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王宏立, 沈均兰. 毕节地区儿童社区获得性肺炎病原学特征分析[J]. 中国公共卫生, 2016, 32(9): 1258-1260. DOI: 10.11847/zgggws2016-32-09-33
引用本文: 王宏立, 沈均兰. 毕节地区儿童社区获得性肺炎病原学特征分析[J]. 中国公共卫生, 2016, 32(9): 1258-1260. DOI: 10.11847/zgggws2016-32-09-33
WANG Hong-li, SHEN Jun-lan. Pathogen spectrum of community-acquired pneumonia among children in Bijie region[J]. Chinese Journal of Public Health, 2016, 32(9): 1258-1260. DOI: 10.11847/zgggws2016-32-09-33
Citation: WANG Hong-li, SHEN Jun-lan. Pathogen spectrum of community-acquired pneumonia among children in Bijie region[J]. Chinese Journal of Public Health, 2016, 32(9): 1258-1260. DOI: 10.11847/zgggws2016-32-09-33

毕节地区儿童社区获得性肺炎病原学特征分析

Pathogen spectrum of community-acquired pneumonia among children in Bijie region

  • 摘要: 目的 了解贵州毕节地区儿童社区获得性肺炎(CAP)细菌病原谱特征。方法 收集2011年7月-2013年10月毕节地区448例CAP儿童患者呼吸道痰液样本,进行病原菌培养和PCR法检测患者病原菌。结果 70.76%患儿痰液病原学检测呈阳性,其中检出率最高的为肺炎链球菌,占18.08%,流感嗜血杆菌、肺炎卡他莫拉菌和肺炎克雷伯菌分别占10.49%、5.58%和2.46%。0~6个月年龄组的细菌总检出率最高达19.64%,<5岁患儿占细菌总阳性检出率的43.53%。结论 毕节地区儿童CAP以肺炎链球菌感染为主,<5岁患儿检出率较高。

     

    Abstract: Objective To examine bacterial pathogen spectrum of community-acquired pneumonia (CAP) among children in Bijie region of Guizhou province.Methods Sputum samples were collected from 448 CAP patients aged 0-14 years at a outpatient clinic of a general hospital from July 2011 to October 2013;bacteria cultivation and PCR test were conducted for the samples to isolate and identify pathogenic bacteria.Results Of all the samples detected,70.76% were pathogenic bacteria positive and the detection rates of Streptococcus pneumoniae,Haemophilus influenzae,Moraxella catarrhalis,and Klebsiella pneumoniae were 18.08%,10.49%,5.58%,and 2.46%,respectively.Among all the patients at various ages,those aged 0-6 months showed the highest overall detection rate (19.64%) of bacterial pathogen and of the patients with positive bacteria detection results,43.53% were children less than 5 years old.Conclusion Streptococcus pneumoniae is a major pathogen among children with CAP and bacteria detection rate is relatively higher among child CAP patients in Bijie region of Guizhou province.

     

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