婴幼儿急性呼吸道感染沙眼衣原体检测及临床分析  

Detection and clinical analysis of acute respiratory infection chlamydia trachomatis in infants

作　　者：孙军锋[1] SUN Jun-feng(Department of Critical Care II,Hebei Provincial Children's Hospital,Shijiazhuang,Hebei 050031,China)

机构地区：[1]河北省儿童医院重症二科,河北石家庄050031

出　　处：《中国国境卫生检疫杂志》2022年第S01期236-237,共2页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的探究婴幼儿急性呼吸道感染沙眼衣原体检测效果。方法2021年7月-2022年8月,从本院收治的急性呼吸道感染婴幼儿患儿100例,将其作为观察组,同时在同时段抽取在本院体检的健康婴幼儿60例,将其作为对照组,两组参与研究者均开展沙眼衣原体检测,分析不同季节、不同年龄、不同病种沙眼衣原体检出率。结果观察组患儿中经沙眼衣原体检测,检出沙眼衣原体者有7例,检出率7.0%;对照组中经沙眼衣原体检测,检出沙眼衣原体者有1例,沙眼衣原体检出率相比,观察组高于对照组(P<0.05)。100例观察组患儿中,不同病种经沙眼衣原体检测,发现急性支气管肺炎患儿中检出沙眼衣原体者最多,有5例,之后为支气管炎患儿,有2例;在感染沙眼衣原体患儿中,年龄低于3个月患儿检出沙眼衣原体者较多,其明显高于年龄超过3个月患儿(P<0.05)。经分析,发现冬春季沙眼衣原体检出率明显高于夏秋季节(P<0.05)。观察组患儿通过相关药物治疗,发现应用红霉素患儿的临床症状消失时间明显短于应用青霉素治疗的患儿(P<0.05)。结论通过对婴幼儿急性呼吸道感染患者的实际情况进行分析,发现年龄低于3个月的婴幼儿出现肺炎的主要原因之一为感染了沙眼衣原体,而且冬春两个季节更易引发沙眼衣原体感染,临床在治疗中可以首选红霉素药物治疗。Objective To explore the detection effect of chlamydia trachomatis in infants with acute respiratory infection.Methods From July 2021 to August 2022,100 cases of infants and children with acute respiratory tract infection admitted to our hospital were selected as the observation group,and 60 healthy infants and children who underwent physical examination in our hospital were selected as the control group at the same time.The two groups of researchers carried out chlamydia trachomatis detection,and the detection rate was divided into different seasons,different ages and different diseases.Results Chlamydia trachomatis was detected in 7 cases in the observation group,the detection rate was 7.0%.In the control group,chlamydia trachomatis was detected in 1 case,and the detection rate of chlamydia trachomatis in the observation group was higher than that in the control group(P<0.05).In the observation group of 100 children,chlamydia trachomatis was detected in different diseases.It was found that Chlamydia trachomatis was detected in most children with acute bronchopneumonia(5 cases),followed by bronchitis(2 cases).Among the children infected with chlamydia trachomatis,the number of chlamydia trachomatis detected in children younger than 3 months was significantly higher than that in children older than 3 months(P<0.05).The detection rate of chlamydia trachomatis in winter and spring was significantly higher than that in summer and autumn(P<0.05).In the observation group,it was found that the disappearance time of clinical symptoms in the children treated with erythromycin was significantly shorter than that in the children treated with penicillin(P<0.05).Conclusion Through the analysis of the actual situation of infants with acute respiratory tract infection,it is found that one of the main causes of pneumonia in infants younger than 3 months is infected with chlamydia trachomatis,and it is more likely to cause chlamydia trachomatis infection in winter and spring.Erythromycin drug treatment can be the first choice in

关 键 词：婴幼儿 急性呼吸道感染 沙眼衣原体检测 临床效果 

分 类 号：R183[医药卫生—流行病学]