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首页> 外文期刊>Journal of paediatrics and child health >Paediatric thoracic empyema in the tropical North Queensland region of Australia: Epidemiological trends over a decade
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Paediatric thoracic empyema in the tropical North Queensland region of Australia: Epidemiological trends over a decade

机译：澳大利亚热带北昆士兰地区的小儿科胸部脓疱米：十年减少流行病学趋势

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摘要

Aim The Townsville Hospital and Health Service is the regional referral centre for children in the north of Queensland. Aboriginal and Torres Strait Islander (ATSI) people make up 7–10% of the population. Increasing numbers of children with paediatric thoracic empyema (pTE) are being referred to Townsville Hospital and Health Service for management. This study aims to describe the incidence rates, epidemiology, microbiology and trends of this disease in North Queensland over a 10‐year period. Methods A retrospective chart review of all children (1 month to 16 years), admitted in the years 2007–2016, with community‐acquired pTE was conducted. International Classification of Diseases codes were used to identify the patients. Epidemiological and microbiological data were extracted from records. Results Of the 123 cases identified, incidence rates per 100 000 were 8.5 (95% confidence interval (CI) 8.4–8.6) in all children and much higher at 19.8 (95% CI: 19.5–21.9) in ATSI children. The under 5 years age group had the highest rate (24.5; 95% CI: 24.4–24.6). There was a progressive rise in incidence during the 10‐year period, with the highest incidence of 15.2 (95% CI: 15.1–15.2) occurring in 2016. A pathogen was isolated in 76% of cases. Non‐multi‐resistant methicillin‐resistant S taphylococcus aureus was the most common pathogen isolated in 22 of 64 ATSI children (34%), while Streptococcus pneumoniae was the most common pathogen isolated in 27 of 59 non‐ATSI children (46%). Conclusions A high and increasing incidence of pTE in North Queensland is being observed. ATSI children have higher incidence rates and are more likely to have non‐multi‐resistant methicillin‐resistant Staphylococcus aureus as a causative agent.
机译：AIM Townsville医院和卫生服务是昆士兰州北部的区域推荐中心。原住民和托雷斯海峡岛民（ATSI）人口占人口的7-10％。增加有儿科胸部脓胸（PTE）的儿童越来越多的儿童被提交给汤斯维尔医院和卫生服务进行管理。本研究旨在在10年期间描述北昆士兰州这种疾病的发病率，流行病学，微生物学和趋势。方法对所有儿童（1个月至16年）的回顾性图表审查，在2007 - 2016年达成了社区获得的庞特地区。使用国际疾病代码分类来鉴定患者。从记录中提取流行病学和微生物数据。结果，鉴定了123例，每100 000例的发病率为8.5（95％的置信区间（CI）8.4-8.6），高于ATSI儿童的19.8（95％CI：19.5-21.9）。 5岁以下的年龄组具有最高率（24.5; 95％CI：24.4-24.6）。在10年期间发生的发病率逐步增加，2016年发生的最高发病率为15.2（95％CI：15.1-15.2）。在76％的病例中分离出一种病原体。非多种耐致性甲氧基硫脲的叔葡萄球菌是64个ATSI儿童中分离的最常见的病原体（34％），而肺炎链球菌是59例非阿联酋儿童（46％）中分离的最常见的病原体。结论正在观察到北昆士兰局域网的高涨和越来越多的发病率。 ATSI儿童的发病率较高，更可能具有非多种耐药性耐抗甲氧基葡萄球菌AUSTUS作为致病剂。

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