摘要
目的探讨儿童社区获得性肺炎的流行病学特征、临床表现及病原学特点,为儿童社区获得性肺炎的防控和治疗提供数据参考。方法纳入2016年1月1日—2019年12月31日诊治的丽水地区632例儿童社区获得性肺炎患儿为研究对象。收集患儿一般资料、临床症状等,采集患儿痰、咽拭子等标本进行病原体检测和鉴定。结果患儿平均年龄(5.7±1.8)岁,其中,男329例(52.1%),女303例(47.9%)。不同年龄组中病例构成为:1月~<1岁占35.3%,1~3岁占33.1%,4~6岁占21.4%,7~14岁占10.3%。咳嗽、气促、发热、喘息、腹泻及皮疹等临床症状的发生率为93.8%、84.2%、56.8%、36.6%、16.1%及5.9%。有315例为病毒感染,占49.8%,207例为细菌感染,占32.8%,支原体/衣原体110例,占17.4%。不同年龄组病毒、细菌及支原体/衣原体构成差异均无统计学意义(均P>0.05)。结论丽水地区儿童社区获得性肺炎以病毒感染检出最高,其次为细菌,再次为支原体/衣原体,不同年龄差异较小。
Objective To analyze the epidemiological characteristics,clinical manifestations and etiological characteristics of community-acquired pneumonia in children,so as to provide data reference for prevention and treatment of community-acquired pneumonia in children.Methods Children with community-acquired pneumonia diagnosed and treated from January 1,2016 to December 31,2019 were included in this study.General information,clinical symptoms,sputum and throat swabs were collected for pathogen detection and identification.Results A total of 632 children with an average age of 5.7±1.8 years were included in this study,including 329 males(52.1%)and 303 females(47.9%).Among the different age groups,incidence accounted for 35.3%in those under 1year and above 1month old,1-3 years accounted for 33.1%,4-6 years accounted for 21.4%,and 7-14 years accounted for 10.3%.The incidence of cough,shortness of breath,fever,wheezing,diarrhea and rash were 93.8%,84.2%,56.8%,36.6%,16.1%and 5.9%,respectively.There were 315 cases of viral infection,accounting for 49.8%,207 cases of bacterial infection,accounting for 32.8%,110 cases of Mycoplasma/chlamydia,accounting for 17.4%.There was no significant difference in the composition of virus,bacteria,Mycoplasma/chlamydia among different age groups(allP>0.05).Conclusion Virus infection is the most common infection in children with community-acquired pneumonia in Lishui District,followed by bacteria and Mycoplasma/chlamydia.
作者
李司鹏
胡辉
蓝陈福
章成伟
郑俏
LI Si-Peng;HU Hui;LAN Chen-Fu(Lishui Maternal and Child Health Care Hospital,Lishui,Zhejiang 323000,China)
出处
《中国妇幼保健》
CAS
2022年第24期4698-4700,共3页
Maternal and Child Health Care of China
基金
浙江省丽水市科技计划项目(2020SJZC014)。
关键词
社区获得性肺炎
流行病学调查
病原学特征
呼吸道合胞病毒
肺炎链球菌
肺炎支原体
Community acquired pneumonia
Epidemiological survey
Etiological characteristics
Respiratory syncytial virus
Streptococcus pneumoniae
Mycoplasma pneumoniae
