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新型冠状病毒感染疫情后儿童呼吸系统感染性疾病变化与应对策略
耿 刚,符 州
重庆医科大学附属儿童医院呼吸科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿童感染与免疫罕见病重庆市重点实验室,重庆 400000
摘要:
[摘要] 儿童呼吸系统疾病是儿科发病率最高的疾病之一,其中以感染性疾病为主,常见病原包括多种病毒、细菌以及肺炎支原体等非典型病原。明确病原学对于临床治疗具有重要的作用,尤其是急危重症患者。在不同季节,不同年龄段儿童常见的呼吸道感染病原存在一定差异,这也是儿童有别于成人的特点。但是,自2019年底以来,随着新型冠状病毒感染疫情的暴发,儿童呼吸系统疾病谱发生了变化,给儿童呼吸专科医师带来了新的挑战,也给基层儿科医师的临床诊疗工作增加了难度。这就需要明确新型冠状病毒感染疫情后儿童呼吸道感染常见疾病谱及病原学的变化,以更好地指导临床工作。
关键词:  新型冠状病毒  儿童  呼吸道感染  病原
DOI:10.3969/j.issn.1674-3806.2024.11.01
分类号:
基金项目:
Changes and coping strategies of infectious diseases of respiratory system in children after the outbreak of corona virus disease 2019 pandemic
GENG Gang, FU Zhou
Department of Respiratory Medicine, Children′s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Rare Diseases in Infection and Immunity, Chongqing 400000, China
Abstract:
[Abstract] Children′s respiratory system disease is one of the diseases with the highest incidence rate in pediatric department, and most of them are infectious diseases. The common pathogens include a variety of viruses, bacteria and atypical pathogens such as Mycoplasma pneumoniae. Clear etiology plays a vital role in clinical treatment, especially for acute, critical and severe patients. Children of different age groups have certain differences in common respiratory infection pathogens in different seasons, which is also a characteristic that distinguishes children from adults. However, since the end of 2019, with the outbreak of corona virus disease 2019 pandemic, the disease spectrum of children′s respiratory diseases has changed during the outbreak, which has brought new challenges to pediatric respiratory specialists, and increased the difficulty of clinical diagnosis and treatment for primary pediatricians. Therefore, it is necessary to clarify the common disease spectrum and the changes in pathogens of respiratory tract infection in children after the outbreak of corona virus disease 2019 pandemic to better guide clinical work.
Key words:  Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)  Children  Respiratory tract infection  Pathogen