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Aspectos asistenciales de la infección periamigdalina antes y durante la pandemia de COVID-19 / Healthcare aspects of peritonsillar infection before and during the COVID-19 pandemic
García-Callejo, Francisco Javier; Alba-García, José Ramón; Martínez-Giménez, Luis; Balaguer-García, Ramón; Ruescas-Gómez, Luis; Orozco-Núñez, Sara.
Affiliation
  • García-Callejo, Francisco Javier; Hospital de Requena. Requena. España
  • Alba-García, José Ramón; Hospital de Requena. Requena. España
  • Martínez-Giménez, Luis; Hospital de Requena. Requena. España
  • Balaguer-García, Ramón; Hospital de Requena. Requena. España
  • Ruescas-Gómez, Luis; Hospital de Requena. Requena. España
  • Orozco-Núñez, Sara; Consorci Hospital General Universitari de València. València. España
Acta otorrinolaringol. esp ; 74(2): 108-115, marzo-abril 2023. tab, graf
Article in Spanish | IBECS | ID: ibc-217389
Responsible library: ES1.1
Localization: ES15.1 - BNCS
RESUMEN

Introducción:

Este estudio trata de valorar la repercusión de la pandemia sobre la incidencia y la evolución clínica de la infección periamigdalina (IPA).Material y métodosRevisamos en un seguimiento longitudinal y descriptivo retrospectivo las circunstancias de los pacientes atendidos durante 5 años, de 2017 a 2021, en dos hospitales, uno comarcal y otro terciario. Se registraron variables relacionadas con la patología de base, antecedentes de amigdalitis, tiempo de evolución, visitas previas en Atención Primaria, hallazgos en el diagnóstico, relación absceso/flemón y días de estancia hospitalaria.ResultadosDe 2017 a 2019 la incidencia de la enfermedad osciló entre 14 y 16 casos/100.000 habitantes-año, pero en 2020 se redujo a 9,3, un 43% menos. Los pacientes con IPA que consultaron en pandemia generaron pocas visitas previas en servicios de Atención Primaria, presentaron mayor severidad de los síntomas y mayor demora en el diagnóstico. Además, hubo más abscesos que flemones y la necesidad de ingreso hospitalario superior a 24h fue del 66%. Apenas hubo causalidad con amigdalitis agudas, aunque el 66% de los pacientes padecía amigdalitis de repetición, y el 71% patología concomitante. Todos estos hallazgos mostraron diferencias estadísticamente significativas respecto a los casos prepandemia.ConclusionesLa protección de la transmisión aérea, el distanciamiento social y el confinamiento adoptados en nuestro país son medidas que han podido modificar la evolución de la IPA, con una incidencia muy inferior, un período de recuperación mayor y mínima relación con amigdalitis aguda. (AU)
ABSTRACT

Introduction:

This study assessed if the healthcare system overload and the organizational changes made in response to COVID-19 may be having an impact on clinical and epidemiological characteristics of the peritonsillar infection (PTI).Materials and methodsIn a retrospective longitudinal and descriptive follow-up, we reviewed the circumstances of the patients attended during 5 years, from 2017 to 2021, in two hospitals, one regional and other tertiary. Variables related to underlying pathology, history of tonsillitis, time of evolution, previous visits to Primary Care, diagnostic findings, abscess/phlegmon ratio, and length of hospital stay were recorded.ResultsFrom 2017 to 2019, the incidence of the disease ranged between 14 and 16 cases/100,000 inhabitants-year, and decreased to 9.3 in 2020, a 43% less. Patients with PTI consulting in pandemic time were visited much less often in Primary Care services. They showed a greater severity of symptoms and the period of time between their appearance and diagnosis was longer. Additionally, there were more abscesses and the need for hospital admission greater than 24h was 66%. There was hardly a causal relationship with acute tonsillitis, although 66% of the patients evidenced history of recurrent tonsillitis, and 71% concomitant pathology. All these findings showed statistically significant differences with the pre-pandemic cases.ConclusionsThe protection of airborne transmission, the social distancing and the lockdown adopted in our country are measures that seem having been able to modify the evolution of PTI, with a much lower incidence, a longer recovery period and a minimal relationship with acute tonsillitis. (AU)
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Collection: National databases / Spain Database: IBECS Main subject: Otolaryngology / Primary Health Care / Epidemiology / Coronavirus Infections / Severe acute respiratory syndrome-related coronavirus Limits: Humans Language: Spanish Journal: Acta otorrinolaringol. esp Year: 2023 Document type: Article Institution/Affiliation country: Consorci Hospital General Universitari de València/España / Hospital de Requena/España
Search on Google
Collection: National databases / Spain Database: IBECS Main subject: Otolaryngology / Primary Health Care / Epidemiology / Coronavirus Infections / Severe acute respiratory syndrome-related coronavirus Limits: Humans Language: Spanish Journal: Acta otorrinolaringol. esp Year: 2023 Document type: Article Institution/Affiliation country: Consorci Hospital General Universitari de València/España / Hospital de Requena/España
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