目标:在COVID-19缓解措施放松后,我们观察到化脓性感染的急剧增加。基于这一观察,我们回顾性分析了所有脑侵袭性细菌感染的病例,肺和复杂的耳鼻喉(ENT)感染,在2018-2019年8月1日至3月31日期间至2022-2023年期间。
方法:该研究在两个儿科急诊科进行,在里雅斯特的IRCCS'BurloGarofolo'和特雷维索医院。搜索所有确诊为乳突炎出院时的病例的电子病历,化脓性颈淋巴结炎,咽后,咽旁和扁桃体周围脓肿(ENT组),细菌性脑脓肿,硬膜外脓胸,硬膜下积脓(中枢神经系统组),胸腔脓胸和坏死性肺炎(肺组)。
结果:在2022-2023年,我们观察到与前几年相比,感染有所增加。2018-2019年、2019-2020年、2020-2021年、2021-2022年和2022-2023年病例总数分别为22、29、8、27和63。胸腔脓胸增加越多,与2021-2022年相比,2022-2023年的最高发病率为+120%。
结论:我们报告了意大利东北部两个地区的儿科细菌并发感染的重要增加,可能与COVID-19社会距离措施的放松有关。
OBJECTIVE: After the relaxation of COVID-19 mitigation measures, we observed a dramatic increase in pyogenic infections. Based on this observation, we retrospectively analysed all cases of invasive bacterial infections of brain, lung and complicated ear-nose-throat (ENT) infections, in the period from 1 August to 31 March from the years 2018-2019 to 2022-2023.
METHODS: The study was conducted in two Paediatric Emergency Departments, at IRCCS \'Burlo Garofolo\' of Trieste and at Treviso Hospital. Electronic medical records were searched for all cases with a definitive diagnosis at discharge of mastoiditis, suppurative cervical lymphadenitis, retropharyngeal, parapharyngeal and peritonsillar abscess (ENT group), bacterial brain abscesses, epidural empyema, subdural empyema (central nervous system group), thoracic empyema and necrotising pneumonia (lung group).
RESULTS: In 2022-2023, we observed an increase in infections compared to the previous years. Total number of cases were 22, 29, 8, 27 and 63 in 2018-2019, 2019-2020, 2020-2021, 2021-2022 and 2022-2023, respectively. The greater increase occurred in thoracic empyema, with a peak incidence of +120% in 2022-2023 in respect of 2021-2022.
CONCLUSIONS: We reported an important increase in paediatric bacterial complicated infections in two North East Italian regions, possibly correlated with the relaxation of COVID-19 social distancing measures.