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Prevalence of Mycoplasma IgM in children with lower respiratory tract illness
Masamune Higashigawa1, Yukako Kawasaki, Noriko Yodoya
1Department of Pediatrics, Yamada Red-Cross Hospital, Takabuku, Ise, Mie, Japan. higashigawa@hotmail.com
Background:
Few data are available for the recent occurrence of Mycoplasma infections in children in Japan. The purpose of the present study was therefore to identify the prevalence of Mycoplasma infections in children in Japan.
Methods:
IgM antibodies to M. pneumoniae were prospectively determined using the Meridian ImmunoCard Mycoplasma test in hospitalized patients with lower respiratory tract infections between January 2004 and June 2007. A total of 858 hospitalized patients aged 0-15 years (445 male, 413 female), diagnosed as having acute pneumonia or bronchitis, were enrolled. The number of patients with pneumonia or bronchitis was 331 (male/female, 167/164) and 527 (male/female/ 278/249), respectively. Two hundred and five of the 858 patients (23.9%) were ImmunoCard positive. Of the 205 patients, 121 children and 84 children were diagnosed as having pneumonia and bronchitis, respectively. One hundred and forty-three of the 727 patients (19.7%) <5 years of age were ImmunoCard test positive.
Conclusions:
M. pneumoniae infection is not rare in children aged <5 years in Japan.
Insights
Mycoplasma pneumoniae infections are common in young children in Japan. This study found nearly 20% of children under five with respiratory infections tested positive for M. pneumoniae.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Limited recent data exists on Mycoplasma infections in Japanese children.
- Understanding the prevalence of Mycoplasma infections is crucial for pediatric respiratory health.
Purpose of the Study:
- To determine the prevalence of Mycoplasma infections in children in Japan.
- To identify recent occurrence of Mycoplasma pneumoniae infections in pediatric patients.
Main Methods:
- Prospective study of hospitalized children (0-15 years) with lower respiratory tract infections from January 2004 to June 2007.
- Used Meridian ImmunoCard Mycoplasma test to detect IgM antibodies to M. pneumoniae.
- Enrolled 858 patients diagnosed with acute pneumonia or bronchitis.
Main Results:
- Overall, 23.9% (205/858) of hospitalized children tested positive for M. pneumoniae IgM antibodies.
- Prevalence was higher in younger children, with 19.7% (143/727) of those under 5 years testing positive.
- M. pneumoniae infections were identified in both pneumonia and bronchitis cases.
Conclusions:
- Mycoplasma pneumoniae infection is a significant cause of respiratory illness in young children in Japan.
- The findings highlight the need for awareness and diagnostic consideration of M. pneumoniae in pediatric respiratory infections.
- M. pneumoniae infection is not rare in children aged <5 years in Japan.
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