Department of Clinical Laboratory, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Ann Med. 2024 Dec;56(1):2386636. doi: 10.1080/07853890.2024.2386636. Epub 2024 Aug 3.
(MP) is the cause of pneumonia (MPP) in children and adolescents, with the clinical manifestations highlighted by intermittent irritating cough, accompanied by headache, fever and muscle pain. This paper aimed to study the research status and focal points in MP infection, especially the common laboratory diagnostic methods and clinical treatment of . Laboratory diagnostic methods include molecular assay, serological antibody detection, rapid antigen detection and isolation and culture. Polymerase chain reaction (PCR) is the gold standard with high sensitivity and specificity. The serological antibody can detect various immune antibodies qualitatively or quantitatively in serum. Rapid antigen can be detected faster, with no equipment environment requirements, which can be used for the early diagnosis of MP infection. While the culture growth cycle is long and insensitive, not recommended for routine diagnosis. Macrolides were the preferred drug for children with MPP, while the drug resistance rate was rising in China. Tetracycline can be substituted but was not recommended for children under 8 years of age, quinolone drugs are not necessary, severe MPP can be combined with glucocorticoids, involving the nervous or immune system can choose gamma globulin. Other treatments for MPP including symptomatic treatment which can alleviate symptoms, improve lung function and improve prognosis. A safe and effective vaccine needed to be developed which can provide protective immunity to children and will reduce the incidence of MPP.
肺炎支原体(MP)是儿童和青少年肺炎(MPP)的病因,其临床表现以间歇性刺激性咳嗽为突出特征,伴有头痛、发热和肌肉疼痛。本文旨在研究 MP 感染的研究现状和重点,特别是常见的实验室诊断方法和临床治疗。实验室诊断方法包括分子检测、血清抗体检测、快速抗原检测和分离培养。聚合酶链反应(PCR)是具有高灵敏度和特异性的金标准。血清抗体检测可以定性或定量检测血清中的各种免疫抗体。快速抗原检测更快,无设备和环境要求,可用于 MP 感染的早期诊断。而培养生长周期长且不敏感,不推荐用于常规诊断。大环内酯类药物是儿童 MPP 的首选药物,而中国的耐药率正在上升。四环素可以替代,但不推荐 8 岁以下儿童使用,喹诺酮类药物没有必要,重症 MPP 可与糖皮质激素联合使用,涉及神经系统或免疫系统可选择丙种球蛋白。MPP 的其他治疗方法包括对症治疗,可缓解症状,改善肺功能,改善预后。需要开发安全有效的疫苗,为儿童提供保护性免疫,降低 MPP 的发病率。