Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study

Objectives: This study aimed to investigate the trends in hospital admissions due to viral infections characterized by skin and mucous membrane lesions in England and Wales between 1999 and 2019. Methods: This is an ecological study using publicly available databases in England and Wales; the Hospit...

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Autores principales:	Abdallah Y. Naser, Hamzeh Mohammad Alrawashdeh, Hassan Alwafi, Amal Khaleel AbuAlhommos, Zahraa Jalal, Vibhu Paudyal, Zahra Khalil Alsairafi, Emad M. Salawati, Mohammed Samannodi, Kanar Sweiss, Yousef Aldalameh, Fatemah M. Alsaleh, Mohammad Abusamak, Ahmad Shamieh, Eyad I. Tantawi, Mohammad S. Dairi, Motaz Dairi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	the United Kingdom England Wales hospitalisation admission rate skin Medicine R
Acceso en línea:	https://doaj.org/article/f85851f0d7594db39c8828ff6c1d3b90
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spelling	oai:doaj.org-article:f85851f0d7594db39c8828ff6c1d3b902021-11-11T16:44:55ZHospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study10.3390/ijerph1821116491660-46011661-7827https://doaj.org/article/f85851f0d7594db39c8828ff6c1d3b902021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11649https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Objectives: This study aimed to investigate the trends in hospital admissions due to viral infections characterized by skin and mucous membrane lesions in England and Wales between 1999 and 2019. Methods: This is an ecological study using publicly available databases in England and Wales; the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admissions data were collected for the period between April 1999 and March 2019. Hospital admissions due to viral infections characterized by skin and mucous membrane lesions were identified using the tenth version of the International Statistical Classification of Diseases system, diagnostic codes B00–B09. The trend in hospital admissions was assessed using a Poisson model. Results: Hospital admissions for different causes increased by 51.9% (from 25.67 (95% CI 25.23–26.10) in 1999 to 38.98 (95% CI 38.48–39.48) in 2019 per 100,000 persons, trend test, <i>p</i> < 0.01). The most prevalent viral infections characterized by skin and mucous membrane lesions hospital admissions causes were zoster (herpes zoster), varicella (chickenpox), herpesviral (herpes simplex) infections, and viral warts, which accounted for 26.9%, 23.4%, 18.7%, and 17.6%, respectively. The age group below 15 years accounted for 43.2% of the total number of admissions. Females contributed to 50.5% of the total number of admissions. Hospital admission rate in males increased by 61.1% (from 25.21 (95% CI 24.59–25.82) in 1999 to 40.60 (95% CI 39.87–41.32) in 2019 per 100,000 persons). The increase in females was 43.2% (from 26.11 (95% CI 25.49–26.72) in 1999 to 37.40 (95% CI 36.70–38.09) in 2019 per 100,000 persons). Conclusion: Our study demonstrates an evident variation in hospital admission of viral infections characterized by skin and mucous membrane lesions based on age and gender. Efforts should be directed towards vaccinating high-risk groups, particularly the elderly and females. Moreover, efforts should be focused on vaccinating the young population against varicella, particularly females who are more susceptible to acquiring the infection. Further observational and epidemiological studies are needed to identify other factors associated with increased hospital admission rates.Abdallah Y. NaserHamzeh Mohammad AlrawashdehHassan AlwafiAmal Khaleel AbuAlhommosZahraa JalalVibhu PaudyalZahra Khalil AlsairafiEmad M. SalawatiMohammed SamannodiKanar SweissYousef AldalamehFatemah M. AlsalehMohammad AbusamakAhmad ShamiehEyad I. TantawiMohammad S. DairiMotaz DairiMDPI AGarticlethe United KingdomEnglandWaleshospitalisationadmission rateskinMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11649, p 11649 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	the United Kingdom England Wales hospitalisation admission rate skin Medicine R
