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呼吸道感染患儿肺炎支原体感染流行特点和临床分析

许蔓春 马恒颢 欧巧群 罗爱武 任广立 王鲜艳 荆丽娟

南方医科大学学报2009,Vol.29Issue(10):2082-2083,2087,3.
南方医科大学学报2009,Vol.29Issue(10):2082-2083,2087,3.

呼吸道感染患儿肺炎支原体感染流行特点和临床分析

Epidemiological and clinical analysis of Mycoplasma pneumoniae infection in children with acute respiratory tract infection

许蔓春 1马恒颢 1欧巧群 1罗爱武 1任广立 1王鲜艳 1荆丽娟1

作者信息

  • 1. 广州军区广州总医院小儿科,广东,广州,510010
  • 折叠

摘要

Abstract

Objective To summarize the epidemiology and clinical characteristics of Mycoplasma pneumoniae (MP) infection in children with acute respiratory tract infection (ARI) in Guangzhou. Methods MP was detected using an indirect immunofluorescent method in 2084 children with ARI. The relations between MP infection rate and the gender, age, season, site of infection and wheezing diseases were analyzed. Results A total of 433 children (20.8%) were positive for MP, including 222 boys (19.8%) and 211 girls (21.9%) without significant difference in the infection rate between the genders (P>0.05). In 0-to 3-year-old group, 106 children were positive for MP (15.0%), while in 3-to 5-year-old group and 5-to 14-year-old group, 163 (25.2%) and 164 (22.5%) were positive, respectively, showing a significant difference in the infection rate between the 3 groups (P<0.05). The MP infection rate was 18.0% in January to March, 25.1% in April to June, 17.7% in July to September, and 20.5% in October to December, showing significant differences between the periods (P<0.05). No significant difference was found in the infection rate between children with acute upper respiratory tract infection (URI) and those with lower respiratory tract infection (LRI) (P>0.05). Among the children with LRI, those having wheezing disease had significantly higher MP positivity rate than those without wheezing. Conclusion MP is a common causative agent for ARI in children. MP infection is not related to gender and infection site, but to age and season. Children over 3 years old are vulnerable to MP infection. MP infection can be associated with wheezing in LRI.

关键词

小儿/呼吸道感染/肺炎支原体/流行病学

Key words

children/ acute respiratory tract infection/ Mycoplasma pneumoniae/ epidemiology

分类

医药卫生

引用本文复制引用

许蔓春,马恒颢,欧巧群,罗爱武,任广立,王鲜艳,荆丽娟..呼吸道感染患儿肺炎支原体感染流行特点和临床分析[J].南方医科大学学报,2009,29(10):2082-2083,2087,3.

南方医科大学学报

OA北大核心CSCDCSTPCDMEDLINE

1673-4254

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