{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:15:39Z","timestamp":1788992139990,"version":"build-2803163510"},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>The COVID-19 pandemic has altered the epidemiology of many common childhood infections, including Group A streptococcal (GAS) disease. Acute post-streptococcal glomerulonephritis (APSGN) is a nonsuppurative complication of GAS pharyngitis and pyoderma. It remains the most common cause of pediatric acute glomerulonephritis globally. In Counties Manukau, New Zealand, APSGN rates have previously been shown to be the highest in the country, with marked ethnic and socioeconomic disparities. We performed a retrospective review of children aged 0\u201314 years who were discharged from Kidz First Hospital, Counties Manukau, between 2015 and 2023 and met the Strep A Vaccine Global Consortium consensus definition of APSGN. We describe a marked, sustained reduction in APSGN hospitalizations, temporally associated with the COVID-19 pandemic. This ongoing reduction in APSGN incidence is notable in light of contrasting reports of increasing incidence of rheumatic fever in New Zealand and invasive GAS disease internationally.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0762","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T15:32:53Z","timestamp":1714491173000},"page":"1214-1216","source":"Crossref","is-referenced-by-count":2,"title":["Reduction in Acute Post-Streptococcal Glomerulonephritis Incidence in Counties Manukau, New Zealand, after the COVID-19 Pandemic"],"prefix":"10.4269","volume":"110","author":[{"given":"Amanda","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Paediatrics, The University of Auckland, Auckland, New Zealand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelyn","family":"Neutze","sequence":"additional","affiliation":[{"name":"Kidz First Children\u2019s Hospital, Te Whatu Ora Counties Manukau, Auckland, New Zealand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole J.","family":"Moreland","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Pathology, The University of Auckland, Auckland, New Zealand;"},{"name":"Maurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, The University of Auckland, Auckland, New Zealand;"},{"name":"Kidz First Children\u2019s Hospital, Te Whatu Ora Counties Manukau, Auckland, New Zealand;"},{"name":"Starship Children\u2019s Health, Te Whatu Ora Te Toka Tumai Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Pediatr Nephrol","first-page":"165","article-title":"Post-streptococcal acute glomerulonephritis in children: Clinical features and pathogenesis","volume":"26","author":"Eison","year":"2011"},{"key":"b2","series-title":"Am J Trop Med Hyg","first-page":"1066","article-title":"Systematic review of Group A Streptococcal emm types associated with acute post-streptococcal glomerulonephritis","volume":"100","author":"Worthing","year":"2019"},{"key":"b3","series-title":"Open Forum Infect Dis","first-page":"S57","article-title":"Standardization of epidemiological surveillance of acute poststreptococcal glomerulonephritis","volume":"9","author":"Miller","year":"2022"},{"key":"b4","series-title":"Nat Rev Nephrol","first-page":"32","article-title":"Epidemiology, pathogenesis, treatment and outcomes of infection-associated glomerulonephritis","volume":"16","author":"Satoskar","year":"2020"},{"key":"b5","series-title":"J Paediatr Child Health","first-page":"652","article-title":"Post-streptococcal glomerulonephritis: Some reduction in a disease of disparities","volume":"55","author":"Vogel","year":"2018"},{"key":"b6","series-title":"J Paediatr Child Health","first-page":"850","article-title":"Prospective population-based study on the burden of disease from post-streptococcal glomerulonephritis of hospitalised children in New Zealand: Epidemiology, clinical features and complications","volume":"49","author":"Wong","year":"2013"},{"key":"b7","series-title":"Emerg Infect Dis","first-page":"641","article-title":"COVID-19 and infant hospitalizations for seasonal respiratory virus infections, New Zealand, 2020","volume":"27","author":"Trenholme","year":"2021"},{"key":"b8","series-title":"N Z Med J","first-page":"67","article-title":"Continued mitigation needed to minimise the high health burden from COVID-19 in Aotearoa New Zealand","volume":"136","author":"Baker","year":"2023"},{"key":"b9","series-title":"Nat Rev Microbiol","first-page":"195","article-title":"The effects of the COVID-19 pandemic on community respiratory virus activity","volume":"21","author":"Chow","year":"2023"},{"key":"b10","series-title":"Med J Aust","first-page":"242","article-title":"Getting to grips with invasive Group A streptococcal infection surveillance in Australia: Are we experiencing an epidemic?","volume":"219","author":"Hla","year":"2023"},{"key":"b11","year":"2018"},{"key":"b12","year":"2023"},{"key":"b13","series-title":"J Am Soc Nephrol","first-page":"534","article-title":"Autoimmunity in acute poststreptococcal GN: A neglected aspect of the disease","volume":"32","author":"Rodriguez-Iturbe","year":"2021"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/110\/6\/article-p1214.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/110\/6\/article-p1214.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/110\/6\/article-p1214.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T12:59:13Z","timestamp":1717592353000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/110\/6\/article-p1214.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,5]]},"references-count":13,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.23-0762","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,5]]}}}