Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou

Abstract Background Acute respiratory infections are a common disease in children with high mortality and morbidity. Multiple pathogens can cause acute respiratory infections. A 2-year survey of hospitalized children was conducted to understand the epidemic situation, seasonal spread of pathogens an...

Full description

Bibliographic Details
Main Authors: Min Gao, Xing Yao, Wei Mao, Cuifen Shen, Zongxin Zhang, Qiuling Huang, Dawei Cui, Haiyan Sun, Weihua Zou
Format: Article
Language:English
Published: BMC 2020-08-01
Series:Virology Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12985-020-01380-4
_version_ 1818190469103878144
author Min Gao
Xing Yao
Wei Mao
Cuifen Shen
Zongxin Zhang
Qiuling Huang
Dawei Cui
Haiyan Sun
Weihua Zou
author_facet Min Gao
Xing Yao
Wei Mao
Cuifen Shen
Zongxin Zhang
Qiuling Huang
Dawei Cui
Haiyan Sun
Weihua Zou
author_sort Min Gao
collection DOAJ
description Abstract Background Acute respiratory infections are a common disease in children with high mortality and morbidity. Multiple pathogens can cause acute respiratory infections. A 2-year survey of hospitalized children was conducted to understand the epidemic situation, seasonal spread of pathogens and the improvement of clinical diagnosis, treatment and prevention of disease in Huzhou, China. Methods From September 2017 to August 2019, 3121 nasopharyngeal swabs from hospitalized children with acute respiratory infections were collected, and real-time PCR was used to detect various pathogens. Then, pathogen profiles, frequency and seasonality were analyzed. Results Of the 3121 specimens, 14.45% (451/3121) were positive for at least one pathogen. Of the single-pathogen infections, RSV (45.61%, 182/399) was the most frequent pathogen, followed by PIVs (14.79%, 59/399), ADV (14.54%, 58/399), MP (10.78%, 43/399), and IAV (5.26%, 21/399). Of the 52 coinfections, RSV + PIVs viruses were predominantly identified and accounted for 40.38% (21/52) of cases. RSV was the most frequent pathogen in all four groups. The highest positive rate of the pathogens occurred in the winter (21.26%), followed by autumn (14.98%), the summer (14.11%) and the spring (12.25%). Conclusion Viruses are the main pathogens in hospitalized children with acute respiratory infections in Huzhou city, Zhejiang Province, China. Among the pathogens, RSV had the highest detection rate, and MP is also a common pathogen among children with acute respiratory infections. This study provided a better understanding of the distribution of pathogens in children of different ages and seasons, which is conducive to the development of more reasonable treatment strategies and prevention and control measures.
first_indexed 2024-12-11T23:59:12Z
format Article
id doaj.art-4fa7450079b14e99847aa990ed2776f3
institution Directory Open Access Journal
issn 1743-422X
language English
last_indexed 2024-12-11T23:59:12Z
publishDate 2020-08-01
publisher BMC
record_format Article
series Virology Journal
spelling doaj.art-4fa7450079b14e99847aa990ed2776f32022-12-22T00:45:16ZengBMCVirology Journal1743-422X2020-08-011711810.1186/s12985-020-01380-4Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in HuzhouMin Gao0Xing Yao1Wei Mao2Cuifen Shen3Zongxin Zhang4Qiuling Huang5Dawei Cui6Haiyan Sun7Weihua Zou8Department of Clinical Laboratory, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityHepatobiliary and Pancreatic Surgery, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityDepartment of Respiratory Diseases, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityDepartment of Clinical Laboratory, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityDepartment of Clinical Laboratory, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityDepartment of Pediatrics, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityDepartment of Blood Transfusion, the First Affiliated Hospital, College of Medicine, Zhejiang UniversityDepartment of Clinical Laboratory, Shaoxing Second HospitalDepartment of Clinical Laboratory, Huzhou Central Hospital, Affiliated Central Hospital Huzhou UniversityAbstract Background Acute respiratory infections are a common disease in children with high mortality and morbidity. Multiple pathogens can cause acute respiratory infections. A 2-year survey of hospitalized children was conducted to understand the epidemic situation, seasonal spread of pathogens and the improvement of clinical diagnosis, treatment and prevention of disease in Huzhou, China. Methods From September 2017 to August 2019, 3121 nasopharyngeal swabs from hospitalized children with acute respiratory infections were collected, and real-time PCR was used to detect various pathogens. Then, pathogen profiles, frequency and seasonality were analyzed. Results Of the 3121 specimens, 14.45% (451/3121) were positive for at least one pathogen. Of the single-pathogen infections, RSV (45.61%, 182/399) was the most frequent pathogen, followed by PIVs (14.79%, 59/399), ADV (14.54%, 58/399), MP (10.78%, 43/399), and IAV (5.26%, 21/399). Of the 52 coinfections, RSV + PIVs viruses were predominantly identified and accounted for 40.38% (21/52) of cases. RSV was the most frequent pathogen in all four groups. The highest positive rate of the pathogens occurred in the winter (21.26%), followed by autumn (14.98%), the summer (14.11%) and the spring (12.25%). Conclusion Viruses are the main pathogens in hospitalized children with acute respiratory infections in Huzhou city, Zhejiang Province, China. Among the pathogens, RSV had the highest detection rate, and MP is also a common pathogen among children with acute respiratory infections. This study provided a better understanding of the distribution of pathogens in children of different ages and seasons, which is conducive to the development of more reasonable treatment strategies and prevention and control measures.http://link.springer.com/article/10.1186/s12985-020-01380-4Acute respiratory infectionsHospitalized childrenEtiologyHuzhou
spellingShingle Min Gao
Xing Yao
Wei Mao
Cuifen Shen
Zongxin Zhang
Qiuling Huang
Dawei Cui
Haiyan Sun
Weihua Zou
Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou
Virology Journal
Acute respiratory infections
Hospitalized children
Etiology
Huzhou
title Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou
title_full Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou
title_fullStr Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou
title_full_unstemmed Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou
title_short Etiological analysis of virus, mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in Huzhou
title_sort etiological analysis of virus mycoplasma pneumoniae and chlamydia pneumoniae in hospitalized children with acute respiratory infections in huzhou
topic Acute respiratory infections
Hospitalized children
Etiology
Huzhou
url http://link.springer.com/article/10.1186/s12985-020-01380-4
work_keys_str_mv AT mingao etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT xingyao etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT weimao etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT cuifenshen etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT zongxinzhang etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT qiulinghuang etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT daweicui etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT haiyansun etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou
AT weihuazou etiologicalanalysisofvirusmycoplasmapneumoniaeandchlamydiapneumoniaeinhospitalizedchildrenwithacuterespiratoryinfectionsinhuzhou