发热伴呼吸道症状住院患者病原学及临床分析

Study on etiology and clinical manifestations of adult patients with fever and respiratory symptoms

目的:通过分析发热伴呼吸道症状住院患者病原学及临床特征,研究症状与其的关系。方法:以呼吸科住院的发热伴呼吸道症状患者130例为对象,进行病原学检测及临床分析。结果:130例中,社区获得性肺炎118例,结核性胸膜炎7例,肺结核2例,其他疾病3例。肺炎中细菌感染16例,病毒阳性13例,肺炎支原体阳性6例,病原学阳性率为29.66%。结论:住院发热伴呼吸道症状病种主要是社区获得性肺炎、肺结核、结核性胸膜炎,社区获得性肺炎前3位病原分别为:肺炎支原体、肺炎链球菌、腺病毒,其病毒阳性率高值得我们重视。症状监测对肺结核有一定的意义。

Objective The pathogens of patients with fever and respiratory symptoms were analyzed to illustrate the relationship between the symptoms and the possible pathogens. Methods 130 hospitalized patients with fever and respiratory symptoms from the third affiliated hospital of Sun yet-sen University were enrolled. The clinical data and samples were collected to determine the pathogens. The clinical data were analyzed. Result Among the 130 cases, 118 were community-acquired pneumonia （CAP）, 7 cases tuberculosis pleurisy, 2 cases tuberculosis, 3 other diseases. Among the 118 patients with CAP, 29.66% were pathogen positive. 16 were bacteria, 13 were viruses, 6 cases were infected by mycoplasma pneumoniae. Conclusion Most of the hospitalized patients with fever and respiratory symptoms were diagnosed as community-acquired pneumonia, followed by tuberculosis, tuberculosis pleurisy. The first three most popular pathogens in patients with CAP were Mycoplasma pneumonia, streptococcus pneumoniae and adenovirus. The high positive rate of virus in the study was worthy of more research. The data show syndromic surveillance is useful to detect respiratory communicable disease such as tuberculosis.