首页|2023-2024年南京及周边地区儿童常见6种呼吸道病原体感染的流行病学研究

2023-2024年南京及周边地区儿童常见6种呼吸道病原体感染的流行病学研究

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目的 研究南京市及其周边地区2023年5月至2024年4月期间儿童呼吸道病原体感染性疾病的流行病学及其特征,确定病原体感染的种类,为呼吸道感染性疾病的预防和治疗提供依据。方法 回顾性分析南京市儿童医院2023年5月至2024年4月的88437例患儿标本,采用荧光PCR的方法检测6种病原体,分别为腺病毒(ADV),甲型流感病毒(FluA),乙型流感病毒(FluB),人鼻病毒(HRV),肺炎支原体(MP)和呼吸道合胞病毒(RSV),并对结果进行统计分析。结果 88437个样本阳性检出率为68。98%,六种病原体检出率由高到低分别 MP25。77%,ADV15。24%,HRV12。18%,RSV11。51%,FluA8。25%,FluB7。24%。各病原体不同年龄段之间的检出率差异有统计学意义,其中7~18岁儿童检出率最高,时间因素对此也有影响,秋冬季的阳性率较高。其中MP,Flu A与FluB的检出率存在交替高峰,此消彼长的状态。不同病原体中混合感染的阳性率也较高,其中最常见为HRV与MP混合感染。结论 儿童呼吸道病原体感染以MP感染最为常见,其中MP,Flu A与Flu B存在交替高峰的特点,混合感染以HRV与MP最为常见,不同年龄、时间对病原体感染均有影响。病原体感染多发于7~18岁儿童,应加强对7~18岁儿童的呼吸道感染知识的科普教育。秋冬季为呼吸道病原感染的高发季节,需加强秋冬季节的防护与监测。
An epidemiological study of six common respiratory pathogens in children in Nanjing from 2023 to 2024
Objective To study the epidemiology and characteristics of children with respiratory tract infec-tious diseases from May 2023 to April 2024 in Nanjing and its surrounding areas,and to determine the types of patho-gens,to provide evidence for the prevention and treatment of respiratory tract infectious diseases.Methods The samples of 88437 children from Nanjing Children's Hospital from May 2023 to April 2024 were retrospectively ana-lyzed.Six pathogens,namely adenovirus(ADV),influenza A virus(FluA),influenza B virus(FluB),and human rhinovirus(HRV),were detected by fluorescent PCR.Mycoplasma pneumonia(MP)and respiratory syncytial virus(RSV)were analyzed statistically.Results The positive detection rate of 88437 samples was 68.98%,and the de-tection rates of six pathogens were respectively MP25.77%,ADV15.24%,HRV12.18%,RSV11.51%,FluA8.25%,and FluB7.24%from high to low.There were significant differences in the detection rate of each pathogen among different age groups,and the highest detection rate was found in children aged 7-18 years.The pos-itive rate was also higher in autumn and winter due to time factors.Among them,the detection rates of MP,Flu A,and Flu B have alternating peaks and the state of decline and decline.The positive rate of mixed infection in different pathogens was also high,among which the most common was a mixed infection of HRV and MP.Conclusion MP infection is the most common respiratory tract pathogen infection in children,among which MP,Flu A and Flu B have alternating peaks,HRV and MP are the most common mixed infection,and different ages and times have effects on pathogen infection.Pathogen infection is more common in children aged 7-18 years,and the education of respiratory tract infection knowledge for children aged 7-18 years should be strengthened.Autumn and winter are the high-incidence seasons of respiratory infection,so it is necessary to strengthen the protection and monitoring in au-tumn and winter.

childrenrespiratory tractpathogensepidemiology

王欣颜、黄旭、周晋、王全、曹彤

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210008 江苏南京,南京医科大学附属儿童医院检验科

210008 江苏南京,南京医科大学附属儿童医院呼吸科

儿童 呼吸道 病原体 流行病学

2025

临床肺科杂志
安徽医科大学 解放军第105医院

临床肺科杂志

影响因子:1.42
ISSN:1009-6663
年,卷(期):2025.30(1)