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ABSTRACT: Background
Invasive bacterial infection (IBI) remains a major burden of mortality and morbidity in children. As coronavirus disease 2019 (COVID-19) emerged, stringent nonpharmaceutical interventions (NPIs) were applied worldwide. This study aimed to evaluate the impact of NPIs on pediatric IBI in Korea.Methods
From January 2018 to December 2020, surveillance for pediatric IBIs caused by 9 pathogens (S. pneumoniae, H. influenzae, N. meningitidis, S. agalactiae, S. pyogenes, S. aureus, Salmonella species, L. monocytogenes and E. coli) was performed at 22 hospitals throughout Korea. Annual incidence rates were compared before and after the COVID-19 pandemic.Results
A total of 651 cases were identified and the annual incidence was 194.0 cases per 100,000 in-patients in 2018, 170.0 in 2019 and 172.4 in 2020. Most common pathogen by age group was S. agalactiae in infants < 3 months (n = 129, 46.7%), S. aureus in 3 to < 24 months (n = 35, 37.2%), Salmonella spp. in 24 to < 60 months (n = 24, 34.8%) and S. aureus in children ≥ 5 years (n = 128, 60.7%). Compared with 2018 to 2019, the incidence rate in 2020 decreased by 57% for invasive pneumococcal disease (26.6 vs. 11.5 per 100,000 in-patients, P = 0.014) and 59% for Salmonella spp. infection (22.8 vs. 9.4 per 100,000 in-patients, P = 0.018). In contrast, no significant changes were observed in invasive infections due to S. aureus, S. agalactiae and E. coli.Conclusions
The NPIs implemented during the COVID-19 pandemic reduced invasive diseases caused by S. pneumoniae and Salmonella spp. but not S. aureus, S. agalactiae and E. coli in children.
SUBMITTER: Kim YK
PROVIDER: S-EPMC8740032 | biostudies-literature | 2022 Feb
REPOSITORIES: biostudies-literature
Kim Ye Kyung YK Choi Youn Young YY Lee Hyunju H Song Eun Song ES Ahn Jong Gyun JG Park Su Eun SE Lee Taekjin T Cho Hye-Kyung HK Lee Jina J Kim Yae-Jean YJ Jo Dae Sun DS Kang Hyun Mi HM Lee Joon Kee JK Kim Chun Soo CS Kim Dong Hyun DH Kim Hwang Min HM Choi Jae Hong JH Eun Byung Wook BW Kim Nam Hee NH Cho Eun Young EY Kim Yun-Kyung YK Oh Chi Eun CE Kim Kyung-Hyo KH Choi Eun Hwa EH
The Pediatric infectious disease journal 20220201 2
<h4>Background</h4>Invasive bacterial infection (IBI) remains a major burden of mortality and morbidity in children. As coronavirus disease 2019 (COVID-19) emerged, stringent nonpharmaceutical interventions (NPIs) were applied worldwide. This study aimed to evaluate the impact of NPIs on pediatric IBI in Korea.<h4>Methods</h4>From January 2018 to December 2020, surveillance for pediatric IBIs caused by 9 pathogens (S. pneumoniae, H. influenzae, N. meningitidis, S. agalactiae, S. pyogenes, S. aur ...[more]