• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

儿童社区获得性肺炎:微生物学诊断的挑战。

Community-Acquired Pneumonia in Children: the Challenges of Microbiological Diagnosis.

机构信息

Department of Zoology, University of Oxford, Oxford, United Kingdom

Department of Paediatric Infectious Diseases and Immunology, Great North Children's Hospital, Newcastle Upon Tyne, United Kingdom.

出版信息

J Clin Microbiol. 2018 Feb 22;56(3). doi: 10.1128/JCM.01318-17. Print 2018 Mar.

DOI:10.1128/JCM.01318-17
PMID:29237789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5824044/
Abstract

Community-acquired pneumonia (CAP) is the leading cause of mortality in children under 5 years of age globally. To improve the management of CAP, we must distinguish CAP from other common pediatric conditions and develop better diagnostic methods to detect the causative organism, so as to best direct appropriate resources in both industrialized and developing countries. Here, we review the diagnostic modalities available for identifying viruses and bacteria in the upper and lower respiratory tract of children, with a discussion of their utility and limitations in diagnosing CAP in children.

摘要

社区获得性肺炎(CAP)是全球 5 岁以下儿童死亡的主要原因。为了改善 CAP 的管理,我们必须将 CAP 与其他常见儿科疾病区分开来,并开发更好的诊断方法来检测病原体,以便在工业化国家和发展中国家都能最好地利用适当的资源。在这里,我们回顾了用于识别儿童上呼吸道和下呼吸道病毒和细菌的诊断方法,并讨论了它们在诊断儿童 CAP 中的实用性和局限性。

相似文献

1
Community-Acquired Pneumonia in Children: the Challenges of Microbiological Diagnosis.儿童社区获得性肺炎:微生物学诊断的挑战。
J Clin Microbiol. 2018 Feb 22;56(3). doi: 10.1128/JCM.01318-17. Print 2018 Mar.
2
Detection of bacteria and viruses in the pleural effusion of children and adults with community-acquired pneumonia.社区获得性肺炎患儿及成人胸腔积液中细菌和病毒的检测
Future Microbiol. 2015;10(6):909-15. doi: 10.2217/fmb.14.143.
3
Limited Utility of Polymerase Chain Reaction in Induced Sputum Specimens for Determining the Causes of Childhood Pneumonia in Resource-Poor Settings: Findings From the Pneumonia Etiology Research for Child Health (PERCH) Study.聚合酶链反应在资源匮乏地区诱导痰标本中用于确定儿童肺炎病因的效用有限:儿童健康肺炎病因研究(PERCH)的结果
Clin Infect Dis. 2017 Jun 15;64(suppl_3):S289-S300. doi: 10.1093/cid/cix098.
4
Development and laboratory evaluation of a real-time PCR assay for detecting viruses and bacteria of relevance for community-acquired pneumonia.一种用于检测社区获得性肺炎相关病毒和细菌的实时聚合酶链反应检测方法的开发与实验室评估
J Mol Diagn. 2015 May;17(3):315-24. doi: 10.1016/j.jmoldx.2015.01.005. Epub 2015 Mar 13.
5
Etiological analysis and predictive diagnostic model building of community-acquired pneumonia in adult outpatients in Beijing, China.中国北京成年门诊社区获得性肺炎的病因分析及预测性诊断模型建立。
BMC Infect Dis. 2013 Jul 9;13:309. doi: 10.1186/1471-2334-13-309.
6
Characterization of the nasopharyngeal viral microbiome from children with community-acquired pneumonia but negative for Luminex xTAG respiratory viral panel assay detection.社区获得性肺炎患儿鼻咽病毒组微生物特征分析,但其 Luminex xTAG 呼吸道病毒检测呈阴性。
J Med Virol. 2017 Dec;89(12):2098-2107. doi: 10.1002/jmv.24895. Epub 2017 Jul 25.
7
Can an etiologic agent be identified in adults who are hospitalized for community-acquired pneumonia: results of a one-year study.在因社区获得性肺炎住院的成年人中能否确定病因:一项为期一年的研究结果。
J Infect. 2013 Jul;67(1):11-8. doi: 10.1016/j.jinf.2013.03.003. Epub 2013 Mar 19.
8
Identification of pathogens by comprehensive real-time PCR versus conventional methods in community-acquired pneumonia in Japanese adults.综合实时 PCR 与传统方法在日本成年人社区获得性肺炎中对病原体的鉴定。
Infect Dis (Lond). 2016 Nov-Dec;48(11-12):782-8. doi: 10.1080/23744235.2016.1193788. Epub 2016 Jun 22.
9
Viral and Atypical Bacterial Detection in Young Nepalese Children Hospitalized with Severe Pneumonia.在因严重肺炎住院的尼泊尔幼儿中检测病毒和非典型细菌。
Microbiol Spectr. 2021 Oct 31;9(2):e0055121. doi: 10.1128/Spectrum.00551-21. Epub 2021 Oct 27.
10
Diagnostic performance of multiplex PCR on pulmonary samples versus nasopharyngeal aspirates in community-acquired severe lower respiratory tract infections.社区获得性重症下呼吸道感染中,肺标本与鼻咽抽吸物的多重 PCR 检测诊断性能比较。
J Clin Virol. 2018 Nov;108:1-5. doi: 10.1016/j.jcv.2018.08.001. Epub 2018 Aug 29.

