Article(id=1324077912021926905, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077716676424398, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202510262, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1760371200000, receivedDateStr=2025-10-14, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793614374404, onlineDateStr=2026-11-02, pubDate=1773072000000, pubDateStr=2026-03-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793614374404, onlineIssueDateStr=2026-11-02, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793614374404, creator=13701087609, updateTime=1793614374404, updator=13701087609, issue=Issue{id=1324077716676424398, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='5', pageStart='769', pageEnd='960', issueExtLink='null', onlineDate='null', pubDate='1773072000000', pubDateStr='2026-03-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793614327830, creator='13701087609', updateTime=1793614418028, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1324078095132655884, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077716676424398, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1324078095132655885, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1324077716676424398, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=941, endPage=946, ext={EN=ArticleExt(id=1324077913888392186, articleId=1324077912021926905, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Multi-pathogen surveillance results among 7 244 cases of acute respiratory infection in Qinghai Province, columnId=1228016573156360233, journalTitle=Modern Preventive Medicine, columnName=Disease Control and Prevention, runingTitle=null, highlight=null, articleAbstract=
Objective

To investigate the detection of 22 respiratory pathogens among 7 244 acute respiratory infection (ARI)cases in Qinghai Province during 2024—2025, characterize their epidemiological patterns, and provide evidence for local prevention and control.

Methods

From February 2024 to August 2025, 7 244 ARI specimens were collected from six sentinel hospitals in five prefectures of Qinghai. Multiplex real-time PCR was used to detect 22 respiratory pathogens, and statistical analyses were performed using SPSS 28.0.

Results

The overall positive rate for the 22 pathogens was 52.32%. The five most frequently detected pathogens were Haemophilus influenzae (33.02%), Streptococcus pneumoniae (26.99%), influenza A virus(10.48%), rhinovirus (9.40%), and SARS-CoV-2 (7.10%). Among 3 790 positive specimens, 60.82% were single infections and 39.18 % were mixed infections. The positive rate in influenza-like illness (ILI) cases (55.73%) was higher than in severe acute respiratory infection (SARI) cases (45.94%), and both the single infection rate (χ2=12.231, P<0.001) and the multiple infection rate (χ2=33.674, P<0.001) differed significantly between ILI and SARI cases. Pathogen detection rates varied across six age groups among ARI cases, peaking in children aged 4-7 years (68.06%) and lowest in adults ≥60 years (39.34%).

Conclusion

ARI in Qinghai Province shows a clear winter-spring peak. Haemophilus influenzae, Streptococcus pneumoniae, influenza A virus, rhinovirus, and SARS-CoV-2 are the predominant pathogens, and mixed infections are common. Detection rates of the 22 pathogens vary by age, season, and region. Therefore, targeted prevention and control measures should be implemented for key populations in different seasons.

, authors=Chao-cai WANG1, Yan LIU2, Li-li XU1, Shi-hua CHAO1, Yu-fen HU1, authorsList=Chao-cai WANG, Yan LIU, Li-li XU, Shi-hua CHAO, Yu-fen HU, authorCompany=null, correspAuthors=Li-li XU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1324077916274951163, articleId=1324077912021926905, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=青海省7 244例急性呼吸道感染病例的呼吸道多病原监测结果分析, columnId=1228016573844226129, journalTitle=现代预防医学, columnName=疾病预防控制, runingTitle=null, highlight=null, articleAbstract=
目的

统计2024—2025年青海省7 244例急性呼吸道感染(acute respiratory infection,ARI)病例22种呼吸道病原体检出情况,分析呼吸道感染病原体流行特征,为我省呼吸道传染病防控提供科学依据。

方法

采用多重real-time 聚合酶链式反应方法,对2024年2月— 2025年8月在青海省5个市(州)的6家呼吸道多病原监测哨点医院采集的7 244份 ARI 病例标本进行22种呼吸道病原体的检测,检测结果采用SPSS 28.0软件进行统计分析。

