Incidence of Healthcare-Associated Influenza-Like Illness After a Primary Care Encounter Among Young Children
Incidence of Healthcare-Associated Influenza-Like Illness After a Primary Care Encounter Among Young Children
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DOI：
10.1093/jpids/piy023
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发表时间：
2019-07-01
影响因子：
3.2
通讯作者：
Coffin, Susan E.
中科院分区：
文献类型：
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作者：
Feemster, Kristen;Localio, Russell;Coffin, Susan E.
背景尽管儿科诊所存在潜在的呼吸道病毒传播，但对门诊就诊引起的医疗保健相关病毒感染的风险知之甚少。我们评估了儿童门诊就诊是否与随后的流感样疾病（ILI）相关。方法。使用电子健康记录数据，我们对所有非ILI治疗后8天的儿童进行了回顾性队列研究。在研究期间149 987例儿童= 1次非ILI访视中，共确定了531 928例病例和13 951例（2.9%）ILI病例; 1941例（13.9%）发生在HA-ILI风险窗内。在第1季期间，与非ILI访视后>8天的ILI相比，≥ 2岁儿童中ILI 1 - 8天的发病率比（IRR）为1.36（95%置信区间，1.22-1.52），儿童中为1.01（95%置信区间，0.93-1.09
Background. Despite potential respiratory virus transmission in pediatric clinics, little is known about the risk of healthcare-associated viral infections attributable to outpatient encounters. We evaluated whether exposure to a pediatric clinic visit was associated with subsequent influenza-like illness (ILI).Methods. Using electronic health record data, we conducted a retrospective cohort study of all children aged 8 days after a non-ILI encounter.Results. Among 149 987 children = 1 non-ILI visit during the study period, 531 928 total encounters and 13 951 (2.9%) ILI encounters were identified; 1941 (13.9%) occurred within the HA-ILI risk window. The incidence rate ratios (IRRs) for ILI 1 to 8 days after compared with ILI >8 days after a non-ILI visit during season 1 were 1.36 (95% confidence interval, 1.22-1.52) among children >= 2 years of age and 1.01 (95% confidence interval, 0.93-1.09) among children