Analysis Of Pathogenic Spectrum Of Community Acquired Pneumonia In 2016 Pediatric Areas

Objective: To understand the pathogeny distribution characteristics of communi ty acquired pneumonia in the pediatric ward of our hospital.Methods: Clinical dat-a of 647 children with CAP and hospitalized in Department of pediatric ward of t-he Second Affiliated Hospital of Xinjiang Medical University from janauary 2016 to December 2016 was collected.These data mainly include the results of sputum culture and the results of serum aetiology Ig M antibody test,and then analysis of the results.Results:(1)Among 647 hospitalized children with CAP,456 cases we re positive for etiological tests,and the detection rate was 70.48%.Among them,Klebsiella pneumoniae was the main pathogen,and the main non bacterial pathoge ns were influenza B virus and Mycoplasma pneumoniae.(2)There were 63 sputum positive bacteria,66 strains of bacteria,high detection in spring and w-inter(45 ca-ses),accounting for 68.18% of the total bacteria.(3)My-coplasma pneumonia oc curs in over 5 years old(and over 1-3 years group,P<0.05);Mycoplasma pneum oniae infection in spring and summer than in winter and au-tumn(P<0.05);chlam ydia pneumonia occurred in the age group(>5 compared with less than 1 years o ld),in different seasons the incidence rate difference was not statistically meanin-g;respiratory syncytial virus occurs in less than 1 years old group(over>5 years),i n different seasons of incidence rate difference was not statistically significant;(4)In fluenza B group age distribution in older children,1-3 years old group 3-5 ye-ars old group 5 years old group is greater than that in less than 1 years old group in incidence,influenza B season distribution mainly in autumn(compared with summ er group);more than 2 kinds of pathogeny mixed infection(respiratory tract nine ex amination)in 1-3 years old group 3-5 years old group>5 years old group is great er than those under 1 years old group in incidence(P≤0.001),winter low incidence,than spring summer and autumn,P<0.01;(5)mixed infection,and atypical patho gens accou-nted for a large proportion.Conclusion: CAP occurred in the autumn a nd winter,and mainly concentrated in the infant age;bacterial infections in the wi nter and spring,and mainly concentrated in infant;mycoplasma pneumonia occurs i n children over the age of 5,occurred in spring and summer;chlamydia pneumoni a occurs in more than 5 years old children,respiratory syncytial virus occurred in children below 1 years old B,flow occurred in autumn,concentrated in the infant;pay attention to atypical pathogens,and mixed infection.