Pathogen spectrum of co-infection in children with Mycoplasma pneumoniae pneumonia
Objective:To understand the pathogen spectrum of co-infection in children with Mycoplasma pneumoniae pneumonia(MPP),so as to provide a basis and guidance for timely and correct diagnosis,reasonable and effective treatment in clinical practice.Methods:A retrospective analysis was performed on the pathogen spectrum of co-infection in children with MPP who were between 29 days and 16 weeks old and hospitalized in Pediatrics Department of Shangrao People's Hospital from January 1 to December 31,2023.Meanwhile,the differences in the pathogen spectrum of co-infection in children with MPP in different age groups,of different genders and in different seasons were analyzed.Results:Among 291 children with MPP,there were 209(18.79%)children with co-infection.The detection rate of co-infection with respiratory syncytial virus in the infant group was higher than those in the school-age group and the preschool group(P<0.05).The detection rate of influenza B virus was higher than that in the preschool group(P<0.05).The detection rate of adenovirus in the school-age group was higher than that in the infant group(P<0.05).The detection rates of co-infection with influenza A virus in the school-age group and the preschool group were higher than that in the infant group(P<0.05).Among the 291 children,90(8.09%)children with co-infection with bacteria were detected.The bacterial detection rates in different age groups showed no difference in terms of species(P>0.05).The top three were Streptococcus pneumoniae,Staphylococcus aureus,and Haemophilus influenzae.Among the 1112 children with MPP,males and females with co-infection accounted for 27.74%and 24.19%,indicating no statistically significant difference between different genders(P>0.05).Co-infection of MPP occurred all the year round,and the incidence rate was the highest in winter(P<0.05).Conclusion:Co-infection in children with MPP and co-infection of different age is different.Co-infection in MPP occurs all the year round,and the incidence rate is the highest in winter.Therefore,attention should be paid to co-infection of MPP in different seasons and in children of different age in this area.