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논문 기본 정보

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학술저널
저자정보
Kim Donghoon (Department of Critical Care Medicine, Department of Internal Medicine, Armed Forces Capital Hospital, Seongnam, Korea.) Lee Eunyoung (Department of Laboratory Medicine, Armed Forces Capital Hospital, Seongnam, Korea.) Eom Jungmin (Department of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.) Kim Yeonjae (Department of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.) Kwon Soon-Hwan (Department of Infectious Diseases Research, Armed Forces Medical Research Institute, Daejeon, Korea.) Oh Hong Sang (Division of Infectious Disease, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.) Huh Kyungmin (Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Park Hyesook (Department of Preventive Medicine, College of Medicine, Graduate Program for System Health Science and Engineering, Ewha Womans University, Seoul, Korea.) Jung Jaehun (Department of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea.Artificial Intelligence and Big-Data Convergence Centre, Gil Medical Centre, Gachon University Colleg) Park Bomi (Department of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.39 No.4
발행연도
2024.1
수록면
1 - 12 (12page)
DOI
10.3346/jkms.2024.39.e38

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초록· 키워드

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Background: Human adenovirus (HAdV) is a common cause of acute respiratory disease (ARD) and has raised significant concerns within the Korean military. Here, we conducted a comprehensive epidemiological analysis of HAdV-associated ARD by evaluating its prevalence, clinical outcomes, and prognosis. Methods: We reviewed data from multiple sources, including the New Defense Medical Information System, Defense Medical Statistical Information System, Ministry of National Defense, Army Headquarters, Navy Headquarters, Air Force Headquarters, and Armed Forces Medical Command. We analyzed data of patients who underwent polymerase chain reaction (PCR) testing for respiratory viruses between January 2013 and July 2022 in all 14 Korean military hospitals. The analysis included the PCR test results, demographic characteristics, health care utilization, and prognosis including types of treatments received, incidence of pneumonia, and mortality. Results: Among the 23,830 individuals who underwent PCR testing at Korean military hospitals, 44.78% (10,670 cases) tested positive for respiratory viruses. Across all military types and ranks, HAdV was the most prevalent virus, with a total of 8,580 patients diagnosed, among HAdV, influenza virus, human metapneumovirus, human parainfluenza virus, and human respiratory syncytial virus. HAdV-infected patients exhibited higher rates of healthcare use compared to non-HAdV-infected patients, including a greater number of emergency visits (1.04 vs. 1.02) and outpatient visits (1.31 vs. 1.27), longer hospitalizations (8.14 days vs. 6.84 days), and extended stays in the intensive care unit (5.21 days vs. 3.38 days). Furthermore, HAdV-infected patients had a higher proportion of pneumonia cases (65.79% vs. 48.33%) and greater likelihood of receiving advanced treatments such as high flow nasal cannula or continuous renal replacement therapy. Conclusion: Our findings indicate that HAdV posed a significant public health concern within the Korean military prior to the coronavirus disease 2019 (COVID-19) pandemic. Given the potential for a resurgence of outbreaks in the post-COVID-19 era, proactive measures, such as education, environmental improvements, and the development of HAdV vaccines, are crucial for effectively preventing future outbreaks.
#Human Adenovirus #Korean Military #Acute Respiratory Diseases #Prevalence #Disease Burden

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