结果

22种病原体核酸检测总阳性率为52.32%。阳性率排名前五位的分别是流感嗜血杆菌(33.02%)、肺炎链球菌(26.99%)、甲型流感(10.48%)、鼻病毒(9.40%)和新型冠状病毒(7.10%)。3 790份阳性标本中,单一感染占60.82%,混合感染占39.18%。流感样病例(influenza-like illness,ILI)病原体阳性率为55.73%,高于重症急性呼吸道感染(severe acute respiratory infection,SARI)病例的45.94%,ILI和SARI病例病原体单一感染(χ2=12.231,P<0.001)和多重感染率差异有统计学意义(χ2= 33.674,P<0.001)。ARI病例6个年龄组感染22种病原体的感染率不同,4~7岁病例阳性率最高,为68.06%,60岁及以上病例最低,为39.34%。

结论

青海省呼吸道感染冬春季节高发,流感嗜血杆菌、肺炎链球菌、甲型流感、鼻病毒和新型冠状病毒为呼吸道感染的主要病原体,混合感染普遍存在。22种病原体检出率与年龄、季节、地区有关,需在不同季节,针对重点人群开展防控措施。

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王朝才 (1980—),男,硕士,副主任医师,研究方向:传染病防控工作

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徐莉立,E-mail:
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(In Chinese), articleTitle=Consideration on implementation of co-administration of Seasonal Influenza and COVID-19 vaccines during pandemic in China, refAbstract=null)], funds=[Fund(id=1324077925196234795, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, awardId=〔2025〕10号, language=CN, fundingSource=青海省昆仑英才·高层次卫生健康人才项目(〔2025〕10号), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1324077916547580924, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, xref=1., ext=[AuthorCompanyExt(id=1324077916560163837, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, companyId=1324077916547580924, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Qinghai Provincial Center for Disease Control and Prevention, Xining, Qinghai 810000, China), AuthorCompanyExt(id=1324077916568552446, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, companyId=1324077916547580924, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1.青海省疾病预防控制中心,青海 西宁 810000)]), AuthorCompany(id=1324077918263051263, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, xref=2., ext=[AuthorCompanyExt(id=1324077918271439872, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, companyId=1324077918263051263, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2.青海大学)])], figs=[ArticleFig(id=1324077924445454371, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=EN, label=Table 1, caption=

Basic characteristics of 7 244 ARI cases in Qinghai Province

, figureFileSmall=null, figureFileBig=null, tableContent=
分类病例数构成比(%)
地区西宁市2 63136.33
海东市1 13415.65
海南州1 17016.15
海西州1 18316.33
玉树州1 12615.54
年龄(岁)0~<41 70823.58
4~<786511.94
7~<126989.64
12~<183995.51
18~<602 24831.03
≥601 32618.30
性别男3 72451.41
女3 52048.59
病例类别门急诊4 71765.12
住院2 52734.88
), ArticleFig(id=1324077924529340452, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=CN, label=表1, caption=

青海省7 244例ARI病例基本信息

, figureFileSmall=null, figureFileBig=null, tableContent=
分类病例数构成比(%)
地区西宁市2 63136.33
海东市1 13415.65
海南州1 17016.15
海西州1 18316.33
玉树州1 12615.54
年龄(岁)0~<41 70823.58
4~<786511.94
7~<126989.64
12~<183995.51
18~<602 24831.03
≥601 32618.30
性别男3 72451.41
女3 52048.59
病例类别门急诊4 71765.12
住院2 52734.88
), ArticleFig(id=1324077924609032229, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=EN, label=Table 2, caption=

