{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:55:44Z","timestamp":1788314144802,"version":"build-2803163510"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T00:00:00Z","timestamp":1622419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"WHO Collaborating Centre for Reference and Research on Influenza"},{"DOI":"10.13039\/501100003921","name":"Australian Government Department of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]},{"name":"DHB Foundation"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Infectious diseases are a leading cause of hospitalization during childhood. The various mitigation strategies implemented to control the coronavirus disease (COVID-19) pandemic could have additional, unintended benefits for limiting the spread of other infectious diseases and their associated burden on the health care system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted an interrupted time-series analysis using population-wide hospitalization data for the state of Victoria, Australia. Infection-related hospitalizations for children and adolescents (aged &amp;lt;18\u2009years, total source population \u223c1.4 million) were extracted using pre-defined International Classification of Diseases 10th Revision Australian Modification (ICD-10-AM) codes. The change in weekly hospitalization rates (incidence rate ratio, IRR) for all infections following the introduction of pandemic-related restrictions from 15 March 2020 was estimated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over 2015\u201319, the mean annual incidence of hospitalization with infection among children less than 18\u2009years was 37 per 1000 population. There was an estimated 65% (95% CI 62-67%) reduction in the incidence of overall infection-related hospitalizations associated with the introduction of pandemic restrictions. The reduction was most marked in younger children (at least 66% in those less than 5\u2009years of age) and for lower respiratory tract infections (relative reduction 85%, 95% CI 85-86%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The wider impacts of pandemic mitigation strategies on non-COVID-19 infection-related hospitalizations are poorly understood. We observed marked and rapid decreases in hospitalized childhood infection. In tandem with broader consequences, sustainable measures, such as improved hand hygiene, could reduce the burden of severe childhood infection post-pandemic and the social and economic costs of hospitalization.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ije\/dyab101","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T13:30:25Z","timestamp":1618925425000},"page":"1435-1443","source":"Crossref","is-referenced-by-count":23,"title":["Changes in infection-related hospitalizations in children following pandemic restrictions: an interrupted time-series analysis of total population data"],"prefix":"10.1093","volume":"50","author":[{"given":"Isobel M F","family":"Todd","sequence":"first","affiliation":[{"name":"COVID-19 Public Health Division, Victorian Department of Health, Melbourne, VIC, Australia"},{"name":"Melbourne School of Population and Global Heath, University of Melbourne, Parkville, VIC, Australia"},{"name":"Murdoch Children\u2019s Research Institute, Royal Children\u2019s Hospital, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica E","family":"Miller","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Royal Children\u2019s Hospital, Parkville, VIC, Australia"},{"name":"Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey L","family":"Rowe","sequence":"additional","affiliation":[{"name":"COVID-19 Public Health Division, Victorian Department of Health, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8304-4302","authenticated-orcid":false,"given":"David P","family":"Burgner","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Royal Children\u2019s Hospital, Parkville, VIC, Australia"},{"name":"Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0856-0294","authenticated-orcid":false,"given":"Sheena G","family":"Sullivan","sequence":"additional","affiliation":[{"name":"COVID-19 Public Health Division, Victorian Department of Health, Melbourne, VIC, Australia"},{"name":"Melbourne School of Population and Global Heath, University of Melbourne, Parkville, VIC, Australia"},{"name":"WHO Collaborating Centre for Reference and Research on Influenza, Royal Melbourne Hospital, and Department of Infectious Diseases, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,5,31]]},"reference":[{"key":"2021111018405054400_dyab101-B1","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1001\/jamainternmed.2020.3288","article-title":"Trends in emergency department visits and hospital admissions in health care systems in 5 states in the first months of the COVID-19 pandemic in the US","volume":"180","author":"Jeffery","year":"2020","journal-title":"JAMA Intern Med"},{"key":"2021111018405054400_dyab101-B2","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/S2352-4642(20)30108-5","article-title":"Delayed access or provision of care in Italy resulting from fear of COVID-19","volume":"4","author":"Lazzerini","year":"2020","journal-title":"Lancet Child Adolesc