首页|急性呼吸道感染患儿1300例非细菌性呼吸道病原体感染情况分析

急性呼吸道感染患儿1300例非细菌性呼吸道病原体感染情况分析

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目的 分析北京航天总医院急性呼吸道感染患儿病原体检测情况,为临床诊疗及防治提供依据.方法 回顾性分析 2023 年 9 月至 11 月北京航天总医院儿科门诊就诊的 1300 例急性呼吸道感染患儿咽拭子标本呼吸道病原体检测结果,采用PCR荧光探针法检测甲型流感病毒(INFA)、乙型流感病毒(INFB)、呼吸道合胞病毒(RSV)、副流感病毒-1(PIV-1)、副流感病毒-3(PIV-3)、腺病毒(ADV)、肺炎支原体(MP)七种病原体RNA.结果 1300 例患儿中,总阳性率为54%,病原体核酸阳性率依次为INFA(24.6%)、RSV(10.8%)、MP(9.9%)、ADV(8.3%)、PIV1(2.6%)、PIV 3(1.3%)、INFB(0.9%),59 例(8.4%)存在混合感染,且都是同时检测出 2 种病原体.不同性别、不同年龄组之间总阳性率差异无统计学意义(P>0.05).MP感染在 7~14 岁组阳性率最高,INFB感染在各年龄组阳性率均较低,但是在 4~6 岁组最高,RSV及PIV3 感染在 1~3 岁组阳性率高于其他 3 个年龄组,且差异有统计学意义(P<0.05).其余病原体检出率各年龄组间比较无差异.结论 该医院2023 年秋季就诊急性呼吸道感染患儿病原体以INFA为主,存在混合感染,不同年龄组患儿病原体存在差异.
Analysis of non-bacterial respiratory pathogen infection in 1300 children with acute re-spiratory tract infection
Objective To analyze pathogen detection in children with acute respiratory infection,and to provide evidence for clinical diagnosis,treatment and prevention.Methods The results of respiratory pathogen detection in throat swab samples of 1300 children with acute respiratory infection in the pediatric outpatient department of Beijing Aerospace General Hospital from September to November 2023 were retrospectively analyzed.The RNA of influenza A virus(INFA),influenza B virus(INFB),respiratory syncytial virus(RSV),parainfluenza virus-1(PIV-1),parainfluenza virus-3(PIV-3),adenovirus(ADV)and Mycoplasma pneumoniae(MP)were detected by PCR fluorescent probe.Results The total positive rate was 54.0%,and the positive rates of pathogen nucleic acid were INFA(24.6%),RSV(10.8%),MP(9.9%),ADV(8.3%),PIV1(2.6%),PIV 3(1.3%)and INFB(0.9%),59 cases(8.4%)had mixed infection,and both pathogens were detected at the same time.There was no significant difference in the total positive rate between different genders or different age groups(P>0.05).The positive rate of MP infection was the highest in the 7-14 year old group,the positive rate of INFB infection was the highest in the 4-6 year old group,and the positive rate of RSV and PIV3 infection was the highest in the 1-3 year old group,with statistically significant difference(P>0.05).There was no difference in the detection rate of other pathogens among different age groups.Conclusions INFA is the main pathogen in children with acute re-spiratory infection,there are mixed infections,and there are differences in pathogens among children of different age groups.

acute respiratory infectionchildrenrespiratory pathogennucleic acid detection

孟淑萍、孟祥兆、于丽娟、王媛媛、于洪远

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100080,北京市海淀医院儿科

100076,北京航天总医院检验科

急性呼吸道感染 儿童 呼吸道病原体 核酸检测

北京市海淀医院科研基金项目北京航天总医院创新基金科研立项

KYY20240062023-720

2024

武警医学
中国人民武装警察部队后勤部卫生部

武警医学

CSTPCD
影响因子:0.747
ISSN:1004-3594
年,卷(期):2024.35(10)