Detection of 22 pathogens in specimens from 7 244 ARI cases in Qinghai Province [n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
病原体单一感染双重感染三重感染四重感染≥五重感染合计
新型冠状病毒366(5.05)105(1.45)35(0.48)4(0.06)4(0.06)514(7.10)
甲型流感533(7.36)165(2.28)52(0.72)8(0.11)1(0.01)759(10.48)
乙型流感10(0.14)2(0.03)0(0.00)0(0.00)0(0.00)12(0.17)
呼吸道合胞病毒146(2.02)52(0.72)23(0.32)5(0.07)1(0.01)227(3.13)
腺病毒228(3.15)73(1.01)32(0.44)14(0.19)7(0.10)354(4.89)
人偏肺病毒146(2.02)43(0.59)28(0.39)8(0.11)2(0.03)227(3.13)
副流感病毒82(1.13)34(0.47)14(0.19)4(0.06)2(0.03)136(1.88)
普通冠状病毒65(0.90)23(0.32)11(0.15)4(0.06)2(0.03)105(1.45)
博卡病毒27(0.37)10(0.14)9(0.12)3(0.04)1(0.01)50(0.69)
鼻病毒403(5.56)144(1.99)92(1.27)28(0.39)14(0.19)681(9.40)
肠道病毒173(2.39)62(0.86)42(0.58)14(0.19)8(0.11)299(4.13)
肺炎支原体277(3.82)87(1.20)46(0.64)15(0.21)7(0.10)432(5.96)
A族链球菌205(2.83)69(0.95)32(0.44)20(0.28)8(0.11)334(4.61)
百日咳鲍特菌96(1.33)35(0.48)27(0.37)5(0.07)8(0.11)171(2.36)
肺炎链球菌1 182(16.32)471(6.50)225(3.11)55(0.76)22(0.30)1 955(26.99)
流感嗜血杆菌1 460(20.15)605(8.35)248(3.42)59(0.81)20(0.28)2 392(33.02)
军团菌36(0.50)12(0.17)7(0.10)6(0.08)2(0.03)63(0.87)
肺炎克雷伯菌214(2.95)65(0.90)40(0.55)17(0.23)7(0.10)343(4.73)
曲霉菌81(1.12)22(0.30)17(0.23)9(0.12)2(0.03)131(1.81)
隐球菌8(0.11)1(0.01)2(0.03)0(0.00)3(0.04)14(0.19)
鹦鹉热衣原体10(0.14)1(0.01)1(0.01)2(0.03)2(0.03)16(0.22)
肺炎衣原体83(1.15)33(0.46)19(0.26)4(0.06)3(0.04)142(1.96)
合计2 305(31.82)1 057(14.59)334(4.61)71(0.98)23(0.32)3 790(52.32)
), ArticleFig(id=1324077924701306918, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=CN, label=表2, caption=

青海省7 244例 ARI病例标本中22种病原体检出情况[n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
病原体单一感染双重感染三重感染四重感染≥五重感染合计
新型冠状病毒366(5.05)105(1.45)35(0.48)4(0.06)4(0.06)514(7.10)
甲型流感533(7.36)165(2.28)52(0.72)8(0.11)1(0.01)759(10.48)
乙型流感10(0.14)2(0.03)0(0.00)0(0.00)0(0.00)12(0.17)
呼吸道合胞病毒146(2.02)52(0.72)23(0.32)5(0.07)1(0.01)227(3.13)
腺病毒228(3.15)73(1.01)32(0.44)14(0.19)7(0.10)354(4.89)
人偏肺病毒146(2.02)43(0.59)28(0.39)8(0.11)2(0.03)227(3.13)
副流感病毒82(1.13)34(0.47)14(0.19)4(0.06)2(0.03)136(1.88)
普通冠状病毒65(0.90)23(0.32)11(0.15)4(0.06)2(0.03)105(1.45)
博卡病毒27(0.37)10(0.14)9(0.12)3(0.04)1(0.01)50(0.69)
鼻病毒403(5.56)144(1.99)92(1.27)28(0.39)14(0.19)681(9.40)
肠道病毒173(2.39)62(0.86)42(0.58)14(0.19)8(0.11)299(4.13)
肺炎支原体277(3.82)87(1.20)46(0.64)15(0.21)7(0.10)432(5.96)
A族链球菌205(2.83)69(0.95)32(0.44)20(0.28)8(0.11)334(4.61)
百日咳鲍特菌96(1.33)35(0.48)27(0.37)5(0.07)8(0.11)171(2.36)
肺炎链球菌1 182(16.32)471(6.50)225(3.11)55(0.76)22(0.30)1 955(26.99)
流感嗜血杆菌1 460(20.15)605(8.35)248(3.42)59(0.81)20(0.28)2 392(33.02)
军团菌36(0.50)12(0.17)7(0.10)6(0.08)2(0.03)63(0.87)
肺炎克雷伯菌214(2.95)65(0.90)40(0.55)17(0.23)7(0.10)343(4.73)
曲霉菌81(1.12)22(0.30)17(0.23)9(0.12)2(0.03)131(1.81)
隐球菌8(0.11)1(0.01)2(0.03)0(0.00)3(0.04)14(0.19)
鹦鹉热衣原体10(0.14)1(0.01)1(0.01)2(0.03)2(0.03)16(0.22)
肺炎衣原体83(1.15)33(0.46)19(0.26)4(0.06)3(0.04)142(1.96)
合计2 305(31.82)1 057(14.59)334(4.61)71(0.98)23(0.32)3 790(52.32)
), ArticleFig(id=1324077924814553127, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=EN, label=Table 3, caption=