Health"},{"key":"2021111018405054400_dyab101-B3","doi-asserted-by":"crossref","first-page":"e74","DOI":"10.1371\/journal.pmed.0050074","article-title":"Social contacts and mixing patterns relevant to the spread of infectious diseases","volume":"5","author":"Mossong","year":"2008","journal-title":"PLoS Med"},{"key":"2021111018405054400_dyab101-B4","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1016\/S0140-6736(18)32279-7","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"392","year":"2018","journal-title":"Lancet"},{"key":"2021111018405054400_dyab101-B5","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1097\/PEC.0000000000002260","article-title":"COVID-19: transatlantic declines in pediatric emergency admissions","volume":"36","author":"Isba","year":"2020","journal-title":"Pediatr Emerg Care"},{"key":"2021111018405054400_dyab101-B6","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1093\/cid\/ciaa710","article-title":"COVID-19 pandemic: Impact caused by school closure and national lockdown on pediatric visits and admissions for viral and non-viral infections, a time series analysis","volume":"72","author":"Angoulvant","year":"2021","journal-title":"Clin Infect Dis"},{"key":"2021111018405054400_dyab101-B7","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1136\/archdischild-2020-319385","article-title":"Where have all the children gone? Decreases in paediatric emergency department attendances at the start of the COVID-19 pandemic of 2020","volume":"105","author":"Isba","year":"2020","journal-title":"Arch Dis Child"},{"key":"2021111018405054400_dyab101-B8","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1136\/archdischild-2020-319654","article-title":"Disappearing act: COVID-19 and paediatric emergency department attendances","volume":"105","author":"Dann","year":"2020","journal-title":"Arch Dis Child"},{"key":"2021111018405054400_dyab101-B9","doi-asserted-by":"crossref","DOI":"10.1007\/s00431-021-04043-w","article-title":"Early impact of school closure and social distancing for COVID-19 on the number of inpatients with childhood non-COVID-19 acute infections in Japan","author":"Kishimoto","year":"2021","journal-title":"Eur J Pediatr"},{"key":"2021111018405054400_dyab101-B10","article-title":"The impact of COVID-19 public health measures on detections of influenza and respiratory syncytial virus in children during the 2020 Australian winter","author":"Yeoh","year":"2020","journal-title":"Clin Infect Dis"},{"key":"2021111018405054400_dyab101-B11","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1136\/archdischild-2012-302383","article-title":"Increase in emergency admissions to hospital for children aged under 15 in England, 1999-2010: national database analysis","volume":"98","author":"Gill","year":"2013","journal-title":"Arch Dis Child"},{"key":"2021111018405054400_dyab101-B12","first-page":"44","article-title":"COVID-19 Australia: Epidemiology Report 26: Fortnightly reporting period ending 27 September 2020","year":"2020","journal-title":"Commun Dis Intell"},{"key":"2021111018405054400_dyab101-B13","year":"2020"},{"key":"2021111018405054400_dyab101-B14","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/S1473-3099(16)00150-X","article-title":"Association of gestational age and growth measures at birth with infection-related admissions to hospital throughout childhood: a population-based, data-linkage study from Western Australia","volume":"16","author":"Miller","year":"2016","journal-title":"Lancet Infect Dis"},{"key":"2021111018405054400_dyab101-B15","year":"2020"},{"key":"2021111018405054400_dyab101-B16","year":"2016"},{"key":"2021111018405054400_dyab101-B17","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1016\/S0140-6736(17)30938-8","article-title":"Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in young children in 2015: a systematic review and modelling study","volume":"390","author":"Shi","year":"2017","journal-title":"Lancet"},{"key":"2021111018405054400_dyab101-B18","doi-asserted-by":"crossref","first-page":"e497","DOI":"10.1016\/S2214-109X(19)30545-5","article-title":"Global burden of respiratory infections associated with seasonal influenza in children under 5 years in 2018: a systematic review and modelling study","volume":"8","author":"Wang","year":"2020","journal-title":"Lancet Glob Health"},{"key":"2021111018405054400_dyab101-B19","year":"2020"},{"key":"2021111018405054400_dyab101-B20","author":"Hale","year":"2020"}],"container-title":["International Journal of Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ije\/article-pdf\/50\/5\/1435\/41120993\/dyab101.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ije\/article-pdf\/50\/5\/1435\/41120993\/dyab101.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:41:34Z","timestamp":1636591294000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ije\/article\/50\/5\/1435\/6289851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,31]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,31]]},"published-print":{"date-parts":[[2021,11,10]]}},"URL":"https:\/\/doi.org\/10.1093\/ije\/dyab101","relation":{},"ISSN":["0300-5771","1464-3685"],"issn-type":[{"value":"0300-5771","type":"print"},{"value":"1464-3685","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,10,1]]},"published":{"date-parts":[[2021,5,31]]}}}