Change on the Circulation of Respiratory Viruses and Pediatric Healthcare Utilization during the COVID-19 Pandemic in Asturias, Northern Spain.
Children (Basel)
; 9(10)2022 Sep 24.
Article
in English
| MEDLINE | ID: covidwho-2043606
ABSTRACT
(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.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Observational study
/
Prognostic study
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
Children9101464
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