儿童呼吸道病原感染1738例的临床分析  

Clinical analysis of 1738 children with respiratory tract infection

作　　者：黄倩[1] 洪艳[1] HUANG Qian;HONG Yan(Department of Pediatrics,Zhongnan Hospital of Wuhan University,Wuhan,Hubei,430071)

机构地区：[1]武汉大学中南医院儿科,湖北武汉430071

出　　处：《实用临床医药杂志》2018年第1期143-145,共3页Journal of Clinical Medicine in Practice

基　　金：湖北计生委科研课题(220100455)

摘　　要：目的分析本院住院儿童常见的呼吸道病原感染流行特点及临床特征。方法回顾性分析2016年1月—2017年1月共1 738例呼吸道病原感染的住院儿童的临床资料,采用间接免疫荧光的方式检测11种常见呼吸道病原。结果 1 738例患儿中,全年病原感染以流感A病毒和流感B病毒最多,分别占10.18%和24.8%,支原体、CMV、EBV、衣原体及呼吸道合胞病毒的感染率分别为7.6%、2.2%、6.2%、3.97%和4.78%。呼吸道合胞病毒、流感B病毒、流感A病毒及支原体感染在全年的发病率均较高,EBV、CMV、衣原体在夏冬两季的感染率较高,血培养阳性感染在春夏较高,嗜肺军团在夏秋两季的感染率较高,而腺病毒和副流感病毒则分别在春、冬两季的感染率较高。结论患儿全年病原感染以流感A、流感B、支原体的感染率较高,患儿的呼吸道感染发病类型主要为支气管肺炎、急性支气管炎及上呼吸道感染。Objective To analyze the clinical and epidemic characteristics of children with respiratory tract infection.Methods Clinical materials of 1 738 children with respiratory tract infection were analyzed retrospectively,and 11 common respiratory pathogens were detected by indirect immunofluorescence.Results Among the 1 738 children,the infection rates of influenza virus A and B were 10.18%and 24.8%,respectively.The infection rates of mycoplasma,CMV,EBV,chlamydia and respiratory syncytial virus were 7.6%,2.2%,6.2%,3.97%and 4.78%,respectively.Syncytial virus,influenza B virus,influenza A virus and mycoplasma infection showed high incidence rates in the whole year,while EBV,CMV and chlamydia infection showed high incidence rates in summer and winter.Positive blood culture was higher in spring and summer,infection rates of legionella pneumophila were higher in summer and autumn,and infection rates of adenovirus and parainfluenza virus were higher in spring and winter.Conclusion Infection rates of influenza A and B virus,mycoplasma are high in the whole year,and the types of respiratory tract infections were mainly bronchopneumonia,acute bronchitis and upper respiratory tract infection.

关 键 词：呼吸道感染 病原学 季节 儿童 

分 类 号：R726[医药卫生—儿科]