TY-JUR T1 - 欧洲社区住宅老年人呼吸道合胞病毒感染的负担(RECECEU):国际未来队列研究JF - 欧洲呼吸期刊JO - EUR RESPIR J DO - 10.1183 / 13993003.02688-2020 VL - 57是 -4 SP - 2002688 AU - KOOS AU - Adriaensens,Niels Au - Coenen,Samuel Au - Butler,Christopher Au - Ravanfar,Behnaz Au - Rutt,Heather Au - Allen,Julie Au - 蕾丝,Ann Au - Pirçon,Jean-Yves Au - Gruselle,Ouivier Au - Vincent Au - 春天,夏洛特Au - Balla-Jhagjhoomingh,Sunita Au - Öner,德尼斯·奥尔斯(Ispas),Gabriela Au - Aerssens,Jeroen Au - Shinde,Vivek Au - virheij,Theo Au -Bont,Louis Au - Wildenbeest,Joanne A2 - ,Y1 - 2021/04/01 UR - //www.qdcxjkg.com/content/57/4/2002688.abstract/57/4/2002688.Abstract n2 - 呼吸道同性恋病毒(RSV)较老成年人得到认可,但社区的负担仍然不确定。这项欧洲研究发现RSV感染普遍存在,但很少引起社区住宅老年人的严重疾病。老年人的HTTPS://bit.ly/30gsimdbackground呼吸道同性恋病毒(RSV)感染被认为是一个重要的健康问题。我们的旨在评估≥60年龄龄的老年人欧洲RSV的社区负担。欧洲呼吸道合胞病毒联盟(Resceu)的呼吸道合胞病毒联盟的一部分是工作的一部分。在两个独立的RSV季节之前,通过普通从业者(GPS)办事处招聘参与者。参与者每周报告急性呼吸道感染(ARTI)的症状在一个RSV季节。 ARTI patients were tested for RSV during home visits and completed a daily symptom diary. RSV illness included PCR-confirmed ARTI and those showing seroconversion over the season. RSV ARTI was based on PCR alone (ClinicalTrials.gov, NCT03621930).Results We recruited 1040 participants (527 in season 2017–2018 and 513 in season 2018–2019) with a median age of 75 years (range 60–100 years). Of these, 1023 (99%) lived independently at home at baseline. RSV illness incidence was 22 out of 527 (4.2%) and 37 out of 513 (7.2%) in the respective seasons. RSV illness did not affect frailty or cardiopulmonary status during the course of the study. No patients were hospitalised or died from RSV illness. In the 36 patients with PCR confirmed RSV ARTI, symptom duration averaged 19 days, while a doctor's visit took place in 11 out of 36 cases (31%). RSV ARTI could not be differentiated clinically from all other ARTIs based on symptoms.Conclusion This European study showed that RSV is prevalent in community-dwelling older adults and rarely causes severe disease. This suggests that watchful waiting, using a continuity of care approach to identify those who do need more intensive care, is often justified when RSV is suspected in family practice. ER -