Prevalence of six respiratory pathogens among children in Chengdu, China: a multiplex PCR-based detection study

Chenggui Liu1,2, Jiuda Li1, Yao Deng2

  • 1Department of Performance Appraisal Management, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Insights

Rhinovirus (RV), Adenovirus (ADV), and Mycoplasma pneumoniae (MP) were the most common pathogens causing respiratory infections in children. Prevalence varied significantly by age, season, and clinical diagnosis, informing targeted prevention strategies.

Area of Science:

  • Pediatric Infectious Diseases
  • Respiratory Virology
  • Microbiology

Background:

  • Respiratory tract infections (RTIs) are common in children, caused by various pathogens with differing prevalence.
  • Understanding pathogen distribution is crucial for effective public health interventions.

Purpose of the Study:

  • To investigate the prevalence of Influenza A (Flu A), Influenza B (Flu B), respiratory syncytial virus (RSV), Adenovirus (ADV), Rhinovirus (RV), and Mycoplasma pneumoniae (MP) in children.
  • To analyze variations in pathogen prevalence across different demographic and clinical groups in Chengdu.

Main Methods:

  • A retrospective cross-sectional study involving 39,190 children.
  • Respiratory specimens were analyzed using multiplex PCR for six key respiratory pathogens.

Main Results:

  • The overall prevalence of single, double, and triple infections was 48.19%, 7.09%, and 0.25%, respectively.
  • Rhinovirus (21.43%), Adenovirus (16.69%), and Mycoplasma pneumoniae (11.73%) were the most prevalent pathogens.
  • Pathogen prevalence significantly differed across age groups, seasons, and clinical diagnoses (p < 0.001).

Conclusions:

  • Over half of the children studied had at least one of the six pathogens, with RV, ADV, and MP being predominant.
  • Co-infections, particularly double infections, were observed.
  • Findings highlight the need for age, season, and diagnosis-specific prevention and control strategies for pediatric RTIs.
Abstract

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