引用本文的文献

1
Comparative and clinical impact of targeted next-generation sequencing in pediatric pneumonia diagnosis and treatment.靶向新一代测序在小儿肺炎诊断与治疗中的比较及临床影响
Front Microbiol. 2025 Jun 25;16:1590792. doi: 10.3389/fmicb.2025.1590792. eCollection 2025.
2
Serotype distribution of invasive and non-invasive pneumococcal disease in children ≤5 years of age following the introduction of 10- and 13-valent pneumococcal conjugate vaccines in infant national immunization programs: a systematic literature review.在国家婴幼儿免疫规划中引入10价和13价肺炎球菌结合疫苗后,5岁及以下儿童侵袭性和非侵袭性肺炎球菌疾病的血清型分布:一项系统文献综述
Front Public Health. 2025 May 30;13:1544359. doi: 10.3389/fpubh.2025.1544359. eCollection 2025.
3
C-reactive protein and serum amyloid A protein as complementary biomarkers in differentiating viral and bacterial community-acquired pneumonia in children.C反应蛋白和血清淀粉样蛋白A作为鉴别儿童病毒性和细菌性社区获得性肺炎的互补生物标志物。
BMC Pediatr. 2025 Jun 2;25(1):445. doi: 10.1186/s12887-025-05770-x.
4
Overview of mucosal immunity and respiratory infections in children: a focus on Africa.儿童黏膜免疫与呼吸道感染概述:聚焦非洲
Curr Opin Pediatr. 2025 Apr 1;37(2):137-144. doi: 10.1097/MOP.0000000000001438. Epub 2025 Feb 5.
5
Antibiotic susceptibility of pathogens isolated in respiratory tract samples of recently hospitalized patients.近期住院患者呼吸道样本中分离出的病原体的抗生素敏感性
Microbiol Spectr. 2025 Mar 4;13(3):e0142224. doi: 10.1128/spectrum.01422-24. Epub 2025 Feb 5.
6
Risk factors of severe conditions in hospitalized children with adenovirus infection and chest CT features.腺病毒感染住院儿童重症的危险因素及胸部CT特征
BMC Pediatr. 2024 Dec 18;24(1):812. doi: 10.1186/s12887-024-05296-8.
7
Complicated Pneumonia in a Child: Hydropneumothorax Associated with MIS-C and GAS Superinfection.儿童复杂性肺炎:与儿童多系统炎症综合征及气体重叠感染相关的气胸
Pediatr Rep. 2024 Sep 30;16(4):833-843. doi: 10.3390/pediatric16040071.
8
Comparison of characteristics of children hospitalized for respiratory syncytial virus infection during the pre- and post-COVID-19 eras: a multicenter retrospective study.比较 COVID-19 前后时期因呼吸道合胞病毒感染住院的儿童的特征:一项多中心回顾性研究。
BMC Infect Dis. 2024 Sep 19;24(1):1009. doi: 10.1186/s12879-024-09783-2.
9
A novel combined nomogram for predicting severe acute lower respiratory tract infection in children hospitalized for RSV infection during the post-COVID-19 period.一种用于预测新冠疫情后因呼吸道合胞病毒(RSV)感染住院儿童严重急性下呼吸道感染的新型联合列线图。
Front Immunol. 2024 Jul 24;15:1437834. doi: 10.3389/fimmu.2024.1437834. eCollection 2024.
10
The Impact of Artificial Intelligence on Microbial Diagnosis.人工智能对微生物诊断的影响。
Microorganisms. 2024 May 23;12(6):1051. doi: 10.3390/microorganisms12061051.

