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[婴幼儿下呼吸道感染中人鼻病毒的研究]

[The study of human rhinovirus in infants with lower respiratory tract infections].

作者信息

Wang Huan-huan, Mao Nai-ying, Xu Song-tao, Tang Liu-ying, Wang Hui-ling, Xie Zheng-dei, Wang Zeng-xian, Xu Wen-bo

机构信息

Department of Neurobiology, Taishan Medical College, Taian 271000, China.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2011 Apr;25(2):120-2.

Abstract

OBJECTIVE

We want to explore the harm degree of human rhinovirus in infants in Beijing area.

METHODS

From May 2008 to September 2009, 240 nasopharyngeal aspirates were collected from the children and infants who were hospitalized and with lower respiratory tract infections. These specimens were screened for HRV by real-time reverse transcription PCR (RT-PCR) and statistically analysised.

RESULT

In all of 240 hospitalized children, 208 cases were admission diagnosis of pneumonia, accounting for 86.67% (208/240), no deaths, the ratio of male and female patients was 1.93 : 1, and the collected samples reached to a maximum number in February 2009. Real-time PCR used to detect human rhinovirus, positive samples number is 71, positive rate is 29.58% (71/240), and the main symptoms and clinical diagnosis was pneumonia. Most cases were less than 2 years old, making up 81.69% (58/71), amony them, 13 months-18 months age and > or = 24 months groups have the highest incidence rates, the incidence rate is 33.33%.

CONCLUSION

Human rhinovirus happened in spring and winter seasons, especially the infants who were under 2 years are the main infection groups, the important symptoms are lower respiratory infections such as pneumonia, bronchitis and bronchiolitis et al. Human rhinovirus is seasonal and contagious, spreads fast, so protective measures in hospitals should be prepared to avoid cross-infection.

摘要

目的

探讨北京地区人鼻病毒对婴幼儿的危害程度。

方法

2008年5月至2009年9月,收集240例住院的患有下呼吸道感染的儿童和婴幼儿的鼻咽抽吸物。采用实时逆转录聚合酶链反应(RT-PCR)对这些标本进行人鼻病毒筛查并进行统计学分析。

结果

240例住院患儿中,入院诊断为肺炎的有208例,占86.67%(208/240),无死亡病例,男女患者比例为1.93:1,2009年2月采集的样本数量最多。采用实时PCR检测人鼻病毒,阳性样本数为71例,阳性率为29.58%(71/240),主要症状及临床诊断为肺炎。多数病例年龄小于2岁,占81.69%(58/71),其中13个月至18个月龄组及≥24个月龄组发病率最高,发病率为33.33%。

结论

人鼻病毒感染多发生在冬春季节,尤其是2岁以下婴幼儿为主要感染群体,主要症状为肺炎、支气管炎、细支气管炎等下呼吸道感染。人鼻病毒具有季节性和传染性,传播迅速,医院应做好防护措施以避免交叉感染。

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