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

AI Article Synopsis

  • Non-pharmaceutical interventions (NPIs) against COVID-19, implemented in March 2020, resulted in a significant reduction in hospitalized community-acquired pneumonia (hCAP) cases in children in France.
  • A detailed analysis of 2,972 hCAP cases revealed a 63% drop in monthly cases after NPIs began, with a notable increase in the median age of affected children.
  • The study also found that fewer children had high inflammatory markers and there was a trend towards a decrease in pleural effusion cases during the NPI period, suggesting changes in the pathogens causing hCAP.

Article 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%); < 0.001]. Children with hCAP were significantly older during than before the NPI period (median age, 3.9 vs. 2.3 years; < 0.0001), and we observed a higher proportion of low inflammatory marker status (43.5 vs. 33.1%; = 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; = 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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8980475PMC
http://dx.doi.org/10.3389/fped.2022.782894DOI Listing

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