湖州市某医院急性呼吸道感染病例常见病原体感染特征分析  

Characteristics of common pathogens among acute respiratory infection cases in a hospital of Huzhou City

作　　者：王燕 罗鹏 WANG Yan;LUO Peng(The First People's Hospital of Huzhou,Huzhou,Zhejiang 313000,China;Hangzhou International Travel Healthcare Center(Hangzhou Customs Port Clinic),Hangzhou,Zhejiang 310012,China)

机构地区：[1]湖州市第一人民医院,浙江湖州313000 [2]杭州市国际旅行卫生保健中心(杭州海关口岸门诊部),浙江杭州310012

出　　处：《预防医学》2025年第3期300-303,共4页China Preventive Medicine Journal

摘　　要：目的了解湖州市第一人民医院急性呼吸道感染(ARI)病例甲型流感病毒(FluA)、乙型流感病毒(FluB)、人鼻病毒(HRV)、呼吸道合胞病毒(RSV)、人腺病毒(ADV)和肺炎支原体(MP)感染特征,为制定ARI防治措施提供依据。方法收集2023年4月—2024年3月湖州市第一人民医院ARI病例的性别、年龄、检测时间和病原体检测资料,分析不同性别、年龄和季节ARI病例FluA、FluB、HRV、RSV、ADV和MP的检出率。结果纳入15788例ARI病例,检出至少1种病原体核酸阳性8617例,检出率为54.58%。检出单一感染7913例,检出率为50.12%;FluA、MP、FluB、RSV、HRV和ADV的检出率分别为14.61%、11.86%、8.46%、8.41%、4.35%和2.44%。检出混合感染704例,检出率为4.46%,以MP混合其他病原体为主,335例占47.59%。男性RSV单一感染检出率为9.13%,高于女性的7.64%(P<0.05)。5~<18岁组检出率为67.32%,高于其他年龄组(均P<0.008)。秋季和冬季检出率较高,分别为56.99%和61.59%(均P<0.008)。结论2023—2024年湖州市第一人民医院ARI病例病原体检出率较高,以FluA和MP为主,5~<18岁儿童青少年是易感人群,秋季和冬季为感染高峰。Objective To investigate the characteristics of influenza A virus(FluA),influenza B virus(FluB),human rhinovirus(HRV),respiratory syncytial virus(RSV),human adenovirus(ADV)and Mycoplasma pneumoniae(MP)among acute respiratory infection(ARI)cases in the First People's Hospital of Huzhou,so as to provide the basis for formulating prevention and treatment measures for ARI.Methods Gender,age,testing time,and pathogen testing data of ARI cases in the First People's Hospital of Huzhou from April 2023 to March 2024 were collected.The detection rates of FluA,FluB,HRV,RSV,ADV and MP were analyzed across different genders,age groups and seasons.Results A total of 15788 ARI cases were included,and 8617 cases were tested positive for at least one pathogen,with a detection rate of 54.58%.Single-pathogen detection was found in 7913 cases(50.12%),with the detection rates of 14.61% for FluA,11.86% for MP,8.46% for FluB,8.41% for RSV,4.35% for HRV,and 2.44% for ADV.Mixed-pathogen detection was found in 704 cases(4.46%).MP mixed with other pathogens was the most common,with 335 cases accounting for 47.59% of mixed detections.The single-pathogen detection rate for RSV was higher in males than in females(9.13%vs.7.64%,P<0.05).The detection rate was higher in the cases aged 5 to<18 years(67.32%)than in the other age groups(all P<0.008).The detection rates were higher in autumn and winter,with 56.99% and 61.59%,respectively(all P<0.008).Conclusions The pathogen detection rate among ARI cases in the First People's Hospital of Huzhou from 2023 to 2024 was relatively high,with FluA and MP being the predominant pathogens.Children and adolescents aged 5 to<18 years were the susceptible population,and autumn and winter were the peak seasons for infection.

关 键 词：急性呼吸道感染 甲型流感病毒 肺炎支原体 

分 类 号：R183.3[医药卫生—流行病学]