儿童院内继发腺病毒呼吸道感染临床特征分析  

Clinical Characteristics of Nosocomial Secondary Adenovirus Respiratory Infection in Children

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作  者:张丽君[1] 王亚坤[1] 侯伟 贾美轩 张曼[1] 闫智慧 田利远[1] ZHANG Lijun;WANG Yakun;HOU Wei;JIA Meixuan;ZHANG Man;YAN Zhihui;TIAN Liyuan(Department of Respiratory,Hebei Children's Hospital,Shijiazhuang 050031,China)

机构地区:[1]河北省儿童医院呼吸一科,河北省石家庄市050031

出  处:《实用心脑肺血管病杂志》2025年第3期68-71,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基  金:河北省医学科学研究课题计划项目(20190849)。

摘  要:目的探讨儿童院内继发腺病毒呼吸道感染的临床特点。方法选取2018年12月—2024年2月河北省儿童医院收治的因呼吸道感染住院期间发生院内继发腺病毒呼吸道感染的患儿84例为研究对象,收集患儿的临床资料,包括性别、年龄、基础疾病、是否存在喘息症状、入院时病原体,检测腺病毒。根据院内继发腺病毒呼吸道感染是否发展为肺炎将患儿分为肺炎组和非肺炎组。记录患儿预后情况。结果84例院内继发腺病毒呼吸道感染患儿中,男47例(56.0%),女37例(44.0%);年龄1个月23天~13岁;21例(25.0%)存在基础疾病;43例(51.2%)存在喘息症状;入院时检出病原体112株。84例院内继发腺病毒呼吸道感染患儿发生肺炎61例(72.6%)。肺炎组年龄低于非肺炎组,合并基础疾病者占比、存在喘息症状者占比高于非肺炎组(P<0.05)。84例院内继发腺病毒呼吸道感染患儿中放弃治疗3例,发生闭塞性细支气管炎7例。结论院内继发腺病毒呼吸道感染患儿易并发肺炎,尤其对于年龄较小、合并基础疾病、存在喘息症状者。Objective To investigate the clinical characteristics of nosocomial secondary adenovirus respiratory infection in children.Methods A total of 84 children with nosocomial secondary adenovirus respiratory infection during hospitalization due to respiratory tract infection at Hebei Children's Hospital from December 2018 to February 2024 were selected as the research subjects,The clinical data of the patients were collected,including gender,age,underlying diseases,presence of wheezing symptoms,pathogens at admission,detected adenovirus.The children were divided into pneumonia group and non-pneumonia group based on whether nosocomial secondary adenovirus respiratory infection developed pneumonia.The prognosis of children was recorded.Results Among 84 children with nosocomial secondary adenovirus respiratory infection,47 cases(56.0%)were males and 37 cases(44.0%)were females;age range from 1 month 23 days to 13 years;21 cases(25.0%)had underlying diseases;43 cases(51.2%)had wheezing symptoms;112 strains of pathogens were detected at admission.Among 84 children with nosocomial secondary adenovirus respiratory infection,61 cases(72.6%)developed pneumonia.The age in pneumonia group was younger than that in non-pneumonia group,and the proportion of children with underlying diseases and wheezing symptoms was higher than that in non-pneumonia group(P<0.05).Among 84 children with nosocomial secondary adenovirus respiratory infection,3 cases gave up treatment and 7 cases developed bronchilitis obliterans.Conclusion Children with nosocomial secondary adenovirus respiratory infection are prone to developing pneumonia,especially those who are young,have underlying diseases,and have wheezing symptoms.

关 键 词:腺病毒感染  肺炎 病毒性 继发感染 儿童 

分 类 号:R511.8[医药卫生—内科学]

 

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