CAJ | 학술논문

目的:探讨潮州地区儿童急性下呼吸道感染的病原学分布.方法:对2011年6月-2012年10月本院儿科急性下呼吸道感染住院患儿1653例采用无菌负压吸引法采集新鲜痰液,进行细菌培养,间接免疫荧光法检测病毒、非典型病原体抗体.结果:1653例患儿中病原检测阳性1067例,病毒感染184例,细菌感染617例,支原体感染172例,嗜肺军团菌感染100例,衣原体感染53例,Q热立克次体感染13例,混合感染245例.病毒以呼吸道合胞病毒为主(45.11%),细菌则以流感嗜血杆菌为主(40.15%),其次为肺炎链球菌(18.81%)和卡他莫拉菌(16.54%).结论:潮州地区儿童急性下呼吸道感染最常见病原是细菌,其次是支原体、病毒、衣原体.各病原的治疗原则各不相同,因此早期明确病原学诊断具有显著意义,是合理使用抗生素的保障.
목적:탐토조주지구인동급성하호흡도감염적병원학분포.방법:대2011년6월-2012년10월본원인과급성하호흡도감염주원환인1653례채용무균부압흡인법채집신선담액,진행세균배양,간접면역형광법검측병독、비전형병원체항체.결과:1653례환인중병원검측양성1067례,병독감염184례,세균감염617례,지원체감염172례,기폐군단균감염100례,의원체감염53례,Q열립극차체감염13례,혼합감염245례.병독이호흡도합포병독위주(45.11%),세균칙이류감기혈간균위주(40.15%),기차위폐염련구균(18.81%)화잡타막랍균(16.54%).결론:조주지구인동급성하호흡도감염최상견병원시세균,기차시지원체、병독、의원체.각병원적치료원칙각불상동,인차조기명학병원학진단구유현저의의,시합리사용항생소적보장.
@@@@Objective:To investigate etiology of acute lower respiratory tract infections(ALRTIs)in children in Chaozhou.Method:Bacteria were tested using sputum culture.Antibodies against virus,mycoplasma and chlamydia were detected by indirect immunofluoresence in sera.Result:Etiological agents were identified in 1067 cases out of 1653 patients.Viral infections were in 184 cases,bacteria infections were in 617 cases,mycoplasma pneumoniae 172 cases,chlamydia pneumoniae 53 cases,Rickett’s organism 100 cases and Rickett’s organism 13 cases,compound infections 245 cases. Respiratory syncycial virus was the major viral pathogen,haemophilus influenzae were the prominent pathogens of bacteria pneumonia,followed by streptococcus pneumoniae and Moraxelle catarrhalis.Conclusion:Bacteria infection is the most common cause of ALRTI in children in Chaozhou,followed by pneumoniae mycoplasma viral and chlamydia pneumoniae. Different etiology has different therapeutic method.So early definite diagnosis in etiology has great significance,which also is the guarantee for proper application of antibiotics.