检验医学 ›› 2017, Vol. 32 ›› Issue (9): 779-783.DOI: 10.3969/j.issn.1673-8640.2017.09.008

• 临床应用研究·论著 • 上一篇    下一篇

2011—2015年苏州地区儿童呼吸道感染病毒检出情况分析

朱耿超, 李淑湘, 杨辰   

  1. 南京医科大学附属苏州医院核医学科,江苏 苏州 215002
  • 收稿日期:2016-12-02 出版日期:2017-09-30 发布日期:2017-09-30
  • 作者简介:null

    作者简介:朱耿超,男,1986年生,硕士,技师,主要从事临床检验诊断工作。

Determination of respiratory tract virus among children in Suzhou from 2011 to 2015

ZHU Gengchao, LI Shuxiang, YANG Chen   

  1. Department of Nuclear Medicine,Suzhou Hospital,Nanjing Medical University,Suzhou 215002,Jiangsu,China
  • Received:2016-12-02 Online:2017-09-30 Published:2017-09-30

摘要:

目的 对2011—2015年苏州地区儿童呼吸道感染病毒的检出情况进行分析。方法 采用直接免疫荧光法检测2011—2015年苏州地区儿童呼吸道感染患儿腺病毒(ADV)、流感病毒A型(IVA)、流感病毒B型(IVB)、副流感病毒1型(PIV1)、副流感病毒2型(PIV2)、副流感病毒3型(PIV3)及呼吸道合胞病毒(RSV)共7种呼吸道感染常见病毒的检出情况,分析阳性率及混合感染情况。结果 在2 151例呼吸道感染的住院患儿中,7种呼吸道感染病毒阳性677例,总阳性率为31.47%。7种病毒阳性率分别为ADV 1.39%、IVA 1.07%、IVB 1.16%、PIV1 0.51%、PIV2 0.33%、PIV3 3.63%、RSV 26.96%。不同季节间呼吸道感染病毒阳性率差异有统计学意义(χ2=81.52,P<0.001),主要感染季节是冬季,主要感染病毒是RSV,在冬季RSV的阳性率为38.64%。不同年龄组间呼吸道感染病毒阳性率差异有统计学意义(χ2=18.30,P<0.001),主要感染的年龄组为婴儿组(28 d~<1岁),其主要感染病毒为RSV,阳性率为27.72%。两两混合感染多为RSV+IVB(21例,16.94%)、RSV+ADV(18例,14.52%),和其他病毒混合感染比例最高的是RSV(58.06%),混合感染较容易发生在冬季,婴儿组多发。结论 RSV是苏州地区最主要的儿童急性呼吸道感染病毒,冬季是其高发季节,且婴儿易感,在混合感染病例中,RSV也是最主要的病毒。

关键词: 呼吸道感染病毒, 呼吸道合胞病毒, 儿童

Abstract:

Objective To analyze the results of respiratory tract virus determination among children in Suzhou from 2011 to 2015.Methods Direct immunofluorescent method was used to determine 7 common respiratory tract viruses,including adenovirus(ADV),influenza virus A(IVA),influenza virus B(IVB),parainfluenza virus 1(PIV1),parainfluenza virus 2(PIV2),parainfluenza virus 3(PIV3) and respiratory syncytial virus(RSV). The positive rates and mixed viral infection rates were evaluated. Results A total of 2 151 children with respiratory tract infection were enrolled,and the overall positive rate for the 7 common respiratory tract viruses was 31.47%(677/2 151). The positive rates were 1.39% for ADV,1.07% for IVA,1.16% for IVB,0.51% for PIV1,0.33% for PIV2,3.63% for PIV3 and 26.96% for RSV. There was statistical significance for the positive rates with different seasons(χ2=81.52,P<0.001). The infection tended to occur in winter. RSV was the most common virus,and its positive rate was 38.64% in winter. There was statistical significance for the positive rates with different ages(χ2=18.30,P<0.001). Infants of 28 d-<1 year old were more likely to be infected with the viruses,particularly RSV(27.72%). The high proportions of mixed viral infection were 16.94%(21 cases) for RSV+IVB and 14.52%(18 cases) for RSV+ADV. RSV had the highest proportion of mixed viral infection with the other viruses(58.06%). Mixed viral infection tended to occur in winter and among infants.Conclusions RSV is a main acute respiratory tract virus among children in Suzhou,especially among infants and in winter. For mixed viral infection,RSV is the most common virus.

Key words: Respiratory tract virus, Respiratory syncytial virus, Children

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