首页|220例呼吸道感染患儿肺炎支原体感染流行病学特征

220例呼吸道感染患儿肺炎支原体感染流行病学特征

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目的 分析220例呼吸道感染患儿肺炎支原体(MP)感染的流行病学特征.方法 选取2018年1月-2022年12月成都市龙泉驿区妇幼保健院收治的220例呼吸道感染患儿的临床资料,采用免疫荧光法检测患儿血清MP抗体,分析感染年份、患儿年龄、性别、地区、感染类型及感染季节等流行病学特征与MP感染阳性率的关系.结果 220例呼吸道感染患儿中MP检测阳性共48例,阳性率为21.82%.2022年呼吸道感染患儿MP阳性率为9.76%,低于2018年的31.03%,差异有统计学意义(x2=0.012,P<0.05).其余年份呼吸道感染患儿MP阳性率比较差异无统计学意义(P>0.05).4~<8岁呼吸道感染患儿MP阳性率为51.85%,高于<1岁、1~<4岁及8~13岁年龄段患儿,差异均有统计学意义(x2=31.511、10.580、21.518,P均<0.05).城镇呼吸道感染患儿MP阳性率为26.09%,高于农村地区的10.17%,差异有统计学意义(x2=0.011,P<0.05).冬季呼吸道感染患儿MP阳性率为38.98%,高于春季、夏季及秋季MP阳性率,差异均有统计学意义(x2=9.789、8.900、4.890,P均<0.05).春季、夏季及秋季MP感染阳性率比较差异无统计学意义(P>0.05).结论 近5年呼吸道感染患儿MP感染与患儿年龄、地区及感染季节等流行病学特征密切相关,与患儿性别、感染类型无关,其中4~<8岁的学龄期儿童为易感人群,且多发于城镇地区及冬季.
Epidemiological characteristics of Mycoplasma pneumoniae infection in 220 children with respiratory tract infections
Objective To analyze the epidemiological characteristics of Mycoplasma pneumoniae(MP)infection in 220 children with respiratory tract infections.Methods The clinical data of 220 children with respiratory tract infections admitted to the Chengdu Longquanyi District Maternal and Child Health Hospital from January 2018 to December 2022 were analyzed retrospectively.Serum MP antibodies were detected by immunofluorescence assay.The relationship between epidemiological characteristics such as infection year,age,gender,region,infection type and infection season and the positive rate of MP infection was analyzed.Results Among the 220 children with respiratory tract infections,48 children were positive for MP,with a positive rate of 21.82%.The positive rate of MP in children with respiratory tract infections in 2022 was 9.76%,lower than 31.03%in 2018,the difference was statistically significant(c2=0.012,P<0.05).There was no significant difference in the positive rate of MP among children with respiratory tract infections in other years(P>0.05).The positive rate of MP in children aged 4-<8 with respiratory tract infection was 51.85%,higher than that in children under 1 year old,children aged 1-<4 years old and children aged 8-13 years old,the differences were statistically significant(c2=31.511,10.580,21.518;all P<0.05).The positive rate of MP in children with respiratory tract infections in urban areas was 26.09%,higher than 10.17%in rural areas,the difference was statistically significant(c2=0.011,P<0.05).The positive rate of MP in children with respiratory tract infections in winter was 38.98%,higher than that in spring,summer,or autumn,the differences were statistically significant(c2=9.789,8.900,4.890;all P<0.05).There were no significant differences in the positive rate of MP infection among spring,summer,and autumn(P>0.05).Conclusions MP infection in children with respiratory tract infections in the past 5 years was closely related to the epidemiological characteristics such as age,region and infection season,but it was not related to gender and infection type.School-age children(4-<8 years old)were the susceptible population.MP infection was more likely to occur in urban areas and winter.

Respiratory tract infectionChildMycoplasma pneumoniaeEpidemiology

李正、彭丽娟、陈仕美、雷娴、代良琼

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成都市龙泉驿区妇幼保健院发热门诊,四川 成都 610100

呼吸道感染 儿童 肺炎支原体 流行病学

四川省妇幼医学科技创新课题

22ML236

2024

热带医学杂志
广东省寄生虫学会 中华预防医学会

热带医学杂志

CSTPCD
影响因子:0.643
ISSN:1672-3619
年,卷(期):2024.24(5)
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