Cargando…
Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain
(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 a...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9601124/ https://www.ncbi.nlm.nih.gov/pubmed/36291400 http://dx.doi.org/10.3390/children9101464 |
_version_ | 1784816979874414592 |
---|---|
author | García-García, Elisa Rodríguez-Pérez, Mercedes Melón García, Santiago Fernández Montes, Reyes Suárez Castañón, Cristina Amigo Bello, Mª Cristina Rodríguez Dehli, Cristina Pérez-Méndez, Carlos Alonso Álvarez, Mª Agustina Calle-Miguel, Laura |
author_facet | García-García, Elisa Rodríguez-Pérez, Mercedes Melón García, Santiago Fernández Montes, Reyes Suárez Castañón, Cristina Amigo Bello, Mª Cristina Rodríguez Dehli, Cristina Pérez-Méndez, Carlos Alonso Álvarez, Mª Agustina Calle-Miguel, Laura |
author_sort | García-García, Elisa |
collection | PubMed |
description | (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. |
format | Online Article Text |
id | pubmed-9601124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96011242022-10-27 Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain García-García, Elisa Rodríguez-Pérez, Mercedes Melón García, Santiago Fernández Montes, Reyes Suárez Castañón, Cristina Amigo Bello, Mª Cristina Rodríguez Dehli, Cristina Pérez-Méndez, Carlos Alonso Álvarez, Mª Agustina Calle-Miguel, Laura Children (Basel) Article (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. MDPI 2022-09-24 /pmc/articles/PMC9601124/ /pubmed/36291400 http://dx.doi.org/10.3390/children9101464 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article García-García, Elisa Rodríguez-Pérez, Mercedes Melón García, Santiago Fernández Montes, Reyes Suárez Castañón, Cristina Amigo Bello, Mª Cristina Rodríguez Dehli, Cristina Pérez-Méndez, Carlos Alonso Álvarez, Mª Agustina Calle-Miguel, Laura Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain |
title | Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain |
title_full | Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain |
title_fullStr | Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain |
title_full_unstemmed | Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain |
title_short | Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain |
title_sort | change on the circulation of respiratory viruses and pediatric healthcare utilization during the covid-19 pandemic in asturias, northern spain |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9601124/ https://www.ncbi.nlm.nih.gov/pubmed/36291400 http://dx.doi.org/10.3390/children9101464 |
work_keys_str_mv | AT garciagarciaelisa changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT rodriguezperezmercedes changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT melongarciasantiago changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT fernandezmontesreyes changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT suarezcastanoncristina changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT amigobellomacristina changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT rodriguezdehlicristina changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT perezmendezcarlos changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT alonsoalvarezmaagustina changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain AT callemiguellaura changeonthecirculationofrespiratoryvirusesandpediatrichealthcareutilizationduringthecovid19pandemicinasturiasnorthernspain |