Viviano G, Bonito L, Fiscarelli E, Marruzzo M, Conte M
Istituto di Ricovero, Ospedale Pediatrico Bambino Gesù, Roma.
Minerva Pediatr. 1992 May;44(5):189-93.
The authors summarise diagnostic strategies an clinical epidemiologic peculiarities of non-bacterial bronchopneumopathies in children. The role of classic viral agents (virus influenzal A-B, virus parainfluenza 2-3, RVS) is stressed without neglecting the role of other etiologic agents such as Chlamydia trachomatis, Mycoplasma pneumoniae and Pneumocystis carinii. The Authors point out the necessity of direct investigation (viral cultures, direct investigation in IF and ELISA, investigation with DNA probe use, etc.) and indirect serologic investigation to obtain the greatest possible accuracy an early diagnosis.
作者总结了儿童非细菌性支气管肺炎的诊断策略及临床流行病学特点。强调了经典病毒病原体(甲型和乙型流感病毒、副流感病毒2-3型、呼吸道合胞病毒)的作用,同时也未忽视其他病原体如沙眼衣原体、肺炎支原体和卡氏肺孢子虫的作用。作者指出,为了尽可能提高早期诊断的准确性,需要进行直接检测(病毒培养、免疫荧光和酶联免疫吸附测定中的直接检测、使用DNA探针检测等)和间接血清学检测。