Incidence of community-acquired pneumonia hospitalisation in persons with bronchiectasis during the COVID-19 lockdown in Denmark: A retrospective cohort study

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  • Valdemar Rømer
  • Martina Bjørka Fosgaard
  • Pradeesh Sivapalan
  • Josefin Eklöf
  • Mohamad Isam Saeed
  • Louise Lindhardt Toennesen
  • Alexander Svorre Jordan
  • Tina Gissel
  • Sofie Lock Johansson
  • Jensen, Jens Ulrik

Background Persons with bronchiectasis have a high risk of community-acquired pneumonia. Social distancing measures, implemented to prevent the spreading of SARS-CoV-2, could potentially reduce the incidence of other infectious diseases. Research question Was the COVID-19 lockdown period, along with accompanying social distancing measures, associated with reduced hospital admissions for community-acquired pneumonia and decreased overall mortality rates among individuals with bronchiectasis? Methods Social distancing measures were introduced in Denmark by 12 March 2020 and were preserved until 20 May 2020 (social distancing period), after which the measures were gradually dismissed. The study included all adults (≥18 years) with bronchiectasis residing in Denmark. Confirmed cases of SARS-CoV-2 infection were excluded. We retrospectively investigated the incidence of community-acquired pneumonia hospital admission, death of all causes and respiratory antibiotic treatment in the 10-week social distancing period in 2020, compared with the same dates in 2019. 9344 persons were included in the study. Results In the social distancing period, the incidence rate of pneumonia-hospitalisation per 10 000 person-weeks was 9.2 compared with 13.8 in the reference period. This reduction corresponds to an incidence rate ratio (IRR) of 0.67 (95% CI 0.51 to 0.88, p<0.01). Mortality was unchanged (IRR 0.90, 95% CI 0.61 to 1.32, p=0.58). Fewer persons received respiratory antibiotics (IRR 0.85, 95% CI 0.78 to 0.94, p<0.001). Conclusion The social distancing period was associated with a lower incidence of community-acquired pneumonia hospitalisations and respiratory antibiotic treatments in persons with bronchiectasis while all-cause mortality remained unchanged.

Original languageEnglish
Article numbere001517
JournalBMJ Open Respiratory Research
Volume10
Issue number1
Number of pages7
ISSN2052-4439
DOIs
Publication statusPublished - 27 Nov 2023

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© 2023 BMJ Publishing Group Limited.

    Research areas

  • Bronchiectasis, COVID-19, Pneumonia

ID: 390244241