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Development of Multiplex Real-Time RT-qPCR Assays for the Detection of SARS-CoV-2, Influenza A/B, and MERS-CoV
Published on: November 10, 2023
Epidemiological analysis of six common respiratory pathogen infections in children in Chengdu from 2022 to 2024
Chunyuan Wang1, Mengjun Luo1, Shuzhe Yang1
1Clinical Laboratory Department, Chengdu Womens and Childrens Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Insights
Human rhinovirus and Mycoplasma pneumoniae were common in children with respiratory infections. Higher infection rates were observed in winter and in older children, emphasizing the need for ongoing surveillance.
Area of Science:
- Pediatric infectious diseases
- Epidemiology
- Microbiology
Background:
- Respiratory tract infections (RTIs) pose a significant health burden in children.
- Understanding the prevalence of common respiratory pathogens is crucial for effective management.
- This study focuses on six key respiratory pathogens in pediatric patients.
Purpose of the Study:
- To describe the epidemiological characteristics of six common respiratory pathogens in hospitalized children.
- To analyze pathogen prevalence, age distribution, sex distribution, seasonality, and clinical manifestations.
- To provide data for informed clinical diagnosis and public health strategies.
Main Methods:
- Retrospective analysis of 64,500 pediatric patients admitted with RTI symptoms (September 2022 - December 2024).
- Multiplex reverse transcription quantitative polymerase chain reaction (RT-qPCR) used for pathogen detection.
- Epidemiological data including age, sex, season, and clinical diagnosis were collected.
Main Results:
- Over 53% of children tested positive for at least one pathogen.
- Human rhinovirus (HRV) was most prevalent (18.67%), followed by Mycoplasma pneumoniae (MP) (14.93%).
- Positive rates increased with age, peaked in winter, and pneumonia was the most common diagnosis.
Conclusions:
- Children remain vulnerable to respiratory pathogens post-epidemic.
- Continuous epidemiological surveillance is vital for early diagnosis and control.
- Findings support evidence-based strategies for prevention and rational drug use.
Background:
This study aimed to describe the epidemiological characteristics of six common respiratory pathogens in children admitted to Chengdu Women's and Children's Central Hospital.
Methods:
A total of children with respiratory tract infection symptoms, including fever, cough, and headache, who were admitted to the hospital from September 2022 to December 2024 were enrolled in this study. Multiplex reverse transcription quantitative polymerase chain reaction (RT-qPCR) was used to detect the six respiratory pathogens and analyze their epidemiological characteristics.
Results:
Among the 64,500 included children, 34,505 (53.50%) tested positive for respiratory pathogens. Human rhinovirus (HRV) had the highest positive rate of 18.67% (12,042/64,500), followed by Mycoplasma pneumoniae (MP) with a positive rate of 14.93% (9,632/64,500). The study population consisted of 36,020 males and 28,480 females, with positive rates of 53.91% (19,417/36,020) and 52.98% (15,088/28,480), respectively. The overall positive rate showed an increasing trend with age: the highest positive rate (63.61%) was found in children aged ≥6 years, while the lowest (37.01%) was observed in infants aged <1 year. Significant seasonal variations were noted in the detection rates of the six pathogens, with the highest rate in winter and the lowest in summer. Pneumonia was the most common clinical manifestation of respiratory infections associated with these pathogens.
Conclusions:
In the post-epidemic era, children remain susceptible to infection by various respiratory pathogens. Therefore, continuous epidemiological analysis and activity surveillance of respiratory pathogens can provide a scientific basis for early clinical diagnosis, promotion of rational drug use, and development of effective prevention and control strategies.
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