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<<   作成日時 : 2012/10/24 22:26   >>

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子どもの咽頭感染症による入院治療が増加
画像 1999〜2010年のインペリアル・カレッジ・ロンドンでの研究によれば、咽頭感染で入院した子どもは最近10年間で76%増加した。ただ、ほとんどの子どもは短期間で退院しているので、重症感染が増加したわけではない。医師と最大待機時間へのプレッシャーが入院理由の背後にある。扁桃腺摘除術はその間減少しており、その結果重症咽頭炎入院の増加に関連している。
 1〜4歳の子どもが最も多く、1歳未満の子どもがそれに続いている。この10年間で2日以内の入院数は115%増加した。

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19 October 2012 Last updated at 23:54 GMT
Rise in child throat infections treated in hospital, study finds
http://www.bbc.co.uk/news/health-20002115

Children admitted to hospital with throat infections have increased by 76% over the past 10 years, according to a study from Imperial College London.

Writing in the Archives of Disease in Childhood, researchers found that most children were discharged after a short stay.

This suggests that the severity of infection has not increased, they said.

Pressures on doctors and a maximum waiting time in A&E could be the reason behind the increase in admissions.

The study investigated hospital admission rates for children up to the age of 17 with acute throat infections between 1999 and 2010. They also looked at the number of tonsillectomies performed during that period.

Researchers were concerned that the decline in tonsil removal operations in recent years had led to an increase in hospital admissions for severe tonsillitis.

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Our findings suggest that many of the children admitted with acute throat infections could have been effectively managed in the community”

Dr Elizabeth Koshy
Imperial College London
They found that admissions for throat infections rose from 12,283 in 1999 to 22,071 in 2010. The highest rates were among children aged between one and four years, followed by children aged under one.

Over the same decade they found an increase of 115% in short hospital stays lasting less than two days. These accounted for most of the admissions.

The researchers found no evidence of a link between tonsillectomy trends and admission rates for acute throat infections.

Instead, they suggest that the sharp rise in hospital cases of children with throat infections is probably explained by the large number of children being taken to A&E instead of to see their GP, especially if the infection flares up outside surgery hours.

Dr Elizabeth Koshy, lead study author from the school of public health at Imperial College London, said the rise in hospital admissions for this type of infection was concerning.

'Unnecessary'
"Our findings relating to short hospital stays suggest that many of the children admitted with acute throat infections could have been effectively managed in the community.

"Our study highlights the need to urgently address the issue of healthcare access, with improved models of integrated care within primary and secondary care, to avoid potentially unnecessary hospital admissions for relatively minor infections in the future."

The introduction of a four-hour maximum waiting time in A&E, in 2002, could have led under-pressure doctors to admit children with less serious throat infections, she said.

Dr Koshy said that further research was needed to confirm that declining tonsillectomy rates were not associated with an increase in more severe throat infections rates.

She added: "Tonsillectomy is a major and costly operation with potentially serious complications.

"So it seems sensible for clinicians to maintain a high threshold for referring children with recurrent throat infections for tonsillectomy and restrict it to those children who are most severely affected by these infections."

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