Comparison of pathogen detection between ILI and SARI cases [n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
呼吸道病原体总病例数(n=7244)ILI(n=4717)SARI(n=2527)χ2 值P 值
单一感染2 3051 567(33.22)738(29.20)12.231<0.001
多重感染1 4851 062(22.51)423(16.74)33.674<0.001
新型冠状病毒366267(5.66)99(3.92)10.417<0.001
甲型流感533408(8.65)125(4.95)33.101<0.001
乙型流感108(0.17)2(0.08)0.4310.512
呼吸道合胞病毒146101(2.14)45(1.78)1.0820.298
腺病毒228177(3.75)51(2.02)16.234<0.001
人偏肺病毒146103(2.18)43(1.70)1.9360.164
副流感病毒8250(1.06)32(1.27)0.6260.429
普通冠状病毒6545(0.95)20(0.79)0.4890.484
博卡病毒2717(0.36)10(0.40)0.0550.814
鼻病毒403295(6.25)108(4.27)12.280<0.001
肠道病毒173137(2.90)36(1.42)15.457<0.001
肺炎支原体277151(3.20)126(4.99)14.255<0.001
A族链球菌205144(3.05)61(2.41)2.4420.118
百日咳鲍特菌9667(1.42)29(1.15)0.9360.333
肺炎链球菌1 182837(17.74)345(13.65)20.176<0.001
流感嗜血杆菌1 4601 020(21.62)440(17.41)552.790<0.001
军团菌3616(0.34)20(0.79)6.8060.009
肺炎克雷伯菌214134(2.84)80(3.17)0.6060.436
曲霉菌8153(1.12)28(1.11)0.0040.952
隐球菌86(0.13)2(0.08)0.3440.557
鹦鹉热衣原体107(0.15)3(0.12)0.0001.000
肺炎衣原体8350(1.06)33(1.31)0.8780.349
合计3 7902 629(55.73)1 161(45.94)63.230<0.001
), ArticleFig(id=1324077924890050600, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=CN, label=表3, caption=

