Risk factors for plastic bronchitis and pidemiological investigation of patients with mycoplasma pneumoniae pneumonia in 2020 - 2023
10.3969/j.issn.1006-2483.2025.05.017
- VernacularTitle:2020—2023年肺炎支原体肺炎患者流行病学调查及塑型性支气管炎危险因素分析
- Author:
Tong CHENG
1
;
Ran FU
1
;
Yufeng WAN
1
;
Yulong ZHENG
1
Author Information
1. Department of Respiratory and Critical Care Medicine , Huaian Hospital , Xuzhou Medical University , Huaian , Jiangsu 223001, China
- Publication Type:Journal Article
- Keywords:
Mycoplasma pneumoniae pneumonia;
Epidemiology;
Plastic bronchitis
- From:
Journal of Public Health and Preventive Medicine
2025;36(5):76-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and analyze epidemiological characteristics of patients with mycoplasma pneumoniae pneumonia (MPP) from 2020 to 2023, and the risk factors for plastic bronchitis (PB), To provide data support for developing preventive measures. Methods The medical records of 2 257 patients with respiratory tract infection treated at Huai'an Hospital Affiliated to Xuzhou Medical University from 2020 to 2023 were collected. Count the number of MPP patients and analyze the MP detection rate. Multivariate logistic regression analysis and ROC curve was used to screen the risk factors for PB. Results A total of 858 cases were positive for MP antibodies, and the detection rate was 38.02%. There are statistically significant differences in MP detection rates among different genders, age groups, and years (P<0.05). Among the 286 patients diagnosed with MPP and undergoing bronchoscopy, 68 (23.78%) patients had PB. According to univariate and multivariate logistic regression analysis, small age, higher N%, D-D, LDH and AST levels were independent risk factors for PB (P<0.05). ROC curve analysis shows that age and combined detection are the most effective indicators for PB prediction, with areas under the curve of 0.998 and 0.961, respectively. Conclusion MP is the main pathogen of respiratory tract infections in the area from 2020 to 2023. Women and children are more susceptible to MP infection. Small age, high N%, DD, LDH and AST levels are independent risk factors for PB in patients with MPP. Targeted preventive measures should be taken for MP susceptible population, and close attention should be paid to PB related risk factors to prevent disease progression and the occurrence of PB.
