Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia
Abstract Background The prevalence of refractory Mycoplasma pneumoniae (MP) pneumonia has been increasing. However, few studies have investigated the impact of respiratory virus coinfection in patients with MP pneumonia, and their results have been inconclusive. This study aimed to investigate the i...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-05-01
|
| Series: | BMC Pulmonary Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12890-022-02005-y |
| _version_ | 1811257951060492288 |
|---|---|
| author | Soojeong Choo Yun Young Lee Eun Lee |
| author_facet | Soojeong Choo Yun Young Lee Eun Lee |
| author_sort | Soojeong Choo |
| collection | DOAJ |
| description | Abstract Background The prevalence of refractory Mycoplasma pneumoniae (MP) pneumonia has been increasing. However, few studies have investigated the impact of respiratory virus coinfection in patients with MP pneumonia, and their results have been inconclusive. This study aimed to investigate the impact of respiratory virus coinfection in children hospitalized with MP pneumonia. Methods This study enrolled 145 children hospitalized with MP pneumonia between May 2019 and March 2020. The patients were divided into two groups: the respiratory virus coinfection and non-coinfection groups. All the children underwent polymerase chain reaction testing for respiratory virus infection. Information on clinical, laboratory, and radiologic findings were obtained retrospectively via medical chart reviews. Results Children in the respiratory virus coinfection group were younger than those in the non-coinfection group. Respiratory virus coinfection in children hospitalized with MP pneumonia was significantly associated with persistence of fever more than 6 days (adjusted odds ratio [aOR], 2.394; 95% confidence interval [95% CI], 1.172–4.892), severe pneumonia (aOR, 4.602; 95% CI, 1.154–18.353), and poor response to the stepwise approach for MP pneumonia (aOR, 4.354; 95% CI, 1.374–13.800). In addition, higher levels of liver enzymes and lactate dehydrogenase at admission were associated with respiratory virus coinfection in children with MP pneumonia. Conclusions The results of this study suggest that respiratory virus coinfection in children hospitalized with MP pneumonia may be associated with refractory MP pneumonia. |
| first_indexed | 2024-04-12T18:05:31Z |
| format | Article |
| id | doaj.art-ae2ef7055da94fb18bb8fb7196599f6f |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-04-12T18:05:31Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-ae2ef7055da94fb18bb8fb7196599f6f2022-12-22T03:22:00ZengBMCBMC Pulmonary Medicine1471-24662022-05-012211910.1186/s12890-022-02005-yClinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumoniaSoojeong Choo0Yun Young Lee1Eun Lee2Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical SchoolDepartment of Radiology, Chonnam National University Hospital, Chonnam National University Medical SchoolDepartment of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical SchoolAbstract Background The prevalence of refractory Mycoplasma pneumoniae (MP) pneumonia has been increasing. However, few studies have investigated the impact of respiratory virus coinfection in patients with MP pneumonia, and their results have been inconclusive. This study aimed to investigate the impact of respiratory virus coinfection in children hospitalized with MP pneumonia. Methods This study enrolled 145 children hospitalized with MP pneumonia between May 2019 and March 2020. The patients were divided into two groups: the respiratory virus coinfection and non-coinfection groups. All the children underwent polymerase chain reaction testing for respiratory virus infection. Information on clinical, laboratory, and radiologic findings were obtained retrospectively via medical chart reviews. Results Children in the respiratory virus coinfection group were younger than those in the non-coinfection group. Respiratory virus coinfection in children hospitalized with MP pneumonia was significantly associated with persistence of fever more than 6 days (adjusted odds ratio [aOR], 2.394; 95% confidence interval [95% CI], 1.172–4.892), severe pneumonia (aOR, 4.602; 95% CI, 1.154–18.353), and poor response to the stepwise approach for MP pneumonia (aOR, 4.354; 95% CI, 1.374–13.800). In addition, higher levels of liver enzymes and lactate dehydrogenase at admission were associated with respiratory virus coinfection in children with MP pneumonia. Conclusions The results of this study suggest that respiratory virus coinfection in children hospitalized with MP pneumonia may be associated with refractory MP pneumonia.https://doi.org/10.1186/s12890-022-02005-yChildrenCoinfectionMycoplasma pneumoniaePneumoniaRespiratory virus |
| spellingShingle | Soojeong Choo Yun Young Lee Eun Lee Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia BMC Pulmonary Medicine Children Coinfection Mycoplasma pneumoniae Pneumonia Respiratory virus |
| title | Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia |
| title_full | Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia |
| title_fullStr | Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia |
| title_full_unstemmed | Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia |
| title_short | Clinical significance of respiratory virus coinfection in children with Mycoplasma pneumoniae pneumonia |
| title_sort | clinical significance of respiratory virus coinfection in children with mycoplasma pneumoniae pneumonia |
| topic | Children Coinfection Mycoplasma pneumoniae Pneumonia Respiratory virus |
| url | https://doi.org/10.1186/s12890-022-02005-y |
| work_keys_str_mv | AT soojeongchoo clinicalsignificanceofrespiratoryviruscoinfectioninchildrenwithmycoplasmapneumoniaepneumonia AT yunyounglee clinicalsignificanceofrespiratoryviruscoinfectioninchildrenwithmycoplasmapneumoniaepneumonia AT eunlee clinicalsignificanceofrespiratoryviruscoinfectioninchildrenwithmycoplasmapneumoniaepneumonia |