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蚌埠市6~15岁儿童急性呼吸道感染病原谱检测分析

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目的:分析蚌埠市6~15 岁儿童急性呼吸道感染病原谱特征,为制定有效防控措施提供依据.方法:2022 年 1-8 月,采集蚌埠市流感监测哨点医院流感样病例咽拭子标本1 625 份,其中6~15 岁儿童标本233 份,每月抽取10 例左右6~15 岁儿童病例标本,共抽取80 例.使用荧光定量PCR法进行流感病毒和新冠病毒核酸检测,应用FilmArray多重巢式PCR检测技术检测22 种病原体.分析流感、新冠病毒实时荧光定量PCR检测结果,以及蚌埠市 6~15 岁儿童急性呼吸道感染病原体种类、不同月份急性呼吸道感染病原体构成、不同年龄段及性别急性呼吸道感染病原体检出情况、病原体检出特征.结果:1 625份送检标本,新冠检测全部阴性;流感检出阳性242 例(14.89%),其中甲型季节性H3 亚型阳性133 例(8.18%),B型Victoria系阳性109 例(6.71%).233 份 6~15 岁儿童标本,流感检出阳性 23 例(9.87%),其中甲型季节性 H3 亚型阳性 4 例(1.72%),B型Victoria系阳性19 例(8.15%).6~15 岁儿童与全部人群的流感及亚型检出率比较差异无统计学意义(P>0.05).80 份呼吸道咽拭子标本中检出病原体 28 份(35.00%);检出 7 种病原体共 32 株,其中人鼻病毒/肠道病毒(37.50%)、B型流感病毒(34.38%)占比较高.2022 年1-2 月是B型流感流行高峰,其他病原体检测阳性率不同月份间比较,差异均无统计学意义(P>0.05).不同年龄段、性别急性呼吸道感染病原体检出阳性率比较,差异无统计学意义(P>0.05).28 例检测阳性病例标本中,单一感染25 例(89.29%),双重感染2 例(7.14%),三重感染1 例(3.57%),单一感染占比最高(P<0.001);检出病毒感染26 例(92.86%),细菌2 例(7.14%).结论:人鼻病毒/肠道病毒和流感病毒是蚌埠市6~15 岁儿童主要的急性呼吸道感染病原体,除流感病毒外,人鼻病毒等其他病原体不同时期检测阳性率比较,差异均无统计学意义.
Analysis of pathogens of acute respiratory infections in children aged 6-15 in Bengbu City
Objective:To explore the pathogen spectrum composition of acute respiratory infections among primary and secondary school students in Bengbu City,and to provide basis for formulating effective prevention and control measures.Methods:From January to August 2022,1625 throat swab samples of influenza like cases were collected from the influenza monitoring sentinel hospital in Beng-bu City,including 233 samples from children aged 6-15 years old.About 10 samples from children aged 6-15 years old were collected each month,totaling 80 samples.FilmArray multiple nested PCR was used to detect 22 pathogens,and fluorescent quantitative PCR was used to detect influenza virus and COVID-19 nucleic acid.Analysis was conducted in terms of the types of pathogens of acute re-spiratory infection in children aged 6 to 15 years old in Bengbu,the composition of pathogens of acute respiratory infection in different months,the physical examination of pathogens of acute respiratory infection in different age groups and sexes,the characteristics of pathogens,and the real-time fluorescent quantitative PCR detection results of influenza and COVID-19.Results:28 pathogens were de-tected out of 80 respiratory throat swab specimens(35.00%).A total of 32 strains of 7 pathogens were detected,among which rhino-virus/enterovirus(37.50%)and influenza B virus(34.38%)accounted for a relatively high proportion.January and February 2022 were the peak of the B-type influenza epidemic,and there was no statistically significant difference(P>0.05)in the positive rates of other pathogens detected between different months.There was no statistically significant difference(P>0.05)in the positive rate of a-cute respiratory infection pathogens among different age groups and genders.Among the 28 positive cases detected,25 cases(89.29%)weresingleinfections,2 cases(7.14%)were double infections,and1 case(3.57%)was triple infections,with the highest proportion of single infections(P<0.001).26 cases(92.86%)of viral infection and2 cases(7.14%)of bacterial infection were detected(P<0.001).Conclusion:Rhinovirus/enterovirus and influenza virus are the main respiratory pathogens causing acute respiratory infections in primary and secondary school students aged 6-15 in Bengbu City.Except for influenza virus,there is no statistically significant difference in the positive rates of other pathogens such as rhinovirus detected in different peri-ods.

Respiratory infectionFilmArray multiplex nested PCRPathogenRhinovirus/EnterovirusInfluenza virus

付广林、许静茹、董娟、钱青文、梁寅生、吴珊珊

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安徽省蚌埠市疾病预防控制中心 微生物检验科,233080

安徽省蚌埠市第一人民医院 公共卫生科,233000

呼吸道感染 FilmArray多重巢式PCR 病原体 人鼻病毒/肠道病毒 流感病毒

蚌埠市科技计划

2022hm02

2024

淮海医药
蚌埠市医学科学情报站 《淮海医药》编辑部

淮海医药

影响因子:0.58
ISSN:1008-7044
年,卷(期):2024.42(5)
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