Complicated pneumonia requiring invasive procedures in children in the post-COVID period: monocentric experience.

IF 1 Q3 PEDIATRICS
Chiara Costantini, Riccardo Guanà, Elisa Zambaiti, Elena Stanton, Luca Lonati, Steffi Shilly, Fabrizio Gennari, Federico Scottoni
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Abstract

Background: The Severe Acute Respiratory Syndrome virus (SARS-CoV-2) had a great impact in the worldwide population. Because of personal protective equipment (PPE), children have not been exposed to the commonly circulating respiratory viruses, with an effect on pneumonia disease spreading. The aim of our study was to evaluate the different distribution of invasive procedures for complicated pneumonia in pre, intra and post pandemic period.

Methods: We conducted a retrospective analysis in children who underwent invasive procedures for complicated pneumonia, focusing on the winter season. Three periods were identified: pre-SARS-CoV-2 (14 months), pandemic (11 months) and post-SARS-CoV-2 (5 months). The invasive procedures considered were thoracentesis, chest tube placement, and video-assisted thoracoscopic surgery (VATS).

Results: A total of 67 children were admitted to our Institution for complicated pneumonia between November 2017 and March 2023 with a mean of 2.6, 1 and 4.4 per months respectively, in pre-pandemic and post-SARS-CoV-2. A chest tube was placed in 24% of pre-pandemic patients, 9% of pandemic and 50% of post-pandemic (P=0.002). Fifty percent of post-pandemic patients required VATS (P=0.014). Chest CT scans demonstrated necrotizing pneumonia with higher frequency in post-SARS-CoV-2 period (P=0.031).

Conclusions: PPE preserved from SARS-CoV-2 but influenced the spread of other pathogens. We reported an increasing number of complicated pneumonias requiring surgery and of necrotizing pneumonia in the post-pandemic period.

背景:严重急性呼吸系统综合征病毒(SARS-CoV-2)对全球人口产生了巨大影响。由于使用了个人防护设备(PPE),儿童没有接触到通常流行的呼吸道病毒,从而影响了肺炎疾病的传播。我们的研究旨在评估大流行前、大流行中和大流行后复杂性肺炎侵入性手术的不同分布情况:我们对因并发症肺炎而接受侵入性手术的儿童进行了回顾性分析,重点是冬季。我们确定了三个时期:SARS-CoV-2 之前(14 个月)、大流行期间(11 个月)和 SARS-CoV-2 之后(5 个月)。考虑的侵入性手术包括胸腔穿刺术、胸管置入术和视频辅助胸腔镜手术(VATS):在2017年11月至2023年3月期间,共有67名儿童因复杂性肺炎入住本院,在流行前和SARS-CoV-2后,平均每月分别为2.6名、1名和4.4名。大流行前、大流行中和大流行后分别有24%、9%和50%的患者放置了胸管(P=0.002)。大流行后 50% 的患者需要进行 VATS(P=0.014)。胸部 CT 扫描显示,SARS-CoV-2 后时期的坏死性肺炎发生率更高(P=0.031):结论:PPE 使患者免于感染 SARS-CoV-2,但影响了其他病原体的传播。我们发现,在大流行后时期,需要手术治疗的复杂性肺炎和坏死性肺炎的数量不断增加。
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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CiteScore
2.50
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