ILI和SARI病例病原体检出情况比较[n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
呼吸道病原体总病例数(n=7244)ILI(n=4717)SARI(n=2527)χ2 值P 值
单一感染2 3051 567(33.22)738(29.20)12.231<0.001
多重感染1 4851 062(22.51)423(16.74)33.674<0.001
新型冠状病毒366267(5.66)99(3.92)10.417<0.001
甲型流感533408(8.65)125(4.95)33.101<0.001
乙型流感108(0.17)2(0.08)0.4310.512
呼吸道合胞病毒146101(2.14)45(1.78)1.0820.298
腺病毒228177(3.75)51(2.02)16.234<0.001
人偏肺病毒146103(2.18)43(1.70)1.9360.164
副流感病毒8250(1.06)32(1.27)0.6260.429
普通冠状病毒6545(0.95)20(0.79)0.4890.484
博卡病毒2717(0.36)10(0.40)0.0550.814
鼻病毒403295(6.25)108(4.27)12.280<0.001
肠道病毒173137(2.90)36(1.42)15.457<0.001
肺炎支原体277151(3.20)126(4.99)14.255<0.001
A族链球菌205144(3.05)61(2.41)2.4420.118
百日咳鲍特菌9667(1.42)29(1.15)0.9360.333
肺炎链球菌1 182837(17.74)345(13.65)20.176<0.001
流感嗜血杆菌1 4601 020(21.62)440(17.41)552.790<0.001
军团菌3616(0.34)20(0.79)6.8060.009
肺炎克雷伯菌214134(2.84)80(3.17)0.6060.436
曲霉菌8153(1.12)28(1.11)0.0040.952
隐球菌86(0.13)2(0.08)0.3440.557
鹦鹉热衣原体107(0.15)3(0.12)0.0001.000
肺炎衣原体8350(1.06)33(1.31)0.8780.349
合计3 7902 629(55.73)1 161(45.94)63.230<0.001
), ArticleFig(id=1324077924965548073, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=EN, label=Table 4, caption=

Age distribution of pathogens among 7 244 ARI cases in Qinghai Province [n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
病原体年龄组χ2 值P值
0~<4岁
(n=1 714)
4~<7岁
(n=864)
7~<12岁
(n=697)
12~<18岁
(n=398)
18~<60岁
(n=2 244)
≥60岁
(n=1 327)
新型冠状病毒126(7.35)33(3.82)a36(5.16)16(4.02)112(4.99)a43(3.24)a31.622<0.001
甲型流感138(8.35)82(9.49)51(7.32)36(9.05)143(6.37)b83(6.25)14.0320.015
乙型流感6(0.35)2(0.23)2(0.29)0(0.00)0(0.00)0(0.00)—0.009*
呼吸道合胞病毒76(4.43)30(3.47)7(1.00)ab4(1.01)a14(0.62)ab15(1.13)ab92.989<0.001
腺病毒76(4.43)59(6.83)57(8.18)a13(3.27)c16(0.71)abcd7(0.53)abcd196.841<0.001
人偏肺病毒41(2.39)31(3.59)15(2.15)2(0.50)b32(1.43)b25(1.88)20.4210.001
副流感病毒32(1.87)24(2.78)3(0.43)b1(0.25)b11(0.49)ab11(0.83)b41.273<0.001
普通冠状病毒27(1.58)12(1.39)3(0.43)1(0.25)14(0.62)a8(0.60)17.9640.003
博卡病毒15(0.88)6(0.69)2(0.29)1(0.25)2(0.09)a1(0.08)a—<0.001*
鼻病毒140(8.17)86(9.95)54(7.75)40(10.05)56(2.50)abcd27(2.03)abcd147.062<0.001
肠道病毒55(3.21)48(5.56)19(2.73)7(1.76)b35(1.56)ab9(0.68)abc66.404<0.001
肺炎支原体49(2.86)49(5.67)a72(10.33)ab25(6.28)a49(2.18)bcd33(2.49)bcd121.987<0.001
A族链球菌19(1.11)36(4.17)a50(7.17)a17(4.27)a63(2.81)ac19(1.43)bcd87.564<0.001
百日咳鲍特菌24(1.40)9(1.04)15(2.15)11(2.76)31(1.38)5(0.38)cd21.1050.001
肺炎链球菌351(20.48)169(19.56)111(15.93)67(16.83)335(14.93)ab148(11.15)abcde57.586<0.001
流感嗜血杆菌376(21.94)257(29.75)204(29.27)114(28.64)337(15.02)172(12.96)186.024<0.001
军团菌17(0.99)4(0.46)4(0.57)2(0.50)4(0.18)a4(0.30)—0.009*
肺炎克雷伯菌30(1.75)16(1.85)10(1.43)12(3.02)80(3.57)a65(4.90)abc37.350<0.001
曲霉菌16(0.93)7(0.81)4(0.57)7(1.76)33(1.47)13(0.98)6.5110.260
隐球菌0(0.00)0(0.00)0(0.00)1(0.25)4(0.18)2(0.15)—0.255*
鹦鹉热衣原体0(0.00)2(0.23)1(0.14)1(0.25)2(0.09)3(0.23)—0.123*
肺炎衣原体13(0.76)8(0.93)14(2.01)19(4.77)ab25(1.11)d4(0.30)cd61.846<0.001
合计996(58.11)588(68.06)a462(66.28)a247(62.06)974(43.40)abcd522(39.34)abcd339.562<0.001
), ArticleFig(id=1324077925049434154, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1324077912021926905, language=CN, label=表4, caption=