本文引用的文献

1
Diagnostic Value of Nasopharyngeal Aspirates in Children with Lower Respiratory Tract Infections.鼻咽抽吸物在儿童下呼吸道感染中的诊断价值
Chin Med J (Engl). 2017 Mar 20;130(6):647-651. doi: 10.4103/0366-6999.201595.
2
Assessment of the Usefulness of Multiplex Real-Time PCR Tests in the Diagnostic and Therapeutic Process of Pneumonia in Hospitalized Children: A Single-Center Experience.多重实时聚合酶链反应检测在住院儿童肺炎诊断和治疗过程中的应用价值评估:单中心经验
Biomed Res Int. 2017;2017:8037963. doi: 10.1155/2017/8037963. Epub 2017 Jan 15.
3
The use of multiplex PCR for the diagnosis of viral severe acute respiratory infection in children: a high rate of co-detection during the winter season.多重PCR在儿童病毒性严重急性呼吸道感染诊断中的应用:冬季共检测率高。
Eur J Clin Microbiol Infect Dis. 2016 Oct;35(10):1607-13. doi: 10.1007/s10096-016-2698-5. Epub 2016 Jun 10.
4
Evaluation of custom multiplex real - time RT - PCR in comparison to fast - track diagnostics respiratory 21 pathogens kit for detection of multiple respiratory viruses.定制多重实时逆转录聚合酶链反应与快速诊断呼吸道21种病原体检测试剂盒在检测多种呼吸道病毒方面的比较评估。
Virol J. 2016 Jun 6;13:91. doi: 10.1186/s12985-016-0549-8.
5
Impact of Multiplex Polymerase Chain Reaction Testing for Respiratory Pathogens on Healthcare Resource Utilization for Pediatric Inpatients.多重聚合酶链反应检测呼吸道病原体对儿科住院患者医疗资源利用的影响
J Pediatr. 2016 Jun;173:196-201.e2. doi: 10.1016/j.jpeds.2016.02.050. Epub 2016 Mar 30.
6
Rhinovirus Disease in Children Seeking Care in a Tertiary Pediatric Emergency Department.在一家三级儿科急诊科就诊的儿童鼻病毒疾病
J Pediatric Infect Dis Soc. 2016 Mar;5(1):29-38. doi: 10.1093/jpids/piu099. Epub 2014 Oct 19.
7
Validation of a loop-mediated isothermal amplification assay for rapid diagnosis of pertussis infection in nasopharyngeal samples.验证一种环介导等温扩增检测法,用于快速诊断鼻咽样本中的百日咳感染。
Expert Rev Mol Diagn. 2016;16(1):125-30. doi: 10.1586/14737159.2016.1112741. Epub 2015 Nov 13.
8
Etiology of community acquired pneumonia among children in India: prospective, cohort study.印度儿童社区获得性肺炎的病因:前瞻性队列研究。
J Glob Health. 2015 Dec;5(2):050418. doi: 10.7189/jogh.05.020418.
9
A Cost-Effectiveness Analysis of Obtaining Blood Cultures in Children Hospitalized for Community-Acquired Pneumonia.社区获得性肺炎住院患儿血培养获取的成本效益分析。
J Pediatr. 2015 Dec;167(6):1280-6. doi: 10.1016/j.jpeds.2015.09.025. Epub 2015 Oct 9.
10
Human bocaviruses: Possible etiologic role in respiratory infection.人博卡病毒:在呼吸道感染中可能的病因学作用。
J Clin Virol. 2015 Nov;72:75-81. doi: 10.1016/j.jcv.2015.09.008. Epub 2015 Sep 26.