Zunahme von Infektionen der oberen Atemwege nach der Covid-19-Pandemie

Prof. Dr. rer. med. Karel Kostev, Dr. rer. nat. Wolfgang Plendl, Dipl.-Biol. Sabine Kluge MS, Prof. Dr. med. Christian Tanislav
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Abstract

This cross-sectional study evaluated the number of patients with a diagnosis of upper respiratory tract infections (URTI) and with antibiotic prescriptions from the Disease Analyzer database (IQVIA) between January 2019 and December 2022. The number of patients with UTRI diagnoses and antibiotic prescriptions per practice and the duration of sick leave per patient were compared over time. A total of 1,403,907 patients from general practices (GP) were included, 48% of whom were female. The number of URTI patients per practice was significantly higher in 2022 than in 2019 (732 vs. 464, 58%, p<0.001) and this was observed for both women (56%, p<0.001) and men (60%, p<0.001). The post-pandemic increase in the number of URTI diagnoses correlated with age and was highest in the age group between 18–30 years (22%, p<0.001) and lowest in older patients >70 years (3%). Both the number of patients per practice on sick leave due to URTI (184 vs. 92) and the average duration of sick leave (+2 days) increased from 2019 to 2022. Our data suggest a dramatic increase in the incidence of URTI among all demographic subgroups in Germany between 2019 and 2022, which was associated with a tremendous impact on socioeconomic variables such as the frequency or duration of sick leave. These data could be of great importance in current pandemic management and the management of future pandemics.
Covid-19 大流行后上呼吸道感染增加
这项横断面研究评估了2019年1月至2022年12月期间诊断为上呼吸道感染(URTI)的患者人数以及疾病分析仪数据库(IQVIA)中的抗生素处方。每个诊所诊断出上呼吸道感染和开出抗生素处方的患者人数以及每位患者的病假时间随时间推移进行了比较。共纳入了来自全科诊所(GP)的 1,403,907 名患者,其中 48% 为女性。每家诊所的 URTI 患者人数在 2022 年明显高于 2019 年(732 对 464,58%,P70 年(3%))。从 2019 年到 2022 年,每家诊所因 URTI 休病假的患者人数(184 对 92)和平均病假时间(+2 天)都有所增加。我们的数据表明,2019 年至 2022 年期间,德国所有人口亚群中 URTI 的发病率都急剧上升,这对病假频率或病假持续时间等社会经济变量产生了巨大影响。这些数据对当前的大流行病管理和未来的大流行病管理具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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