首页|天津地区儿童肺炎支原体流行病学特征及其与气象因素相关性的初步研究

天津地区儿童肺炎支原体流行病学特征及其与气象因素相关性的初步研究

Epidemiological characteristics of mycoplasma pneumoniae in children and its correlation with meteorological factors in Tianjin

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目的 了解天津地区2017-2019年呼吸道感染住院患儿肺炎支原体(MP)感染的流行病学特点及分布情况,为MP的发生与流行提供理论依据.方法 基于RNA恒温扩增技术,收集并分析天津地区2017-2019年9303例因呼吸道感染住院患儿的MP-RNA检测结果.结果 2017-2019年天津地区因呼吸道感染住院患儿的MP-RNA检出率为32.46%(3 020/9 303),其中女性患儿的检出率为35.79%(1 428/3 990),男性患儿检出率为29.96%(1 592/5 313),男性患儿的MP-RNA检出率低于女性患儿,差异有统计学意义(x2=35.269,P<0.01);不同年龄段患儿的MP-RNA检出率差异有统计学意义(x2=1 529.212,P<0.01),其中新生儿与婴儿组的患儿MP-RNA检出率最低为9.56%(259/2709),学龄前组的检出率最高为58.30%(1 282/2 199).全年不同月份均可检出MP,其中9月的MP-RNA检出率最高为52.62%(462/878),不同月份之间的患儿MP-RNA检出率差异有统计学意义(x2=694.611,P<0.01).MP感染有季节性差异,春、夏、秋、冬四季的MP-RNA 检出率分别为 16.96%(351/2 069),34.08%(620/1 819),47.47%(1 332/2 806)和 27.48%(717/2 609),不同季节的MP-RNA检出率差异有统计学意义(x2=546.606,P<0.01).不同标本类型的检出率差异有统计学意义(x2=1 029.283,P<0.01),其中肺泡灌洗液的MP-RNA检出率最高为72.34%(889/1 229).每月相对湿度和平均风速会影响MP-RNA检出率,风速越快、相对湿度越小,MP-RNA阳性检出率越低.结论 天津地区2017-2019年9303例呼吸道感染住院患儿中,女性患儿MP-RNA检出率高于男性;随着年龄的增长,MP-RNA检出率越高;秋季为MP高发季节;肺泡灌洗液标本MP-RNA检出率明显高于其他标本类型;MP-RNA阳性检出率与风速、相对湿度的相关性明显.通过RNA恒温扩增技术能够初步掌握天津地区呼吸道感染住院患儿的MP流行病学特点,为临床防治MP感染提供一定参考.
Objective To understand the epidemiological characteristics and distribution of mycoplasma pneumoniae(MP)infection in hospitalized children with respiratory tract infection in Tianjin during 2017-2019,and to provide the scientific basis for the occurrence and prevalence of MP.Methods Based on RNA constant temperature amplification technology,MP-RNA test results of 9 303 hospitalized children with respiratory tract infections in Tianjin during 2017-2019 were collected and analyzed.Results The detection rate of MP-RNA in hospitalized children with respiratory tract infections in Tianjin from 2017 to 2019 was 32.46%(3 020/9 303),with a detection rate of 35.79%(1 428/3 990)for female children and 29.96%(1 592/5 313)for male children.The detection rate of MP-RNA in children of different genders had statistical significance(P<0.01).The detection rate of MP-RNA in children of different age groups had statistical significance(P<0.01),with the lowest detection rate of MP-RNA in the neonatal and infant groups being 9.56%(259/2 709),and the highest detection rate in the preschool group being 58.30%(1 282/2 199).MP could be detected in different months of the year,with the highest detection rate of MP-RNA in September being 52.62%(462/878).The detection rate of MP-RNA in children between different months was statistically significant(P<0.01).There were seasonal differences in MP infection,with the detection rates of MP-RNA in spring,summer,autumn,and winter being 16.96%(351/2 069),34.08%(620/1 819),47.47%(1 332/2 806),and 27.48%(717/2 609),respectively.The detection rates of MP-RNA in different seasons were statistically significant(P<0.01).There were significant differences in detection rates among different specimen types(P<0.01),with the highest detection rate of MP-RNA in alveolar lavage fluid being 72.34%(889/1 229).Monthly relative humidity and average wind speed could affect the MP-RNA detection rate.The faster the wind speed and the lower the relative humidity,the lower the MP-RNA positive detection rate.Conclusion Among 9 303 hospitalized children with respiratory tract infection in Tianjin during 2017-2019,the detection rate of MP-RNA in female children was higher than that in male children.With the increase of age,the detection rate of MP-RNA increased.Autumn is the season with high incidence of MP.The detection rate of MP-RNA in alveolar lavage fluid specimens is higher than that in other specimen types.The positive detection rate of MP-RNA is correlated with wind speed and relative humidity.

Mycoplasma pneumoniaeChildrenEpidemiologyMeteorological factors

王露、马翠安

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天津市儿童医院(天津大学儿童医院)天津市儿科研究所,天津 300134

天津市儿童出生缺陷防治重点实验室

天津市儿童医院(天津大学儿童医院)感染科

肺炎支原体 儿童 流行病学 气象因素

天津市卫生健康科技项目天津市医学重点学科(专科)建设项目

TJWJ2022QN083TJYXZDXK-040A

2024

环境与健康杂志
中华预防医学会,天津市疾病预防控制中心

环境与健康杂志

CSTPCD
影响因子:0.658
ISSN:1001-5914
年,卷(期):2024.41(4)
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