2024-01-04 17:12:18
Respiratory infections
Updated Thursday, January 4, 2024 – 16:12
Primary Care consultations continue to rise in all age groups
IV poles at the Ramn y Cajal hospital in MadridEUROPA PRESS
The Influenza incidence continues to rise and it circulates more intensely than the rest of respiratory viruses, with a percentage of positivity in the last week of December of 46%, practically double that of the previous weekwhen it was 27%.
According to the latest report from the Acute Respiratory Infection Surveillance System (SiVIRA) of the Carlos III Health Institute, updated this Thursday, the flu remains on the rise in primary care consultations in all age groups while the hospitalization rate in week 52 (from December 25 to 31) is 9.5 cases per 100,000 inhabitants, 3.6 points more than the previous week, and rising since the end of October.
On the other hand, covid-19 and Respiratory Syncytial Virus (RSV) infection tends to stabilize in Primary Care, although they remain still on the rise in the hospital field, in the group of over 80 years of age for covid-19 and under one year of age in the case of RSV.
The global rate of Acute Respiratory Infection in Primary Care (ARIs) in week 52 (last of the year 2023) increases to 952.9 cases per one hundred thousand inhabitantscompared to 921.7 the previous week and well above the 533.4 cases per one hundred thousand inhabitants registered at the beginning of December.
By age groups, the highest rates of ARIs in Primary Care occur in children under one year of age (4,154.7 cases per hundred thousand inhabitants), followed by the group of 1 to 4 years, with an incidence of 2,622.9 cases per hundred thousand.
As far as the autonomous communities are concerned, the global rate of acute respiratory infection highest occurs in Castilla-La Mancha (1,709.7 cases per hundred thousand), followed by the Valencian Community (1,501.4), Asturias (1.318,6)Canary Islands (1,285.3), Melilla (1,271.4), Castilla y León (1,209.9), Aragón (1,195.2) and Navarra (1,082.4).
The Community of Madrid is practically the same as the national average, with 951.9 cases per one hundred thousand inhabitants. Andaluca is the autonomous region with the lowest incidence (504,6).
This closing week of 2023, the SARS-Cov-2 positivity drops to 10.8% compared to 15.4% the previous week and the VRS also drops four points to 10.3%.
The incidence of covid in Primary Care presents fluctuations and the highest rates are observed in adults 65 years of age or older. The hospitalization rate in the last week of the year is 3.5 cases per hundred thousand, compared to 2.4 cases seven days before, and increasing since the last five weeks.
RSV infection in Primary Care shows a decrease although it continues to increase in hospitals, 5.2 cases admitted per 100,000 inhabitants (4.3 the previous week).
increase in children
In the next two weeks, after the Three Wise Men festival and the return to school, doctors expect an increase in the transmission of flu by children, especially those under 5 years of age, since suffer “between 4 and 5 times more” than adults. In addition, children have “more concentration of viruses” in their bodies and in them, the viruses are “more persistent” than in adults, reports Servimedia
“When the children return to school after the Christmas holidays, there will be two or three weeks that the vertical will continue upwards in the case of the flu,” says Antonio Zapatero, former president of the Spanish Society of Internal Medicine (SEMI). ) and head of the Internal Medicine Service at the Fuenlabrada University Hospital in Madrid.
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