spellingShingle	the United Kingdom England Wales hospitalisation admission rate skin Medicine R Abdallah Y. Naser Hamzeh Mohammad Alrawashdeh Hassan Alwafi Amal Khaleel AbuAlhommos Zahraa Jalal Vibhu Paudyal Zahra Khalil Alsairafi Emad M. Salawati Mohammed Samannodi Kanar Sweiss Yousef Aldalameh Fatemah M. Alsaleh Mohammad Abusamak Ahmad Shamieh Eyad I. Tantawi Mohammad S. Dairi Motaz Dairi Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study
description	Objectives: This study aimed to investigate the trends in hospital admissions due to viral infections characterized by skin and mucous membrane lesions in England and Wales between 1999 and 2019. Methods: This is an ecological study using publicly available databases in England and Wales; the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Hospital admissions data were collected for the period between April 1999 and March 2019. Hospital admissions due to viral infections characterized by skin and mucous membrane lesions were identified using the tenth version of the International Statistical Classification of Diseases system, diagnostic codes B00–B09. The trend in hospital admissions was assessed using a Poisson model. Results: Hospital admissions for different causes increased by 51.9% (from 25.67 (95% CI 25.23–26.10) in 1999 to 38.98 (95% CI 38.48–39.48) in 2019 per 100,000 persons, trend test, <i>p</i> < 0.01). The most prevalent viral infections characterized by skin and mucous membrane lesions hospital admissions causes were zoster (herpes zoster), varicella (chickenpox), herpesviral (herpes simplex) infections, and viral warts, which accounted for 26.9%, 23.4%, 18.7%, and 17.6%, respectively. The age group below 15 years accounted for 43.2% of the total number of admissions. Females contributed to 50.5% of the total number of admissions. Hospital admission rate in males increased by 61.1% (from 25.21 (95% CI 24.59–25.82) in 1999 to 40.60 (95% CI 39.87–41.32) in 2019 per 100,000 persons). The increase in females was 43.2% (from 26.11 (95% CI 25.49–26.72) in 1999 to 37.40 (95% CI 36.70–38.09) in 2019 per 100,000 persons). Conclusion: Our study demonstrates an evident variation in hospital admission of viral infections characterized by skin and mucous membrane lesions based on age and gender. Efforts should be directed towards vaccinating high-risk groups, particularly the elderly and females. Moreover, efforts should be focused on vaccinating the young population against varicella, particularly females who are more susceptible to acquiring the infection. Further observational and epidemiological studies are needed to identify other factors associated with increased hospital admission rates.
format	article
author	Abdallah Y. Naser Hamzeh Mohammad Alrawashdeh Hassan Alwafi Amal Khaleel AbuAlhommos Zahraa Jalal Vibhu Paudyal Zahra Khalil Alsairafi Emad M. Salawati Mohammed Samannodi Kanar Sweiss Yousef Aldalameh Fatemah M. Alsaleh Mohammad Abusamak Ahmad Shamieh Eyad I. Tantawi Mohammad S. Dairi Motaz Dairi
author_facet	Abdallah Y. Naser Hamzeh Mohammad Alrawashdeh Hassan Alwafi Amal Khaleel AbuAlhommos Zahraa Jalal Vibhu Paudyal Zahra Khalil Alsairafi Emad M. Salawati Mohammed Samannodi Kanar Sweiss Yousef Aldalameh Fatemah M. Alsaleh Mohammad Abusamak Ahmad Shamieh Eyad I. Tantawi Mohammad S. Dairi Motaz Dairi
author_sort	Abdallah Y. Naser
title	Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study
title_short	Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study
title_full	Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study
title_fullStr	Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study
title_full_unstemmed	Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study
title_sort	hospital admission trends due to viral infections characterised by skin and mucous membrane lesions in the past two decades in england and wales: an ecological study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f85851f0d7594db39c8828ff6c1d3b90
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Hospital Admission Trends Due to Viral Infections Characterised by Skin and Mucous Membrane Lesions in the Past Two Decades in England and Wales: An Ecological Study

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