Análise da tendência das taxas de internações por pneumonia bacteriana em crianças e adolescentes

Abstract

Objective: To analyze distribution and tendency of hospital admissions rates for bacterial pneumonia in children and adolescents. Methods: This ecological, time series study included secondary data obtained from the Hospital Information System of the SUS. We calculated hospital admission coefficients for 10,000 inhabitants triennially. For the analysis of tendency, a model of polynomial regression was used. Results: Most hospital admissions occurred in the East health macro-region between the second and fourth triennial periods. Rates were higher for children age one to four years and in male patients throughout the study period. We observed an increased tendency toward hospital admission in children younger than one year. Conclusion: Hospital admission rates for pneumonia differ by health macro-region, age and sex. The region with the highest incidence was the East region, and boys aged one to four years were more affected. A growing tendency was seen in children younger than one year. ResumoObjetivo: Analisar a distribuição e a tendência das taxas de internações por pneumonia bacteriana em crianças e adolescentes. Métodos: Estudo ecológico de séries temporais com dados secundários obtidos no Sistema de Informações Hospitalares do Sistema Único de Saúde. Foram calculados coeficientes de internação para 10.000 habitantes, por triênio. Para análise de tendência utilizaram-se modelos de regressão polinomial. Resultados: As maiores taxas de internação ocorreram na Macrorregião de Saúde Oeste, entre o segundo e o quarto triênio. As taxas foram maiores na faixa etária de um a quatro anos e no sexo masculino, durante todo o período. Observou-se tendência crescente das internações em crianças menores de um ano. Conclusão: As taxas de internação por pneumonia diferem por macrorregional de saúde, idade e sexo, sendo maior na região oeste, em crianças do sexo masculino e com idade entre um e quatro anos, com tendência crescente entre os menores de um ano.

Sanitary measures to contain COVID-19 spread decreased pediatric hospitalizations due to other respiratory infections in São Paulo, Brazil

“…Therefore, our conclusions cannot be completely generalized to the private health system. On the other hand, the mean age of the patients included in this study is similar to those described in other publications on the global impact of RIs in children, as well as the predominance of boys, making our findings fairly generalizable [14,22,23].…”

Impacto da vacina pneumocócica na redução das internações hospitalares por pneumonia em crianças menores de 5 anos, em Santa Catarina, 2006 a 2014*

“…Data from an ecological study of pneumonia hospitalizations in children and adolescents living in the neighboring state of Paraná in relation to the period 2000-2011 describe the occurrence of 2,295,780 hospitalizations of children and adolescents, 59,028 (2.57%) of which were due to bacterial pneumonia. 16 In view of the need to integrate different aspects related to measuring the impact of introducing a vaccine in a specific region, the objective of this article is to describe the impact of PCV10 on pneumonia hospitalizations of children under 5 years old in the state of Santa Catarina, Brazil, between 2006 and 2014.…”

Primary care features in child hospitalization: First-contact access and Longitudinality

“…Although the mothers of the study reported that they were able to breastfeed up to six months of the baby's life, a fact recognized as a reducing factor of the hospital admission rate (16) , there was an association between the Longitudinality feature and the period of Exclusive Breastfeeding from two to four months, coinciding with the period when many women returned to work. This moment may raise in the mothers a greater demand for health services, in an attempt to provide, before returning to work, good health care for their babies.…”