Volume 19 Issue 2
Feb.  2021
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WANG Jing, ZHANG Ying. Clinical features, prognosis, and influencing factors of respiratory tract infection in children[J]. Chinese Journal of General Practice, 2021, 19(2): 245-247. doi: 10.16766/j.cnki.issn.1674-4152.001778
Citation: WANG Jing, ZHANG Ying. Clinical features, prognosis, and influencing factors of respiratory tract infection in children[J]. Chinese Journal of General Practice, 2021, 19(2): 245-247. doi: 10.16766/j.cnki.issn.1674-4152.001778
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Clinical features, prognosis, and influencing factors of respiratory tract infection in children

doi: 10.16766/j.cnki.issn.1674-4152.001778

  • Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China

Funds:

 2020KY025

  • Received Date: 2020-10-11
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the clinical characteristics and main pathogenic bacteria of respiratory tract infection in children, to analyse the prognosis and related factors of children with poor prognosis, and to provide clinical basis for good prognosis of children with respiratory tract infection.  Methods  From January 2018 to December 2019, 1 246 children with respiratory tract infection were selected as the subjects of study. The types of respiratory tract infection pathogens were retrospectively analysed, and the prognosis of children with respiratory tract infection was counted. Multivariate logistic regression analysis was used to determine the prognostic factors of children with respiratory tract infection.  Results  Amongst the 1 246 children with respiratory infections, 387 were positive for respiratory viruses, the incidence was 31.1%. Respiratory syncytial virus (RSV) was the highest number of positive cases, with a composition ratio of 62.8% (243/387), followed by Influenza A virus (Flu A), with a composition ratio of 22.5% (87/387). After treatment, 95.2% (1 186/1 246) of the children improved, the prognosis of 4.8% (60/1 246) children was poor. Univariate analysis showed statistically significant differences in the prognosis of children with allergic history, second-hand smoke, no outdoor activities, respiratory tract infections in spring, winter, and under one year of age (P < 0.001). Multivariate logistic analysis results showed that no outdoor activities, spring, winter, and age under 1 years were risk factors for poor prognosis (all P < 0.05).  Conclusion  RSV is the main pathogen of respiratory tract infection in children, and the proportion of children with poor prognosis is high, and mainly in winter and spring. Children under 1 year old are the susceptible population, and they should increase outdoor activities in daily life, ensure a balanced diet, and improve their immune function.

     

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