Distribution of pathogenic bacteria and indoor environmental risk factors for children with pneumonia in Ankang and surrounding areas from 2019 to 2021
10.3969/j.issn.1006-2483.2022.05.022
- VernacularTitle:2019—2021年安康市儿童肺炎病原菌分布及室内环境危险因素分析
- Author:
Xiao-liu QIN
1
;
Wen-xu RAO
1
;
Feng SUN
1
;
Xiao-lei MA
1
;
Xue ZHANG
1
Author Information
1. Department of Neonatology , Ankang Central Hospital , Ankang , Shaanxi 725000 , China
- Publication Type:Journal Article
- Keywords:
Children;
Pneumonia;
Pathogenic bacteria;
Indoor environment
- From:
Journal of Public Health and Preventive Medicine
2022;33(5):95-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the distribution of pathogenic bacteria and indoor environmental risk factors for children with pneumonia in Ankang and surrounding areas from 2019 to 2021. Methods The case data of infants within 100 days who were treated in the Neonatology Department in Ankang Central Hospital from February 2019 to December 2021 were collected and screened, and 378 infants with pneumonia who met the criteria were included in the study. Children's illness-related condition are reported by their parents. This study investigates and analyzes the pathogenic bacteria of pneumonia in the included patients, and analyzed the risk factors of the indoor environment. Results The pathogenic bacteria of 378 children were 95 (25.13%) Streptococcus pneumoniae, 76 (20.11%) Haemophilus influenzae, 71 (18.78%) Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli. 37 strains (9.79%), 23 strains (6.08%) of Klebsiella pneumoniae, 17 strains (4.50%) of Chlamydia pneumoniae, 11 strains (2.91%) of Legionella, and 11 strains (2.91%) of other strains. The resistance rate of Streptococcus pneumoniae to clindamycin, penicillin and tetracycline was more than 90.0%, and the resistance rate of Staphylococcus aureus to penicillin, clindamycin, erythromycin and ampicillin was more obvious (more than 90.00%). The resistance rate of Haemophilus influenzae to ampicillin, compound sulfaoxazole and cefaclor was above 70.00%. The resistance rate of Escherichia coli to piperacillin, amoxicillin/clavulanate, cefoxitin, ceftazidime, cefepime and cefuroxime sodium was more than 70.00%. The resistance rate of Pseudomonas aeruginosa to ceftazidime and cefoxitin was over 75.00%. Renovation of the main dwelling or acquisition of new furniture between the mother's pregnancy and the child's diagnosis of pneumonia, passive smoking from the mother's pregnancy to the current dwelling, household insects (flies, mosquitoes, or cockroaches), prolonged and persistent dampness (even visible mold) in the dwelling, use of coal for cooking, and prolonged and persistent flowering plants in the dwelling were independent risk factors for the development of pneumonia in children in the indoor environment. Conclusions Streptococcus pneumoniae, Haemophilus influenzae and Staphylococcus aureus are the main pathogens of childhood pneumonia in Ankang and surrounding areas from 2019 to 2021, and the drug resistance of the main pathogens is relatively obvious. Parents should actively improve their children's indoor living environment to reduce the incidence of pneumonia by eliminating insect vectors, reducing interior decoration, purchasing new furniture, moist and moldy environments and flowering plants, avoiding passive smoking and cooking with coal, and reducing pet ownership.
