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1000 Titel
  • Increase in complicated upper respiratory tract infection in children during the 2022/2023 winter season—a post coronavirus disease 2019 effect?
1000 Autor/in
  1. Metz, Corona |
  2. Schmid, Andrea |
  3. Veldhoen, Simon |
1000 Verlag
  • Springer Berlin Heidelberg
1000 Erscheinungsjahr 2023
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2023-11-24
1000 Erschienen in
1000 Quellenangabe
  • 54(1):49-57
1000 Copyrightjahr
  • 2023
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00247-023-05808-1 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776702/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Upper respiratory tract infections usually peak during winter months.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>The purpose of this study was to evaluate whether imaging of complicated upper airway infection in children increased during the winter season of 2022/2023.</jats:p></jats:sec><jats:sec><jats:title>Materials and methods</jats:title><jats:p>In a retrospective study setting, pediatric magnetic resonance imaging (MRI) and computed tomography (CT) scans for evaluation of upper respiratory tract infection performed between October 2022 and April 2023 were analyzed regarding presence of the following complications: mastoiditis, abscess, phlegmon, meningitis, reactive vasculitis, and sinus vein thrombosis. Pathogen detection, surgery, and infection parameters were obtained. Data were compared with MRI and CT scans performed in the same months of the preceding five years, distinguishing between pandemic and pre-pandemic years.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>During the 2022/2023 winter season, the number of MRI and CT scans in children with upper airway infections, the complication rate, the rate of detected streptococcal infections, and the rate of surgery increased significantly compared to expectations based on the five prior winter seasons (all<jats:italic>P</jats:italic>&lt;0.05). During the first complete pandemic winter season in Europe (2020/2021), the number of MRI and CT scans in children with upper airway infection, the complication rate, and the rates of streptococcal detection and surgery decreased significantly compared to expectations based on the pre-pandemic, the second pandemic, and the post-pandemic winter seasons (all<jats:italic>P</jats:italic>&lt;0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>After a decline during the first pandemic winter season, there was a marked rebound in complicated upper airway infection in children, with a significant increase in cases during the 2022/2023 winter season compared to the pre-pandemic and pandemic years.</jats:p></jats:sec><jats:sec><jats:title>Graphical Abstract</jats:title></jats:sec>
1000 Sacherschließung
lokal Coronavirus disease 2019
gnd 1206347392 COVID-19
lokal Europe [MeSH]
lokal Pediatrics
lokal Computed tomography
lokal Seasons [MeSH]
lokal Humans [MeSH]
lokal Retrospective Studies [MeSH]
lokal Respiratory Tract Infections/diagnostic imaging [MeSH]
lokal Upper respiratory tract infection
lokal Original Article
lokal Infant [MeSH]
lokal COVID-19 [MeSH]
lokal Pandemic
lokal Child [MeSH]
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-4118-3275|https://frl.publisso.de/adhoc/uri/U2NobWlkLCBBbmRyZWE=|https://orcid.org/0000-0002-3585-5442
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  1. Charité – Universitätsmedizin Berlin |
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    1000 Förderer Charité – Universitätsmedizin Berlin |
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1000 Erstellt am 2025-07-07T01:14:26.426+0200
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