Li Jiming, Zhang Huifen, Xu Qunshan, Huang Zhimeng
Department of Laboratory Medicine, Fujian Key Clinical Specialty of Laboratory Medicine, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, 361003, China.
Department of Pediatrics, Women and Children's Hospital, School of Medicine, Xiamen University, No. 10, Zhenhai Road, Siming District, Xiamen, 361003, China.
Sci Rep. 2025 Apr 8;15(1):11936. doi: 10.1038/s41598-025-96604-4.
Early and accurate identification of infectious pathogens can facilitate appropriate drug use and reduce both the duration and financial burden associated with hospital stays. This study aimed to provide reference for the clinical diagnosis, treatment, and control of acute lower respiratory tract infections in Xiamen, China, by investigating the distribution and characteristics of common viruses or atypical pathogens that cause acute lower respiratory tract infections in hospitalised paediatric patients. Data from 3966 paediatric patients with acute lower respiratory tract infections and 13 respiratory pathogens detected from December 2021 to November 2023 were retrospectively collected. The sex, age, and infectious pathogens were statistically analysed. The total detection rate of 13 combined pathogens in the 3966 hospitalised children with acute lower respiratory tract infections was 86.13%. The top five pathogens were Human rhinovirus, Human respiratory syncytial virus, Mycoplasma pneumoniae, Human parainfluenza virus, and Metapneumovirus. The lowest infection numbers were reported in the first 2 months after coronavirus containment measures were lifted. Significant differences were observed in the infection rates of most pathogens across different age groups. Influenza virus A, B, Metapneumovirus, and Mycoplasma pneumoniae infections showed clear periodicity. Mixed infections were common, and most pathogenic infections exhibited age-related trends.
早期准确识别感染性病原体有助于合理用药,并减少住院时间和经济负担。本研究旨在通过调查住院儿童急性下呼吸道感染常见病毒或非典型病原体的分布及特征,为中国厦门急性下呼吸道感染的临床诊断、治疗和防控提供参考。回顾性收集了2021年12月至2023年11月期间3966例急性下呼吸道感染儿科患者的数据以及检测到的13种呼吸道病原体。对性别、年龄和感染病原体进行了统计分析。3966例住院急性下呼吸道感染儿童中13种合并病原体的总检出率为86.13%。排名前五的病原体为人类鼻病毒、人呼吸道合胞病毒、肺炎支原体、人副流感病毒和偏肺病毒。在新冠疫情防控措施解除后的前两个月感染例数最少。不同年龄组大多数病原体的感染率存在显著差异。甲型、乙型流感病毒、偏肺病毒和肺炎支原体感染呈现明显的周期性。混合感染很常见,且大多数致病性感染呈现与年龄相关的趋势。