Pury Selene, Álvarez María Soledad, García Oro María Cecilia
Servicio de Pediatría. Hospital Infantil. Córdoba, Argentina.
Servicio de Infectología. Hospital Infantil. Córdoba, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2023 Mar 31;80(1):20-24. doi: 10.31053/1853.0605.v80.n1.37514.
It is currently reported that Mycoplasma pneumoniae (MP) infection can occur at a young age. Objective: Describe the findings of the molecular detection of MP in respiratory secretions of patients who required hospitalization due to acute respiratory infection, in a pediatric hospital.
Data collection was performed by reviewing medical records and statistical correlation using the chi-square test. 919 patients from one month to fourteen years and eleven months of age who required hospitalization for acute respiratory infection were included. The frequency by age and sex of the isolation of MP was analyzed together with other respiratory pathogens.
Mycoplasma pneumoniae was the most frequently detected microorganism (30%), followed by respiratory syncytial virus (RSV) (25.1%). Age and sex did not behave as a predictor of detection for MP. In 47.3% of the patients, MP was isolated together with another pathogen, the most prevalent was RSV 31.3%. Regarding the diagnoses at discharge of the group of patients with isolation of MP and a another microorganism, 50.8% had bronchiolitis, and in the group of patients with identification only of MP this percentage was 32.4%. The difference in the distributions was statistically significant (p <0.05).
We conclude that Mycoplasma pneumoniae detection is frequent in our environment and occurs in a significant number of cases together with another respiratory pathogen. These findings should prompt further study to determine their clinical relevance.
目前有报道称肺炎支原体(MP)感染可发生于低龄人群。目的:描述在一家儿科医院因急性呼吸道感染住院的患者呼吸道分泌物中MP的分子检测结果。
通过查阅病历进行数据收集,并使用卡方检验进行统计相关性分析。纳入919例年龄从1个月至14岁11个月因急性呼吸道感染需住院治疗的患者。分析MP与其他呼吸道病原体分离的年龄和性别频率。
肺炎支原体是最常检测到的微生物(30%),其次是呼吸道合胞病毒(RSV)(25.1%)。年龄和性别并非MP检测的预测因素。在47.3%的患者中,MP与另一种病原体同时被分离出来,最常见的是RSV(31.3%)。关于MP与另一种微生物分离的患者组出院诊断,50.8%患有细支气管炎,而仅鉴定出MP的患者组这一比例为32.4%。分布差异具有统计学意义(p<0.05)。
我们得出结论,在我们的环境中肺炎支原体检测很常见,并且在大量病例中与另一种呼吸道病原体同时出现。这些发现应促使进一步研究以确定它们的临床相关性。