青海省7 244例ARI病例不同病原体年龄分布[n(%)]

, figureFileSmall=null, figureFileBig=null, tableContent=
病原体年龄组χ2 值P值
0~<4岁
(n=1 714)
4~<7岁
(n=864)
7~<12岁
(n=697)
12~<18岁
(n=398)
18~<60岁
(n=2 244)
≥60岁
(n=1 327)
新型冠状病毒126(7.35)33(3.82)a36(5.16)16(4.02)112(4.99)a43(3.24)a31.622<0.001
甲型流感138(8.35)82(9.49)51(7.32)36(9.05)143(6.37)b83(6.25)14.0320.015
乙型流感6(0.35)2(0.23)2(0.29)0(0.00)0(0.00)0(0.00)—0.009*
呼吸道合胞病毒76(4.43)30(3.47)7(1.00)ab4(1.01)a14(0.62)ab15(1.13)ab92.989<0.001
腺病毒76(4.43)59(6.83)57(8.18)a13(3.27)c16(0.71)abcd7(0.53)abcd196.841<0.001
人偏肺病毒41(2.39)31(3.59)15(2.15)2(0.50)b32(1.43)b25(1.88)20.4210.001
副流感病毒32(1.87)24(2.78)3(0.43)b1(0.25)b11(0.49)ab11(0.83)b41.273<0.001
普通冠状病毒27(1.58)12(1.39)3(0.43)1(0.25)14(0.62)a8(0.60)17.9640.003
博卡病毒15(0.88)6(0.69)2(0.29)1(0.25)2(0.09)a1(0.08)a—<0.001*
鼻病毒140(8.17)86(9.95)54(7.75)40(10.05)56(2.50)abcd27(2.03)abcd147.062<0.001
肠道病毒55(3.21)48(5.56)19(2.73)7(1.76)b35(1.56)ab9(0.68)abc66.404<0.001
肺炎支原体49(2.86)49(5.67)a72(10.33)ab25(6.28)a49(2.18)bcd33(2.49)bcd121.987<0.001
A族链球菌19(1.11)36(4.17)a50(7.17)a17(4.27)a63(2.81)ac19(1.43)bcd87.564<0.001
百日咳鲍特菌24(1.40)9(1.04)15(2.15)11(2.76)31(1.38)5(0.38)cd21.1050.001
肺炎链球菌351(20.48)169(19.56)111(15.93)67(16.83)335(14.93)ab148(11.15)abcde57.586<0.001
流感嗜血杆菌376(21.94)257(29.75)204(29.27)114(28.64)337(15.02)172(12.96)186.024<0.001
军团菌17(0.99)4(0.46)4(0.57)2(0.50)4(0.18)a4(0.30)—0.009*
肺炎克雷伯菌30(1.75)16(1.85)10(1.43)12(3.02)80(3.57)a65(4.90)abc37.350<0.001
曲霉菌16(0.93)7(0.81)4(0.57)7(1.76)33(1.47)13(0.98)6.5110.260
隐球菌0(0.00)0(0.00)0(0.00)1(0.25)4(0.18)2(0.15)—0.255*
鹦鹉热衣原体0(0.00)2(0.23)1(0.14)1(0.25)2(0.09)3(0.23)—0.123*
肺炎衣原体13(0.76)8(0.93)14(2.01)19(4.77)ab25(1.11)d4(0.30)cd61.846<0.001
合计996(58.11)588(68.06)a462(66.28)a247(62.06)974(43.40)abcd522(39.34)abcd339.562<0.001
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青海省7 244例急性呼吸道感染病例的呼吸道多病原监测结果分析
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王朝才 1 , 刘燕 2 , 徐莉立 1 , 巢世花 1 , 胡玉凤 1
现代预防医学 | 疾病预防控制 2026,53(5): 941-946
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现代预防医学 |疾病预防控制 2026 , 53 (5) : 941 -946
青海省7 244例急性呼吸道感染病例的呼吸道多病原监测结果分析
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王朝才 (1980—),男,硕士,副主任医师,研究方向:传染病防控工作

