2023年浙江省德清县儿童肺炎支原体感染情况及影响因素分析

Investigation of mycoplasma pneumoniae infection and influencing factors in children in 2023 in Deqing area,Zhejiang Province

目的调查儿童肺炎支原体感染情况,并分析影响儿童感染的因素,为科学防控提供参考。方法采用单纯随机抽样方式,抽取2022年12月—2023年12月到浙江省德清县人民医院就诊、采用肺炎支原体核酸检测的3792例呼吸道感染患儿作为调查对象,统计其肺炎支原体感染率。通过面对面调查方式收集患儿基线资料,采用二元logistic回归分析影响患儿发生肺炎支原体感染的因素。结果有1368例患儿发生肺炎支原体感染,感染率为36.08%。年龄较大、冬季发病、父母文化程度较低、家庭月收入较低、未建立儿童健康档案、有流行病接触史、被动吸烟等均为影响患儿发生肺炎支原体感染的因素。结论德清县儿童肺炎支原体感染率偏高,应针对相关影响因素,加大流行病学调查及宣传力度,完善防控策略以降低感染率。

Objective To investigate mycoplasma pneumoniae infections in children and affecting the infection in children,so as to provide reference for scientific prevention and control.Methods A simple random sampling method was used to select 3792 children with respiratory tract infections who visited Deqing County People’s Hospital,Zhejiang Province,and used mycoplasma pneumoniae nucleic acid test from December 2022 to December 2023 were selected as the survey subjects,and the rate of mycoplasma pneumoniae infection was counted.Baseline data of the children were collected by face-to-face survey method,and binary logistic regression was used to analyze the factors affecting the occurrence of mycoplasma pneumoniae infection in the children.Results Mycoplasma pneumoniae infection occurred in 1368 children,with an infection rate of 36.08%.Older age,winter onset,lower parental literacy,lower monthly family income,lack of child health records,history of epidemic exposure,and passive smoking were all factors that influenced the development of mycoplasma pneumoniae infection in children.Conclusion The infection rate of mycoplasma pneumoniae among children in Deqing County is high,and epidemiological investigations and publicity efforts should be strengthened to address the relevant influencing factors,and prevention and control strategies should be improved to reduce the infection rate.