Ding Lele, Jiang Yonghong
Pediatrics, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Longhua Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Cell Infect Microbiol. 2025 Mar 18;15:1552144. doi: 10.3389/fcimb.2025.1552144. eCollection 2025.
Community-acquired pneumonia (CAP) is a major cause of death in children, and (MP) is the main pathogen of CAP in children in China. Although pneumonia (MPP) is usually a self-limiting disease, many children develop multiple complications due to drug resistance or untimely diagnosis and treatment, and may even progress to severe MPP or refractory MPP with a poor prognosis. It is important to explore the value of biomarkers that can be used in clinical practice to assess the severity of pneumonia and assist in clinical decision making. In this article, we searched the literature in the last four years to review the roles of various types of biomarkers in MPP and the associated clinical predictive models, with the aim of helping pediatricians to understand the evaluation indexes related to MPP in children other than microbiology.
社区获得性肺炎(CAP)是儿童死亡的主要原因,而支原体(MP)是中国儿童CAP的主要病原体。虽然支原体肺炎(MPP)通常是一种自限性疾病,但许多儿童由于耐药或诊断治疗不及时而出现多种并发症,甚至可能进展为重症MPP或难治性MPP,预后较差。探索可用于临床实践以评估肺炎严重程度并协助临床决策的生物标志物的价值很重要。在本文中,我们检索了过去四年的文献,以综述各类生物标志物在MPP中的作用及相关临床预测模型,旨在帮助儿科医生了解除微生物学之外与儿童MPP相关的评估指标。