首页|3 643例合肥地区住院儿童13种呼吸道病原体的流行病学分析

3 643例合肥地区住院儿童13种呼吸道病原体的流行病学分析

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目的 了解分析合肥地区住院儿童13种呼吸道病原体感染情况.方法 选取2020年9月至2023年9月安徽省立医院感染病院呼吸道病毒检测标本3 643例,采用多重反转录聚合酶链反应(RT-PCR)技术扩增了解13种呼吸道感染病毒:甲型流感病毒(InfA)、甲型流感病毒H1N1病毒(H1N1)、甲型流感病毒H3N2(H3N2)、副流感病毒(HPIV)、偏肺病毒(HMPV)、肺炎支原体(MP)、呼吸道合胞病毒(HRSV)、腺病毒(HADV)、鼻病毒(HRV)、博卡病毒(Boca)、衣原体(Ch)、乙型流感病毒(InfB)和冠状病毒(HCOV)的流行病学特点.结果 3 643例标本中阳性标本共计2 222例,阳性率为60.99%,354例为混合病毒感染,多重感染阳性率为9.72%,1868例为单一病毒感染(除InfA未检出外),阳性率为51.27%.1299例男性呼吸道病毒检测阳性(60.96%),923例女性呼吸道病毒检测阳性(61.04%),男女患儿感染的阳性率差异无统计学意义,感染患者主要集中于<1岁组(61.94%).春季以HRV检出为主(20.50%),夏季以MP和HRV检出为主(24.79%和12.39%),秋季以HRSV和MP检出为主(15.09%和14.30%),HRSV在冬季检出率最高(19.05%).结论 呼吸道病毒感染在合肥住院儿童中非常普遍,近年来MP、HRV和HRSV是非常突出的呼吸道感染的重要病原体,呼吸道病毒感染与患儿年龄和季节分布有关,这些发现可能为合肥住院儿童呼吸道易感染患者的临床诊断治疗及合理用药提供有力的证据.
An Epidemiological Analysis of 13 Respiratory Pathogens in 3 643 Hospitalized Children in Hefei Area
Objective To analyze 13 types of respiratory pathogens in hospitalized children in Hefei area.Methods A total of 3 643 respiratory virus samples from Anhui Provincial Hospital for Infection from September,2020 to September,2023 were selected for the analysis,and 13 types of respiratory virus were detected by multiple reverse transcription polymerase chain reaction(RT-PCR),including Influenza A virus(InfA),influenza A Virus H1N1 virus(H1N1),influenza A virus H3N2(H3N2),parainfluenza virus(HPIV),metapneumovirus(HMPV),Mycoplasma pneumoniae(MP),respiratory syncytial virus(HRSV),adenovirus(HADV),rhinovirus(HRV).Epidemiological characteristics of Boca virus(Boca),Chlamydia(Ch),influenza B virus(InfB)and coronavirus(HCOV)were investigated.Results Among 3643 samples,a total of 2222 were positive,and the positive rate was 60.99%;354 were mixed virus infection,and the positive rate of multiple infection was 9.72%;1868 were single virus infection(except Inf A was not detected)and the positive rate was 51.27%.There were 1299 positive cases of respiratory virus in males(60.96%)and 923 positive cases of respiratory virus in females(61.04%).There was no statistical significance in the positive rate of infection in boys and girls.The infected patients mainly concentrated in the<1-year-old group(61.94%).MP and HRV were the main detected pathogens during summer(24.79%and 12.39%),while HRSV and MP were the main detected pathogens in autumn(15.09%and 14.30%),and HRSV was the highest detected in winter(19.05%).Conclusion The current study shows that respiratory viral infections are highly prevalent among hospitalized children in Hefei area.MP,HRV and HRSV are very prominent important pathogens of respiratory tract infection in past years,and respiratory tract virus infection is related to the age and seasonal distribution of children.These findings can provide a strong evidence for the clinical diagnosis and treatment and rational drug use of hospitalized children with respiratory tract infection in Hefei area.

Respiratory virusesChildrenEpidemic characteristic

吴静、石玉如、刘婷、秦令寒、戚应杰

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中国科学技术大学附属第一医院(安徽省立医院)感染病院检验科,安徽合肥 230000

呼吸道病毒 儿童 流行特征

呼吸道感染病原体检测单中心研究

HXD202103

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(2)
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