乌鲁木齐米东区社区获得性病毒性肺炎患儿的病原体检测与流行病学情况分析

摘要/Abstract

摘要： 目的探讨与分析乌鲁木齐米东区社区获得性病毒性肺炎患儿的病原体检出与流行病学情况,希望为预防社区获得性病毒性肺炎的发生提供参考。方法选择2023年3月—2023年5月在乌鲁木齐米东区人民医院诊治的90例社区获得性病毒性肺炎患儿作为本次课题研究的对象,采集所有患儿的鼻咽拭子,采用多病原核酸检测技术检测病原体状况。结果在90例患儿中,检出流感病毒A型阳性6例、流感病毒B型22例、副流感病毒1型2例、副流感病毒2型1例、鼻病毒25例、呼吸道合胞病毒15例、腺病毒10例、人类偏肺病毒3例、博卡病毒6例。检出混合感染9例,占比10.0%,其中2种病毒混合感染7例,3种病毒混合感染2例。不同性别人群的多病原核酸检测分布情况对比,差异无统计学意义（P>0.05）;<1岁人群的鼻病毒、流感病毒B型检出率显著高于其他年龄段人群（P<0.05）;冬季人群的流感病毒B型检出率显著高于其他季节,其他病毒在不同季节与年龄人群的分布情况对比,差异无统计学意义（P>0.05）。结论乌鲁木齐米东区社区获得性病毒性肺炎患儿的病原体以鼻病毒、流感病毒B型、呼吸道合胞病毒、腺病毒为主,可表现为混合感染,年龄、季节与鼻病毒、流感病毒B型感染的发生密切相关。

关键词: 乌鲁木齐米东区, 多病原核酸检测技术, 社区获得性病毒性肺炎, 小儿, 年龄, 季节, 流感病毒

Abstract: Objective To explore and analysisg the pathogen screening and epidemiological situation of children with community-acquired viral pneumonia in Midong District of Urumqi, to provide reference for preventing the occurrence of community-acquired viral pneumonia. Methods From March 2023 to May 2023,90 cases of community-acquired viral pneumonia treated in Midong District People's Hospital were selected as the subjects of this research. Nasopharyngeal swab of all children were collected, and the pathogen status were detected by the multi pathogen Nucleic acid test technology. The general data of children were investigated and compared. Results There were 6 cases were positive for influenza virus type A, 22 cases were influenza virus type B, 2 cases were parainfluenza virus type 1, 1 case was parainfluenza virus type 2, 25 cases were Rhinovirus, 15 cases were respiratory syncytial virus, 10 cases were adenovirus, 3 cases were Human metapneumovirus, and 6 cases were Bocaparvovirus. There were 9 cases of mixed infection were detected, accounted for 10.0%, included 7 cases of mixed infection with two viruses and 2 cases of mixed infection with three viruses. There was no significant difference in the distribution of multi pathogenic Nucleic acid test detection compared between different sexes (P>0.05). The detection rate of Rhinovirus and influenza virus type B in the 1-year-old population were significantly higher than that in other age groups (P<0.05); The detection rate of influenza virus type B in winter were significantly higher than other seasons, and there were no significant difference in the distribution of other viruses compared among in different seasons and age groups (P>0.05). Conclusion The pathogens of children with community-acquired Viral pneumonia in a certain area are mainly Rhinovirus, influenza virus type B, respiratory syncytial virus and adenovirus in Midong District, Urumqi, which can be manifested as mixed infection. Age and season are closely related to the occurrence of Rhinovirus and influenza virus type B.

Key words: Midong District of Urumqi, multi pathogen nucleic acid test technology, community acquired viral pneumonia, children, age, season, influenza virus

中图分类号:

R725.6

毛静芳. 乌鲁木齐米东区社区获得性病毒性肺炎患儿的病原体检测与流行病学情况分析[J]. 中华养生保健, 2024, 42(15): 47-51.

MAO Jing-fang. Pathogen Detection and Epidemiological Analysis of Community-acquired Viral Pneumonia in Children in Midong District, Urumqi[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(15): 47-51.

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