A role of Streptococcus pneumoniae, Мycoplasma рneumoniae and Сhlamydia pneumoniae in community-acquired pneumonia in children
https://doi.org/10.18093/0869-0189-2005-0-3-43-47
Abstract
This work investigated etiology of communityacquired pneumonia in children at SanktPetersburg from 1998 to 2001 using microbiological and immunological methods. S.pneumoniae was found to be a cause of pneumonia in 74.5 % of the patients and it was the leading pathogen out of proportion with the children's age. C. pneumoniae was detected in 67.3 % of the patients, prevalently in children 1 to 7 years old. The acute Мycoplasma рneumoniae respiratory infection was diagnosed in 40.4 % of the children. Non typing strains of H. influenzae were yielded in 10.2 % of the patients. Most patients had microbial associations that demonstrates multiple etiology of the current community-acquired pneumonia in children. Epidemiological rise in spread of acute respiratory C. pneumoniae infection was noted during last 4 years at Sankt-Petersburg which was thought to be a cause of a sharp increase in frequency of childhood community-acquired pneumonia.
About the Authors
L. A. VishnyakovaRussian Federation
M. A. Nikitina
Russian Federation
S. I. Petrova
Russian Federation
A. V. Papayan
Russian Federation
S. P. Vydumkina
Russian Federation
T. V. Smolianinova
Russian Federation
References
1. Вишнякова Л.А. Микробиологические методы исследования. В кн.: Болезни органов дыхания. М.; 1989. т. 1: 364–374.
2. Вишнякова Л.А., Сологуб Т.С., Акимова С.Л. Антипневмококковый иммунитет внебольничной острой пневмонии у детей. Журн. микробиол. 1998; 5: 50–54.
3. Никитина М.А., Папаян А.В., Вишнякова Л.А. и др. Этиология внебольничной пневмонии у детей Санкт-Петербурга. В кн.: Тезисы IV Международной конф. МАКМАХ "Антимикробная терапия". М.; 2001. 29.
4. Тартаковский И.С. Современные подходы к диагностике атипичных пневмоний. Клин. микробиол. и антимикроб. химиотер. 2000; 2 (1): 60–68.
5. Бартлетт Дж. Инфекции дыхательных путей. М.: Бином; 2000. 192.
6. Verkooyen R.P., Willemse D., Hiep1van Casteren S.C. et al. Evaluation of PCR, culture, and serology for diagnosis Clamidia pneumoniae respiratory infection. J. Clin. Microbiol. 1998; 36 (8): 2301–2307.
7. Позняк А.Л., Нуралова И.В., Михайлов Н.В. и др. Особенности лабораторной диагностики хламидийной и хламидофильной инфекций, протекающих с системными проявлениями. В кн: Новое в диагностике и терапии хламидийной инфекции, протекающей с системными проявлениями. СПб.; 2001. 3–9.
8. Heiskanen–Kosma T., Korppi M., Jokinen C. et al. Etiology of childhood pneumonia: serologic results of a prospective, population-based study. Pediatr. Infect. Dis. J. 1998; 17 (11): 986–991.
9. Cong C.Y., Lim W.H., Heng J.T., Chay O.M. The changing trend in the pattern of infective etiologies in childhood acute lower respiratory tract infection. Acta Pediatr. J. 1997; 39 (3): 317–321.
10. Requejo H.I., Guerra M.L., Dos Santos M., Cocozza A.M. Immunodiagnoses of community-acquired pneumonia in childhood. J. Trop. Pediat. 1997; 43 (4): 208–212.
11. Takala A.K., Neuman O., Kleemola M. et al. Preceding respiratory infection predisposing for primary and secondary invasive Haemophilus influenzae type b disease. Pediatr. Infect. Dis. J. 1993; 12 (3): 189–195.
12. Peltola H. Spectrum and burden of severe Haemophilus influenzae type B diseases in Asia. Bull. Wld Hlth Org. 1999; 77 (11): 878–887.
13. Grayston J.T. Chlamidia pneumoniae (TWAR) infections in children. Pediatr. Infect. Dis. J. 1994; 13 (8): 675–785.
14. Darville T. Chlamydia. Pediatr. Rev. 1998; 19 (3): 85–91.
15. Heiskanen1Kosma T., Korppi M., Laurila A. et al. Chlamydia pneumoniae is an important cause of community-acquired pneumonia in school-aged children: serological results of a prospective, population-based study. Scand. J. Infect. Dis. 1999; 1 (3): 255–259.
16. Numazaki K., Ikebe T., Chiba S. Detection of serum antibodies against Chlamydia.pneumoniae by ELISA. FEMS Immunol. Med. Microbiol. 1996; 14: 179–183.
17. Kauppinen M.T., Herva E., Kujala P. et al. The etiology of community-acquired pneumonia among hospitalized patients during a Clamidia pneumoniae epidemic in Finland. J. Infect. Dis. 1995; 172: 1330–1335.
18. Falk G., Gnarpe J., Gnarpe H. Prevalence of Chlamydia pneumoniae in healthy children and in children with respiratory tract infections. Pediatr. Infect. Dis. J. 1997; 16 (6): 549–554.
19. Kauppinen M.T., Saikku P., Kujala P. et al. Clinical picture of CA C. pneumoniae pneumonia requiring hospital treatment: a comparison between chlamidial and pneumococcal pneumonia. Thorax 1996; 51: 185–189.
Review
For citations:
Vishnyakova L.A., Nikitina M.A., Petrova S.I., Papayan A.V., Vydumkina S.P., Smolianinova T.V. A role of Streptococcus pneumoniae, Мycoplasma рneumoniae and Сhlamydia pneumoniae in community-acquired pneumonia in children. PULMONOLOGIYA. 2005;(3):43-47. (In Russ.) https://doi.org/10.18093/0869-0189-2005-0-3-43-47