摘要
目的对广州市海珠区肺炎支原体(MP)检测结果进行分析,为肺炎支原体感染的预防、诊断和治疗提供重要依据。方法对2018-2020年广州新海医院门诊和住院就诊的且进行血清MP筛查的4348例患者为研究对象,收集患者的临床数据,进行统计分析。结果4348例标本中,MP总阳性率为50.39%(2191/4348),2018-2020年MP总阳性率分别为:46.43%(755/1626),55.42%(1073/1936),46.18%(363/786),差异具有统计学意义(P<0.05)。从季节方面分析,冬季MP的阳性率最高,为53.88%(562/1043),其次是夏季52.36%(576/1100),秋季50.92%(637/1251)和春季43.61%(416/954),季节与MP阳性率之间差异具有统计学意义(P<0.05)。从性别方面分析,男性患者MP阳性率48.11%(1199/2492),低于女性患者MP阳性率53.45%(992/1856),差异具有统计学意义(P<0.05)。各年龄组的MP阳性率分别为,<1岁组28.96%(280/967),1~3岁组49.82%(547/1098),4~6岁组57.17%(614/1074),7~18岁组65.49%(666/1017),19~30岁组56.86%(29/51),31~50岁组48.72%(38/78),>50岁组26.98%(17/63),组间比较差异具有统计学意义(P<0.05)。在急性上呼吸道感染组、急性下呼吸道感染组、重症肺炎组和其他疾病组中,MP阳性率分别为50.15%(341/680),50.30%(1108/2203),44.74%(166/371),52.65%(576/1094),两者比较差异无统计学意义(P>0.05)。结论MP高发人群主要是儿童,广州地区夏冬季为高流行季节,有必要加强MP感染的临床诊断与防治。
Objective To provide important basis for the prevention,diagnosis and treatment of mycoplasma pneumoniae infection by analyzing the detection results of mycoplasma pneumoniae(MP)in Haizhu District,Guangzhou,China.Methods Four thousand three hundred and forty-eight patients who were screened for serum MP in outpatient and inpatient visits of Guangzhou Xinhai hospital from 2018 to 2020 were selected as the research object,and the clinical data of patients were collected and analyzed statistically.Results Among the 4348 samples,the total positive rate of MP was 50.39%(2191/4348),and the total positive rate of MP from 2018 to 2020 were 46.43%(755/1626),55.42%(1073/1936)and 46.18%(363/786),respectively,with statistical significance(P<0.05).The results showed that the positive rate of MP in winter was 53.88%(562/1043),followed by 52.36%(576/1100),50.92%(637/1251)in autumn and 43.61%(416/954)in spring,and there was statistical difference between seasons and MP(P<0.05).In terms of gender,the positive rate of MP in male patients was 48.11%(1199/2492),which was lower than 53.45%(992/1856)in female patients,the difference was statistically significant(P<0.05).The positive rates of MP in all age groups were 28.96%(280/967)in<1 year old group,49.82%(547/1098)in 1-3 year old group,57.17%(614/1074)in 4-6 year old group,65.49%(666/1017)in 7-18 year old group,56.86%(29/51)in 19-30 year old group,48.72%(38/78)in 31-50 year old group,and 26.98%(17/63)in>50 year old group,with statistically significant differences(P<0.05).In the acute upper respiratory tract infection group,acute lower respiratory tract infection group,severe pneumonia group and other disease groups,the MP infection rate was 50.15%(341/680),50.30%(1108/2203),44.74%(166/371),52.65%(576/1094),respectively.There was no significant difference between the two groups(P>0.05).Conclusion Children were more likely to be infected with MP.Summer and winter in Guangzhou is a high epidemic season,so it is necessary to strengthen the clinical diagnosis and control of MP infection.
作者
郑素娟
张雅洁
ZHENG Sujuan;ZHANG Yajie(Department of Laboratory Medicine,Xinhai Hospital,Guangzhou,Guangdong 510300,China;Department of Laboratory Medicine Nanfang Hospital,Southern Medical University,Guangzhou,Guangdong 510300,China)
出处
《国际检验医学杂志》
CAS
2021年第14期1765-1768,1772,共5页
International Journal of Laboratory Medicine
关键词
肺炎支原体
流行病学
呼吸道感染
被动凝集法
mycoplasma pneumoniae
epidemiology
respiratory tract infection
passive agglutination
