RESUMO
Since COVID-19 pandemic started, many changes have been seen in the cycling patterns of pediatric pathologies. On year 2020, we described the initial effects of COVID-19, with a significant decrease in emergency visits and admissions, but 2 years later the situation seems to be reversed. Our study bridges a literature gap by exploring the lasting effects of COVID-19 on pediatric non-COVID admissions, particularly the resurgence of respiratory illnesses. ECIEN-2022 is a single-center, retrospective, observational-study conducted 3 years after the pandemic onset, to describe the long-term effects of COVID-19 in pediatric admissions for non-COVID diseases. Admissions during year 2022 were compared with the Pre-Pandemic Period (PPP: 2015-2019). Pediatric Emergency Department (P-ED) visits, hospital, and Intensive Care Unit (P-ICU) admissions were compared across pre- and post-pandemic periods. Monthly distribution and year-waves are presented. P-ED monthly visits (mean and Standard deviation (SD) raised from 3521 (533) in the PPP to 3775 (996) in 2022 (p < 0.001). Monthly hospital admissions in the 3rd quarter of the Pre-Pandemic Period were 111.7/month (SD:29), dropped to 88.5(SD:6.5) in 2020 and raised to 149(SD:38.8) in 2022 (p = 0.036). An increase in respiratory illnesses was observed in 2022 compared to PPP; Bronchiolitis increased 38%, bronchitis 56%, and admissions for Respiratory Syncytial Virus 67%. Conclusion: COVID-19 pandemic has had a significant impact on the use and nature of pediatric health services. The initial decrease has been followed by a boomerang effect with an increase of cases, mainly due to an increase in respiratory infections when pandemic control measures and social restrictions have been lifted. It is essential to maintain an active surveillance and monitorization of these patterns to ensure appropriate healthcare access and utilization. What is Known: ⢠COVID-19 pandemic initially led to a significant decrease in emergency visits and admissions for non-COVID diseases. What is New: ⢠ECIEN-2022 study investigated the long-term effects of COVID-19 on pediatric admissions for non-COVID diseases, detecting a "boomerang effect" with an increase in pediatric admissions for non-COVID diseases in year 2022. ⢠Pediatric Emergency Department visits and hospital admissions for non-COVID diseases, especially those due to respiratory infections, increased significantly in 2022 when compared to the Pre-Pandemic Period.
RESUMO
La piomiositis es una infección bacteriana supurativa subaguda del músculo estriado, ocasionada por una diseminación hematógena y acompañada, en ocasiones, de la formación de abscesos. Si bien se trata de una enfermedad clásicamente observada en zonas tropicales, en los últimos años se ha descrito un aumento de su incidencia en los países templados, en especial en personas inmunodeprimidas. Su agente etiológico más frecuente es el Staphylococcus aureus. Las localizaciones más habituales son cuádriceps, glúteos e iliopsoas, siendo excepcional la asociación con artritis séptica y osteomielitis. En la población pediátrica suele afectar a personas sanas y deportistas, y su aparición se relaciona con el ejercicio físico intenso o con pequeËnos traumatismos. La presentación clínica de la piomiositis aguda suele ser insidiosa, pudiendo cursar sin fiebre, pero con síntomas locales como dolor, aumento del volumen y limitación funcional. El drenaje del absceso, seguido de la administración de antibióticos conduce a la completa recuperación. La piomiositis primaria es rara, y el diagnóstico se retrasa por la profunda localización del musculo y porque los síntomas pueden confundir el diagnóstico con una artritis séptica de cadera. Presentamos este caso por la dificultad de su diagnóstico y las complicaciones que se derivan del retraso en su diagnóstico.
Pyomyositis is a subacute suppurative bacterial infection of the muscle. striatum, caused by hematogenous dissemination and sometimes accompanied by the formation of abscesses. Although it is a disease classically observed in tropical areas, in recent years an increase in its incidence has been described in temperate countries, especially in immunosuppressed people. Its most common etiological agent is Staphylococcus aureus. The most common locations are the quadriceps, glutes and iliopsoas, with the association with septic arthritis and osteomyelitis being exceptional. In the pediatric population it usually affects healthy and athletic people, and its appearance is related to intense physical exercise or minor trauma. The clinical presentation of acute pyomyositis is usually insidious, and may occur without fever, but with local symptoms such as pain, increased volume and functional limitation. Drainage of the abscess followed by administration of antibiotics leads to complete recovery. Primary pyomyositis is rare, and the diagnosis is delayed due to the deep location of the muscle and because the symptoms can confuse the diagnosis with septic arthritis of the hip. We present this case due to the difficulty of its diagnosis and the complications that arise from the delay in its diagnosis.
RESUMO
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