200例儿童肺炎支原体感染的流行病学和耐药性分析 吴俊填;张佳彬;周曙明 【期刊名称】《中国中西医结合儿科学》 【年(卷),期】2017(009)002 【摘 要】Objective To analyze the epidemiology and drug resistance in 200 children with mycoplasma pneumonia and to provide reference for clinical treatment.Methods Throat swabs were collected from 652 children with respiratory infection in out-patient department in our hospital.The swabs were cultured to detect MP.The MP infection was recorded according to seasons, ages and gender.The drug resistance to multiple antibiotics was detected.Results MP culture showed that the positive rate was 30.67%;the infection rates in different seasons had differences, and the infection rate was the lowest in winter(15.00%), which was significantly lower than that in other seasons(P<0.05),and it was the highest in fall(38.50%);the infection rate in male children was slightly lower than the female patients(30.02% vs 31.80%,P>0.05);the infection rates in different age groups were significantly different(P<0.05):0-1-year-old group was higher than the 6-14-year-old group(P<0.008 3).Susceptibility test showed that drug resistance rates were significantly different to different antibiotics(P<0.05).ERY and ROX resistance rates were significantly higher than AZI(P<0.05).Conclusion MP infection in children with respiratory tract infection has high proportion, which is age-related;it doesn't often occur in winter, and in the clinical treatment MP throat swab culture and drug sensitivity testing are required to guide the clinical administration.%目的 对200例儿童肺炎支原体(MP)感染的流行病学和耐药性进行分析,为临床治疗提供指导.方法 2014年1月至12月深圳市龙岗中心医院儿科门诊收治呼吸道感染患儿652例.通过咽拭子进行MP培养,统计不同季节、不同年龄段、不同性别间MP感染情况及不同抗生素间耐药率.结果 在对652例呼吸道感染患儿进行咽拭子标本培养中,MP培养结果阳性200例,总阳性率为30.67%.不同季节MP分离培养阳性率存在差异,冬季时MP分离培养阳性率最低(15.00%),显著低于其他季节(P<0.05),秋季最高,为38.50%.男性患儿MP感染阳性率为30.02%(124/413),略低于女性患儿,31.80%(76/239),差异无统计学意义(P>0.05).不同年龄组MP感染阳性率比较差异有统计学意义(P<0.05).0~1岁患儿MP感染阳性率显著高于>6~14岁患儿,差异有统计学意义(P<0.008 3).其余各时间段两两比较差异无统计学意义(P>0.008 3).药敏试验表明不同抗生素耐药率比较差异有统计学意义(P<0.05).红霉素、罗红霉素耐药率均显著高于阿奇霉素,差异有统计学意义(P<0.005).其他抗生素耐药率两两比较差异均无统计学意义(P>0.005).结论 呼吸道感染患儿中MP感染所占比例较高,并且与年龄有关,冬季少发,在临床治疗时需进行MP咽拭子培养和药敏检测以指导临床用药治疗. 【总页数】3页(P172-174) 【作 者】吴俊填;张佳彬;周曙明 【作者单位】518116 广东 深圳,深圳市龙岗中心医院儿科;518116 广东 深圳,深圳市龙岗中心医院儿科;518116 广东 深圳,深圳市龙岗中心医院儿科 【正文语种】中 文 【中图分类】R725.6 【相关文献】 1.德清地区200例儿童肺炎支原体感染流行病学和耐药性分析 [J], 潘根丽;何国华;俞学铭 2.惠州市儿童肺炎支原体感染流行病学及耐药性分析 [J], 林国栋;朱文艳;王芳 3.2011—2018年太原地区儿童肺炎支原体感染流行病学特征分析 [J], 宋玉靖; 赵锐; 董兴红 4.某院儿童肺炎支原体感染的流行病学及病原耐药性调查 [J], 黄育坤 5.基于SAT技术分析浦江镇地区儿童肺炎支原体感染的流行病学特点 [J], 温超超;卢燕鸣 因版权原因，仅展示原文概要，查看原文内容请购买 本文来源：https://www.wddqw.com/doc/f30c4b6ebfd126fff705cc1755270722192e599e.html