2017—2020年北京市呼吸道感染成年病例病原谱分析

doi:10.12183/j.scjpm.2021.0296

摘要/Abstract

摘要： 目的明确北京市某医院2017—2020年呼吸道感染成年病例病原谱构成,为呼吸道感染疾病防治提供病原学依据。方法对北京市某医院2017年1月至2020年12月呼吸道感染成年病例临床检验资料进行分析,描述性分析病原谱分布特征。结果呼吸道感染患者共8 026例,男性5 200例,女性2 826例,平均（49.12±8.87）岁。共检出9 565株病原体,其中细菌5 167株（54.02%）,真菌1 435株（15.00%）,病毒2 963株（30.98%）。不同年份、样本来源、性别、年龄、季节病原谱分布差异有统计学意义（均P<0.01）。结论北京市某医院呼吸道感染病例病原谱以细菌居多,其次是病毒、真菌,有明显年龄、性别、季节特征,建议根据上述特点采取有效预防措施,降低呼吸道感染风险。

关键词: 呼吸道感染, 病原谱, 革兰阳性菌, 革兰阴性菌, 病毒, 真菌

Abstract: Objective To clarify the pathogenic spectrum of respiratory tract infection in a hospital in Beijing from 2017 to 2020, and to provide pathogenic evidence for the prevention and treatment of respiratory tract infection. Methods The clinical inspection data of adult patients with respiratory tract infection in a hospital in Beijing from January 2017 to December 2020 were analyzed, and the distribution characteristics of pathogenic spectrum were analyzed. Results There were 8 026 patients with respiratory tract infection, including 5 200 males and 2 826 females, with an average age of （49.12±8.87） years.A total of 9 565 pathogens were detected, including 5 167 strains of bacteria （54.02%）, 1 435 strains of fungi （15.00%） and 2 963 strains of virus （30.98%）.There were statistically significant differences in pathogen distribution among different years, sample sources, gender, age and season （all P<0.01）.Conclusion The pathogenic spectrum of respiratory tract infection cases in a hospital in Beijing is mostly bacteria, followed by virus and fungi, with obvious age, gender, and seasonal characteristics. It is suggested to take effective preventive measures according to the above characteristics to reduce the risk of respiratory tract infection.

Key words: Respiratory tract infection, Pathogenic spectrum, Gram-positive bacteria, Gram-negative bacteria, Virus, Fungi

中图分类号:

R195

赵萍, 崔更力, 吴晓雪. 2017—2020年北京市呼吸道感染成年病例病原谱分析[J]. 华南预防医学, 2021, 47(3): 296-300.

ZHAO Ping, CUI Geng-li, WU Xiao-xue. Pathogenic spectrum analysis of adult cases of respiratory tract infection in Beijing,2017-2020[J]. South China Journal of Preventive Medicine, 2021, 47(3): 296-300.

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