武汉地区重症急性呼吸道感染住院患儿人博卡病毒感染的流行病学研究

Epidemiological study of human Bocavirus in hospitalized children with severe acute viral infection of respiratory tract infection in Wuhan

  • 摘要: 目的 探讨武汉地区重症急性呼吸道感染患儿中人博卡病毒(HBoV)感染的流行特征,为该地区患儿人博卡病毒感染的预防提供理论依据。方法 选取医院2014年2月-2015年1月收治756例急性呼吸道感染的住院患儿作为研究对象,收集患儿鼻咽处的分泌物,应用荧光PCR法检测患儿呼吸道中HBoV、A型流感病毒(IFVA)、B型流感病毒(IFVB)、副流感病毒1~3(PIV1~3)、肺炎支原体(MP)、呼吸道合胞病毒(RSV)。结果 756例急性呼吸道感染住院患儿中,56例感染HBoV,感染率为7.41%;在夏季和秋季急性呼吸道感染患儿的HBoV感染率明显高于春季和冬季,且差异有统计学意义(P<0.05);不同年龄阶段患儿HBoV感染率不一致,各年龄组间存在差异,其中>6月龄~1岁和>1~3岁的患儿HBoV感染率显著高于其他年龄组;56例HBoV感染患儿中,HBoV和其他病原菌混合感染的有12例,混合感染率为21.43%,占总HBoV感染总数的21.43(12/56),混合感染率居于前3位的是HBoV+RSV、HBoV+PIV-3、HBoV+MP。<目的 HBoV是武汉地区重症呼吸道感染患儿的主要病原体之一,该类病毒感染在一年四季均有可能发生,在夏季和秋季感染率较高,半岁至3岁患儿中感染率较高,且HBoV容易和其他病原菌发生混合感染。

     

    Abstract: OBJECTIVE To analyze and understand the epidemiological characteristics of human Bocavirus (HBoV) in children with severe acute respiratory infection in Wuhan, so as to provide a theoretical basis for the prevention of HBoV infection. METHODS A total of 756 cases of hospitalized children with acute respiratory infection in the hospital were selected as research subjects from Feb. 2014 to Jan. 2015. The nasopharyngeal secretions of children were collected, the HBoV, A-type influenza virus (IFVA), B-type influenza virus (IFVB), parainfluenza virus 1 ~ 3 (PIV1~3), mycoplasma pneumoniae (MP), and respiratory syncytial virus (RSV) were detected by fluorescent PCR. RESULTS There were 56 cases of HBoV infection in 756 cases of hospitalized children with acute respiratory infections , with the infection rate of 7.41%. The HBoV infection rates in summer and autumn were significantly higher than those in spring and winter (P<0.05). The HBoV infection rates were inconsistent in children of different ages, there were significant differences between the various age groups, the HBoV infection rates of more than 0.5 to 1 year and more than 1-3 year-old children were significantly higher those of other age groups. There were 12 cases of HBoV mixed infection with other pathogens in 56 cases of HBoV positive patients, mixed infection rate was 21.43%, and the top three mixed infections were HBoV + RSV, HBoV + PIV-3, and HBoV + MP. CONCLUSION HBoV is one of the main pathogens in Wuhan in children with severe lower respiratory tract infection, such viral infection can occur throughout the year, and has high infection rate in summer and autumn, and in children of the six months to 3 years old, and can easy to occur mixed infection with other pathogens.

     

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