吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
28期
6217-6218
,共2页
小儿急性肺炎%呼吸道九联检%病原体%临床用药
小兒急性肺炎%呼吸道九聯檢%病原體%臨床用藥
소인급성폐염%호흡도구련검%병원체%림상용약
Children with acute pneumonia%Nine levels of respiratory tract%Pathogen%Clinical medication
目的:调查分析2013年下半年小儿急性肺炎的病原体分布情况,为临床用药提供病原学依据,以便更有效地治疗小儿急性肺炎,做到因病施治,缩短治疗过程,减轻患儿痛苦。方法:采集儿科门诊留观确诊为小儿急性肺炎患儿的68例血清标本送贵阳市第二人民医院检验科作呼吸道九联检检测,即嗜肺军团1型( Legionella pneumnopila typel,LP1)、肺炎支原体( Myco-plasma pneumonia,MP)、肺炎衣原体( Chlamydia pneumonia,CPn)、Q热立克次体( Richettsia query,QFR);五种呼吸道病毒:腺病毒( Adenovirus,ADV)、呼吸道合胞病毒( Respiratory syncytial virus,RSV)、甲型流感病毒( Influenza A virus,IFVA)、乙型流感病毒( In-fluenza B virus,IFVB)、副流感病毒( Parainfluenza virus,PIVs)九种病原体,得出小儿急性肺炎的病原体分布情况,并作出分析。结果:在68例肺炎患儿中,总的呼吸道病原体阳性率为41.18%,其中最高的是MP 17.65%,依次为RSV 10.29%,IFVB 4.41%, ADV 0.29%,LP 10.15%,CPN 0.15%,IFVA 0.15%,PLVS 0.15%,QFR 0.00%。结论:小儿急性肺炎的病原体以支原体和呼吸道合胞病毒感染较常见,亦存在其他病原体感染,病原体的种类因年龄而存在差异性。在临床用药中宜依据病原体选择用药。若无条件作呼吸道病原体检测,可在学龄前和学龄儿童用药时偏向大环内脂类抗生素,而婴幼儿则偏向抗病毒药物治疗。
目的:調查分析2013年下半年小兒急性肺炎的病原體分佈情況,為臨床用藥提供病原學依據,以便更有效地治療小兒急性肺炎,做到因病施治,縮短治療過程,減輕患兒痛苦。方法:採集兒科門診留觀確診為小兒急性肺炎患兒的68例血清標本送貴暘市第二人民醫院檢驗科作呼吸道九聯檢檢測,即嗜肺軍糰1型( Legionella pneumnopila typel,LP1)、肺炎支原體( Myco-plasma pneumonia,MP)、肺炎衣原體( Chlamydia pneumonia,CPn)、Q熱立剋次體( Richettsia query,QFR);五種呼吸道病毒:腺病毒( Adenovirus,ADV)、呼吸道閤胞病毒( Respiratory syncytial virus,RSV)、甲型流感病毒( Influenza A virus,IFVA)、乙型流感病毒( In-fluenza B virus,IFVB)、副流感病毒( Parainfluenza virus,PIVs)九種病原體,得齣小兒急性肺炎的病原體分佈情況,併作齣分析。結果:在68例肺炎患兒中,總的呼吸道病原體暘性率為41.18%,其中最高的是MP 17.65%,依次為RSV 10.29%,IFVB 4.41%, ADV 0.29%,LP 10.15%,CPN 0.15%,IFVA 0.15%,PLVS 0.15%,QFR 0.00%。結論:小兒急性肺炎的病原體以支原體和呼吸道閤胞病毒感染較常見,亦存在其他病原體感染,病原體的種類因年齡而存在差異性。在臨床用藥中宜依據病原體選擇用藥。若無條件作呼吸道病原體檢測,可在學齡前和學齡兒童用藥時偏嚮大環內脂類抗生素,而嬰幼兒則偏嚮抗病毒藥物治療。
목적:조사분석2013년하반년소인급성폐염적병원체분포정황,위림상용약제공병원학의거,이편경유효지치료소인급성폐염,주도인병시치,축단치료과정,감경환인통고。방법:채집인과문진류관학진위소인급성폐염환인적68례혈청표본송귀양시제이인민의원검험과작호흡도구련검검측,즉기폐군단1형( Legionella pneumnopila typel,LP1)、폐염지원체( Myco-plasma pneumonia,MP)、폐염의원체( Chlamydia pneumonia,CPn)、Q열립극차체( Richettsia query,QFR);오충호흡도병독:선병독( Adenovirus,ADV)、호흡도합포병독( Respiratory syncytial virus,RSV)、갑형류감병독( Influenza A virus,IFVA)、을형류감병독( In-fluenza B virus,IFVB)、부류감병독( Parainfluenza virus,PIVs)구충병원체,득출소인급성폐염적병원체분포정황,병작출분석。결과:재68례폐염환인중,총적호흡도병원체양성솔위41.18%,기중최고적시MP 17.65%,의차위RSV 10.29%,IFVB 4.41%, ADV 0.29%,LP 10.15%,CPN 0.15%,IFVA 0.15%,PLVS 0.15%,QFR 0.00%。결론:소인급성폐염적병원체이지원체화호흡도합포병독감염교상견,역존재기타병원체감염,병원체적충류인년령이존재차이성。재림상용약중의의거병원체선택용약。약무조건작호흡도병원체검측,가재학령전화학령인동용약시편향대배내지류항생소,이영유인칙편향항병독약물치료。
Objective To investigate the distribution of pneumonia pathogens in the second half and give guidance of therapy based on our study,which would shorten the time of treatment and alleviate the pain of patients. Method 68 pneumonia patients in our hospital were col-lected the serum was examined,that was classified,classify by Legionella pneumnopila,Mycoplasma pneumonia,Chlamydia pneumonia,Rich-ettsia query,Adenovirus,Respiratory syncytial virus,Influenza A virus,Influenza B virus,Parainfluenza virus,and get the distribution of pneu-monia pathogens. Results In 68 pneumonia patients,the total positive rate of pneumonia pathogen infection was 41. 18%,and Mycoplasma pneumonia was the most common pathogens of infection( 17. 64%),followed by Respiratory syncytial virus( 10. 29%),Influenza B virus (4. 41%),Adenovirus(0. 29%),Legionella pneumnopila typel(10. 14%),Chlamydia pneumonia(0. 14%),Influenza A virus(0. 14%), Parainfluenza virus(0. 14%),Richettsia query(0. 00%). Conclusion The most common pathogens of pneumonia are Mycoplasma pneumo-nia and Respiratory syncytial virus,and species difference exits in different ages. Treatments are given based pathogens. Give preschool chil-dren Large ring lactone class antibiotic treatment and infants antivirus treatment,when the pathogen examine could not be done.