2016年武汉地区住院儿童人博卡病毒感染的临床特征及流行病学
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边俊梅

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R373.9R725.6

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武汉市卫生计生委医疗卫生科研项目(WG15D04);湖北省卫生和计划生育委员会科研项目(WJ2017M186)


Clinical and epidemiological features of human Bocavirus infection in hospitalized children in Wuhan area
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    摘要:

    目的了解武汉地区住院儿童呼吸道人博卡病毒(HBoV)感染情况、临床特征及流行病学特点。方法收集2016年1—12月该院儿科因急性呼吸道感染的住院患儿968例,采用无菌负压吸引法采集新鲜标本检查痰HBoV、RSV、ADV、INFA/B和PIVI/II/III,分析HBoV感染病例的流行情况及临床特征。结果968例患儿中,HBoV阳性75例,检出率7.75%。男女患儿检出率分别为5.68%、2.07%,不同性别HBoV检出率比较,差异无统计学意义(χ2=2.083,P=0.140);53例(70.67%)HBoV阳性患儿年龄<1岁,63例(84.00%)HBoV阳性患儿年龄<3岁,各年龄组检出率比较,差异有统计学意义(χ2=4.60,P=0.043)。春、夏、秋、冬HBoV检出率分别为9.78%、5.29%、2.86%、5.20%;除9、10月份外,HBoV在其余月份均有检出,3月份检出率最高(为33.33%)。17例单纯HBoV感染,58例混合感染,HBoV临床诊断以支气管肺炎为主(26例,占34.67%)。HBoV病例主要临床特征为发热(81.33%)、咳嗽和喘息(各占77.33%)。结论HBoV是武汉地区住院儿童呼吸道感染的重要病原体之一,全年均可发生HBoV感染,流行高峰在春季和夏季,无性别差异。住院儿童感染HBoV临床诊断以支气管肺炎最常见,主要表现为发热、咳嗽、喘息。

    Abstract:

    ObjectiveTo understand infection status, clinical and epidemiological features of respiratory tract infection(RTI) with human Bocavirus(HBoV) in children in Wuhan area. MethodsA total of 968 hospitalized children with acute RTI between January and December 2016 were recruited in the study. Sputum specimens were collected by sterile negative pressure suction method. HBoV, respiratory syncytial virus, adenovirus, A/Btype influenza virus, and parainfluenza virus I/II/III were detected, the prevalence and clinical features of HBoV infection were analyzed. ResultsAmong 968 cases, 75(7.75%) were positive for HBoV. The detection rates of HBoV in boys and girls were 5.68% and 2.07% respectively, there was no significant difference in the detection rate of HBoV between different genders(χ2=2.083,P=0.140);53 (70.67%) HBoVpositive children were<1 year old, 63(84.00%) were<3 years old, there was significant difference in the detection rate among all age groups(χ2=4.60,P=0.043). The detection rates in spring, summer, autumn, and winter were 9.78%, 5.29%, 2.86%, and 5.20% respectively; except September and October, HBoV was found positive in the other months, detection rate was highest in March (33.33%). 17 cases were simple HBoV infection and 58 were mixed infection, the main clinical diagnosis of HBoV was bronchopneumonia(n=26, 34.67%). The main clinical features of HBoV cases were fever(81.33%), cough(77.33%), and wheezing (77.33%). ConclusionHBoV is one of the important pathogens causing RTI in hospitalized children in Wuhan area, HBoV infection can occur throughout the year , the peak season are spring and summer, there is no difference between different genders. The most common clinical diagnosis of HBoV in hospitalized children is bronchopneumonia, the main manifestations are fever, coughing, and wheezing.

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王瑢,丁淑贤,王娟丽,等.2016年武汉地区住院儿童人博卡病毒感染的临床特征及流行病学[J]. 中国感染控制杂志,2018,17(1):31-35. DOI:10.3969/j. issn.1671-9638.2018.01.007.
WANG Rong, DING Shuxian, WANG Juanli, et al. Clinical and epidemiological features of human Bocavirus infection in hospitalized children in Wuhan area[J]. Chin J Infect Control, 2018,17(1):31-35. DOI:10.3969/j. issn.1671-9638.2018.01.007.

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  • 收稿日期:2017-03-30
  • 最后修改日期:2017-06-22
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  • 在线发布日期: 2017-12-29
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