Shift in Clinical Profile of Hospitalized Pneumonia in Children in the Non-pharmaceutical Interventions Period During the COVID-19 Pandemic: A Prospective Multicenter Study.

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Version: Final published version
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Serval ID
serval:BIB_964BF678772F
Type
Article: article from journal or magazin.
Collection
Publications
Title
Shift in Clinical Profile of Hospitalized Pneumonia in Children in the Non-pharmaceutical Interventions Period During the COVID-19 Pandemic: A Prospective Multicenter Study.
Journal
Frontiers in pediatrics
Author(s)
Rybak A., Ouldali N., Angoulvant F., Minodier P., Biscardi S., Madhi F., Hau I., Santos A., Bouvy E., Dubos F., Martinot A., Dommergues M.A., Gras-Le Guen C., Launay E., Levieux K., Zenkhri F., Craiu I., Lorrot M., Gillet Y., Mezgueldi E., Faye A., Béchet S., Varon E., Cohen R., Levy C.
ISSN
2296-2360 (Print)
ISSN-L
2296-2360
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
10
Pages
782894
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Non-pharmaceutical interventions (NPIs) against coronavirus disease 2019 were implemented in March 2020. These measures were followed by a major impact on viral and non-viral diseases. We aimed to assess the impact of NPI implementation in France on hospitalized community-acquired pneumonia (hCAP) frequency and the clinical and biological characteristics of the remaining cases in children. We performed a quasi-experimental interrupted time-series analysis. Between June 2014 and December 2020, eight pediatric emergency departments throughout France reported prospectively all cases of hCAP in children from age 1 month to 15 years. We estimated the impact on the monthly number of hCAP using segmented linear regression with autoregressive error model. We included 2,972 hCAP cases; 115 occurred during the NPI implementation period. We observed a sharp decrease in the monthly number of hCAP after NPI implementation [-63.0% (95 confidence interval, -86.8 to -39.2%); p < 0.001]. Children with hCAP were significantly older during than before the NPI period (median age, 3.9 vs. 2.3 years; p < 0.0001), and we observed a higher proportion of low inflammatory marker status (43.5 vs. 33.1%; p = 0.02). Furthermore, we observed a trend with a decrease in the proportion of cases with pleural effusion (5.3% during the NPI period vs. 10.9% before the NPI; p = 0.06). NPI implementation during the COVID-19 (coronavirus disease 2019) pandemic led not only to a strong decrease in the number of hCAP cases but also a modification in the clinical profile of children affected, which may reflect a change in pathogens involved.
Keywords
COVID-19, children, community-acquired pneumonia, non-pharmaceutical intervention, time series analysis
Pubmed
Web of science
Open Access
Yes
Create date
27/01/2025 15:05
Last modification date
28/01/2025 8:07
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