5915例成人呼吸道感染患者常见呼吸道病原体IgM检测结果分析  

Analysis of IgM test results for common respiratory pathogens in 5915 adult patients with respiratory tract infections

作　　者：吴军良 唐静 WU Junliang;TANG Jing(Department of Clinical Laboratory,Affiliated Jinhua Hospital,Zhejiang University School of Medicine,Jinhua 321000,China)

机构地区：[1]浙江大学医学院附属金华医院检验科,浙江金华321000

出　　处：《健康研究》2023年第6期688-691,共4页Health Research

摘　　要：目的了解金华地区成人呼吸道感染的9种常见呼吸道病原体IgM的阳性检出率,分析阳性率在不同性别、年龄、季节的差异,为临床诊疗提供病原学依据。方法对就诊的5915例出现呼吸道感染症状的成人患者的9种常见呼吸道病原体IgM抗体检测结果进行回顾性分析。结果5915例成人呼吸道感染患者9种呼吸道病原体IgM抗体检测总阳性检出率为28.2%;其中肺炎支原体(MP)阳性检出率最高(18.31%),其次为B型流感病毒(BIV)(10.5%)。男性呼吸道病原体IgM检测总阳性检出率高于女性,>60岁年龄组单一阳性与混合阳性高于其他年龄组,差异均有统计学意义(P<0.05)。柯萨奇B组病毒(CoxB)、人副流感病毒(HPIV)的检出率,夏季高于其他季节;MP检出率秋季低于其他季节;BIV的检出率,春、冬季节高于夏、秋季节;差异均有统计学意义(均P<0.05)。结论成人呼吸道感染患者9种呼吸道病原体IgM抗体检测中MP阳性检出率最高,BIV次之,呼吸道病原体的感染分布与性别、年龄、季节等有关。Objective To determine the IgM-positive detection rate of 9 respiratory pathogens in adults with respiratory tract infections in the Jinhua area,and assess gender,age,and seasonal differences in positive rates.This provides a pathogenic basis for clinical diagnosis and treatment.Methods The retrospective analysis examined the IgM antibody detection of 9 respiratory pathogens in 5915 adult patients presenting symptoms of respiratory tract infection.Results The overall percentage of positive results for IgM antibodies to 9 respiratory pathogens in 5915 adult patients with respiratory tract infections was 28.2%.The prevalence of mycoplasma pneumoniae(MP)was the highest at 18.31%,followed by influenza B virus(BIV)at 10.5%.The total positive rate of IgM for respiratory pathogens in adult men was greater than that of females(P<0.05).In the 60-year-old age group,the rates of single and mixed positive cases were significantly higher than in other age groups(P<0.05).Detection rates of Coxsackie B virus(CoxB)and human parainfluenza virus(HPIV)were higher in summer than in other seasons,while rates of MP were lower in autumn than in other seasons.Additionally,detection rates of BIV were higher in spring and winter.The observed differences were statistically significant(all P<0.05).Conclusions The rate of positive detection for MP IgM antibodies was the highest of the nine respiratory pathogens detected in adult patients with respiratory infections,with BIV in second place.The distribution of respiratory pathogens had a relationship with factors such as gender,age and season.

关 键 词：呼吸道感染 IGM抗体 病原体 成人 

分 类 号：R446.5[医药卫生—诊断学]