74) transmissible disease related visits reduced more markedly persistently (FL: IRR 0.18, 0.14, 0.24; PL: 0.20, 0.31, SL: 0.17, 0.10, 0.29). Non-infectious diseases returned pre-COVID-19 levels PL. We concluded highlight specific effect late 2020 containment measures their burden resources. This can inform resource allocation interventions mitigate populations health-care system.

Language: Английский

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Spending Time with Mothers as a Resource for Children with Chronic Diseases: A Comparison of Asthma, Type 1 Diabetes, and Cancer during COVID-19 Pandemic

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(21), P. 14126 - 14126

Published: Oct. 29, 2022

Due to the COVID-19 pandemic, many families had manage new difficulties, especially those of chronically ill children. More and more research has focused on negative effects pandemic psychological wellbeing, while less is known about resources. The present study aimed explore role time spent with mothers in children's populations during pandemic. Moreover, it explored differences mothers' psychosocial functioning three clinical populations. Four groups were recruited compared: 7-15 year old children asthma (45), type 1 diabetes (52), cancer (33), as well their healthy counterparts (41), respective mothers. They administered standardized questionnaires ad hoc surveys assessing wellbeing worries. Children four scored significantly differently respect concerns for contagion, internalizing symptoms, prosocial behaviors; worries consequences contagion related chronic illness, child. multiple linear regression model showed an association being affected by cancer, suffering from diabetes, spending child increase problems. Time seemed be a resource Clinical implications are discussed.

Language: Английский

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Multi-method investigations of the impact of lockdown relaxation on tourists’ and residents’ movements

Journal of Travel & Tourism Marketing, Journal Year: 2023, Volume and Issue: 40(7), P. 619 - 638

Published: Sept. 2, 2023

ABSTRACTThis research examines the impact of lockdown relaxation on tourists' and residents' movements in context restaurant patronage Jeju Island, South Korea. Drawing spatial interaction multi-attribute attitude theories, we hypothesized difference between tourists residents terms visit patterns choices during relaxation. A multi-method approach was adopted: spatial, data-driven analysis, experiments. Lockdown is found to affect how choose restaurants different ways. This provides explanations about mobility guidelines that practitioners can use prepare for "living with COVID-19."KEYWORDS: relaxationtourists' movementresidents' movementrestaurant visitspatial theorymulti-attribute theorymulti-method investigationexploratory data analysisdata-driven analysisexperimental study Disclosure statementNo potential conflict interest reported by author(s).SUPPLEMENTARY MATERIALSupplemental this article be accessed online at https://doi.org/10.1080/10548408.2023.2277805Additional informationFundingThe work supported Ministry Education Republic Korea National Research Foundation (NRF-2023S1A5C2A03095253) .

Language: Английский

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Decrease in paediatric emergency room visits during the COVID‐19 pandemic restrictions: A population‐based study

Acta Paediatrica, Journal Year: 2022, Volume and Issue: 111(11), P. 2165 - 2171

Published: July 28, 2022

To investigate paediatric emergency room (ER) visits to evaluate the immediate health effects of COVID-19 pandemic restrictions on children.We retrospectively examined ER in Helsinki University Hospital (HUH) district during first wave (1 March 31 May 2020), and a 2-month period immediately before after. These periods were compared corresponding time 2015-2019 ('reference period').The total number decreased by 23.4% (mean 6474 reference period, 4960 (incidence rate ratio [IRR] 0.75, 95% confidence interval 0.72-0.77; p < 0.001). This was due decrease related infectious diseases; surgical reasons did not decrease. The amount or proportion patients triaged most urgent class (Emergency Severity Index 1) increase. Paediatric returned baseline after lifting restrictions.Although substantially restrictions, children seen at more severely ill. Our results do indicate detrimental control measures children.

Language: Английский

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