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122例重症肺炎患儿支气管肺泡灌洗术灌洗液病毒检测

[Virus detection in bronchoalveolar lavage fluid of 122 children with severe pneumonia].

作者信息

Xie Le-Yun, Zhong Li-Li, Zhang Bing, Duan Zhao-Jun, Xie Zhi-Ping, Gao Han-Chun, Chen Qian-Qian, Deng Zhong-Hua, Lin Lin, Gao Xiao-Qian, Xiao Ni-Guang

机构信息

The First Affiliated Hospital of Hunan Normal University, Changsha 410000, China.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2013 Apr;27(2):95-7.

Abstract

OBJECTIVE

To investigate the prevalence of viral pathogen in children with severe pneumonia in Hunan.

METHOD

Bronchoalveolar lavage fluid [BALF] were collected from 122 hospitalized children with severe pneumonia in People's Hospital of Hunan province from January 2011 to December 2011. Nested- or reverse transcription Polymerase chain reaction (PCR or RT-PCR) was used to screen Adenovirus (ADV), Human Bocavirus (HBoV), Parainfluenzaviruses1-4 (PIV1-4), Human Respiratory Syneytial virus (RSV), Influenza virus A (IFVA), Influenza virus B (IFVB), Human Rhinovirus(HRV), Human Metapneumovirus (HMPV), human coronaviruses NL63 and HKU1 (HCoV-NL63, HCoV- HKU1).

RESULTS

Among the 122 bronchoalveolar lavage fluid, viral agents were detected in 60 samples(49.1%), among which ADV (40.98%) was the most common virus, followed by RSV (7.37%) and HBoV (7.37%). Two viruses were detected in 21 individual (35%) samples, of which 20 were dual positive for ADV (40%).

CONCLUSION

ADV is the most frequently detected viral etiology of severe pneumonia in children in Hunan during this year. And its Coinfection with other respiratory viruses was common.

摘要

目的

调查湖南重症肺炎患儿中病毒病原体的流行情况。

方法

收集2011年1月至2011年12月在湖南省人民医院住院的122例重症肺炎患儿的支气管肺泡灌洗液(BALF)。采用巢式或逆转录聚合酶链反应(PCR或RT-PCR)检测腺病毒(ADV)、人博卡病毒(HBoV)、副流感病毒1-4型(PIV1-4)、人呼吸道合胞病毒(RSV)、甲型流感病毒(IFVA)、乙型流感病毒(IFVB)、人鼻病毒(HRV)、人偏肺病毒(HMPV)、人冠状病毒NL63和HKU1(HCoV-NL63、HCoV-HKU1)。

结果

在122份支气管肺泡灌洗液中,60份样本(49.1%)检测到病毒病原体,其中ADV(40.98%)是最常见的病毒,其次是RSV(7.37%)和HBoV(7.37%)。21份个体样本(35%)检测到两种病毒,其中20份为ADV双重阳性(40%)。

结论

ADV是该年度湖南儿童重症肺炎中最常检测到的病毒病因,且其与其他呼吸道病毒的合并感染很常见。

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