期刊文献+

340例儿童急性呼吸道感染常见病毒病原的检测 被引量:10

Detection of common viral pathogens in 340 children with acute lower respiratory tract infections in Nanjing Children's Hospital
在线阅读 下载PDF
导出
摘要 目的:了解小儿急性呼吸道感染(acute respiratory tract infection ARTI)中病毒感染状况,为预防和治疗疾病提供依据。方法:收集2009年5月~2010年4月期间340例确诊为ARTI住院患儿的深部鼻咽分泌物(NPS)临床标本,采用逆转录聚合酶链反应(RT-PCR)法检测常见的7种呼吸道病毒:呼吸道合胞病毒(RSV)、流感病毒(IFV)、副流感病毒(PIV)、人类偏肺病毒(HMPV)、腺病毒(ADV)、鼻病毒(HRV)和肠道病毒(EV)。统计分析各种病毒所致ARTI的临床特点及流行特征。结果:340例标本中共检出212例阳性,阳性率为62.35%。其中RSV感染为132例,阳性率为62.3%;IFV感染为45例、阳性率为21.3%;PIV感染为13例,阳性率为6.1%;HMPV感染为13例,阳性率为6.1%;ADV感染为4例,阳性率为1.9%;HRV感染为2例,阳性率为0.9%;EV感染为7例,阳性率为3.3%。结论:本地区诊断为ARTI住院儿童中病毒感染率为62.35%,其中以RSV为主。 Objective: To detect the presence of common viral pathogens in clinical specimens of respiratory tractand to understand the current situation of viral infection, children’s acute respiratory tract infection(ARTI) in Nanjing Children’s Hospital. Methods: Deep nasopharyngeal secretions(NPS) specimens were collected in Hospitalized children diagnosed with ARTI. A variety of viral pathogens including respiratory syncytial virus(RSV), influenza virus(IFV), parainfluenza virus(PIV), human metapneumovirus (HMPV), adenovirus (ADV), rhinovirus (HRV) and enterovirus(EV) were detected using reverse transcription polymerase chain reaction(RT-PCR). Meanwhile, the clinical and epidemiological manifestations of ARTI caused by these viral pathogens were analyzed. Results:A total of 212 cases affected with viral pathogens were detected in 340 specimens (62.35%). Among them, 132 cases were RSV infection (62.3%), 45 cases IFV infection (21.3%), 13 cases PIV infection (6.1%), 13 cases HMPV infection (6.1%), 4 cases ADV infection (1.9%), 2 cases HRV Infection (0.9%), and 7 cases EV infection (3.3%). Conclusion:RSV infection is most common in ARTI children. Few children have multiple viral infections.
出处 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2010年第12期1756-1759,共4页 Journal of Nanjing Medical University(Natural Sciences)
基金 国家863子课题资助(2002AAZ204153)
关键词 急性呼吸道感染 呼吸道病毒 RT-PCR acute respiratory tract infections; respiratory;
  • 相关文献

参考文献15

  • 1Ramsey CD, Gold DR, Litonjua AA, et al. Respiratory illnesses in early life and asthma and atopy in childhood [J]. J Allergy Clin Immunol,2007, 119(1 ) : 150-156.
  • 2Principi N, Esposito S. Emerging role of Mycoplasma pneumoniae and Chlamydia pneumoniae in peadiatric respiratory tract infections [J]. Lancet infect Dis, 2001,1 (5) : 334-344.
  • 3Gasparini R, Duraudo P, Ansaldi F, et al. Influenza and respiratory syneytial vires in infants and children :relationship with attendance at a peadiatric emergency unit and characteristics of the circulation of strains [J]. Eur J Clin Mierobiol Infect Dis, 2007, 26(9):619-628.
  • 4Pricinpi N, Esposito S, Bosis S. Human metapneumovirus and lower respiratory tract disease in children [J]. N Engl J Med, 2004, 350(17) : 1788-1790.
  • 5胡亚美,江载芳,朱福棠.实用儿利学[M].北京:人民卫生出版社.2002:1171-1225.
  • 6Kesson AM. Respiratory virus infections [J]. Paediatr Respir Rev, 2007, 8 (3) : 240-248.
  • 7Friedlander SL, Busse WW. The role of rhinovirus in asthma exacerbations [JJ. J Allergy Clin hnmunol, 2005,116(2) :267-273.
  • 8Meissner HC. Reduce the impact of viral respiratory Infections in children [J]. Pediatr Clin North Am, 2005, 52(3) :695-710.
  • 9袁艺,宋国维,杜军保,曹玲,崔小岱,钱渊,朱春梅,伏谨,朱汝南,邓洁,王芳,赵林清.北京地区住院急性呼吸道感染患儿的病毒病原检测分析[J].实用儿科临床杂志,2006,21(6):348-350. 被引量:35
  • 10罗蓉,黄英,罗晓菊,刘恩梅.重庆儿童急性呼吸道感染1731例病毒病原学分析[J].重庆医科大学学报,2007,32(12):1279-1281. 被引量:29

二级参考文献36

  • 1廖斌,车莉,曹力,邓洁,王芳,朱汝南,赵林清,吴荣艳,韩晶,钱渊,卢竞.891例急性呼吸道感染患者病毒病原学调查[J].中国实用儿科杂志,2005,20(1):24-26. 被引量:39
  • 2Andreoletti L,Lesay M,Deschildre A,et al.Differential detection of rhinoviruses and enteroviruses RNA sequences associated with classical immunofluorescence assay detection of respiratory virus antigens in nasopharyngeal swabs from infants with bronchiolitis[J].J Med Virol,2000,61:341-346.
  • 3Shetty AK,Treynor E,Hill DW,et al.Comparison of conventional viral cultures with direct fluorescent antibody stains for diagnosis of community-acquired respiratory virus infections in hospitalized children[J].Pediatr Infect Dis J,2003,22:789-794.
  • 4S6uza LS,Ramos EA,Carvalho FM,et al.Viral respiratory infections in young children attending day care in urban northeast Brazil[J].Pediatr Pulmonol,2003,35:184-191.
  • 5Billaud G,Peny S,Legay V,et al.Detection of rhinovirus and enterovirus in upper respiratory tract samples using a multiplex nested PCR[J].J Virol Method,2003,108:223-228.
  • 6van den Hoogen BG,de Jong JC,Groen J,et al.A newly discovered human pneumovirus isolated from young children with respiratory tract disease[J].Nat Med,2001,7:719-724.
  • 7Jartti T,Lehtinen P,Vuorinen T,et al.Repiratory picornaviruses and respiratory syncycail virus as causative agents of acute expiratory wheezing in children[J].Emerg Infect Dis,2004,10:1095-1101.
  • 8Tsai HP,Kuo PH,Liu CC,et al.Respiratory viral infections among pediatric inpatients and outpatients in Taiwan from 1997 to 1999[J].J Clin Microbiol,2001,39:111-118.
  • 9Rakes GP,Arruda E,Ingram JM,et al.Rhinovirus and respiratory syncytial virus in wheezing children requiring emergency care.IgE and eosinophil analyses[J].Am J Respir Crit Care Med,1999,159:785-790.
  • 10Rawlinson WD,Waliuzzaman Z,Carter IW,et al.Asthma exacerbation in children associated with rhinovirus but not human metapneumovirus infection[J].J Infect Dis,2003,187:1314-1318.

共引文献76

同被引文献74

引证文献10

二级引证文献61

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部