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王朝才 (1980—),男,硕士,副主任医师,研究方向:传染病防控工作

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王朝才1, 刘燕2, 徐莉立1 , 巢世花1, 胡玉凤1
作者信息
  • 1.青海省疾病预防控制中心,青海 西宁 810000
  • 2.青海大学
通讯作者:
徐莉立,E-mail:
作者简介:

王朝才 (1980—),男,硕士,副主任医师,研究方向:传染病防控工作

Multi-pathogen surveillance results among 7 244 cases of acute respiratory infection in Qinghai Province
Chao-cai WANG1, Yan LIU2, Li-li XU1 , Shi-hua CHAO1, Yu-fen HU1
Affiliations
  • Qinghai Provincial Center for Disease Control and Prevention, Xining, Qinghai 810000, China
出版时间: 2026-03-10 doi: 10.20043/j.cnki.MPM.202510262
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目的

统计2024—2025年青海省7 244例急性呼吸道感染(acute respiratory infection,ARI)病例22种呼吸道病原体检出情况,分析呼吸道感染病原体流行特征,为我省呼吸道传染病防控提供科学依据。

方法

采用多重real-time 聚合酶链式反应方法,对2024年2月— 2025年8月在青海省5个市(州)的6家呼吸道多病原监测哨点医院采集的7 244份 ARI 病例标本进行22种呼吸道病原体的检测,检测结果采用SPSS 28.0软件进行统计分析。

结果

22种病原体核酸检测总阳性率为52.32%。阳性率排名前五位的分别是流感嗜血杆菌(33.02%)、肺炎链球菌(26.99%)、甲型流感(10.48%)、鼻病毒(9.40%)和新型冠状病毒(7.10%)。3 790份阳性标本中,单一感染占60.82%,混合感染占39.18%。流感样病例(influenza-like illness,ILI)病原体阳性率为55.73%,高于重症急性呼吸道感染(severe acute respiratory infection,SARI)病例的45.94%,ILI和SARI病例病原体单一感染(χ2=12.231,P<0.001)和多重感染率差异有统计学意义(χ2= 33.674,P<0.001)。ARI病例6个年龄组感染22种病原体的感染率不同,4~7岁病例阳性率最高,为68.06%,60岁及以上病例最低,为39.34%。

结论

青海省呼吸道感染冬春季节高发,流感嗜血杆菌、肺炎链球菌、甲型流感、鼻病毒和新型冠状病毒为呼吸道感染的主要病原体,混合感染普遍存在。22种病原体检出率与年龄、季节、地区有关,需在不同季节,针对重点人群开展防控措施。

急性呼吸道感染  /  多病原  /  阳性率  /  混合感染  /  流行特征分析
Objective

To investigate the detection of 22 respiratory pathogens among 7 244 acute respiratory infection (ARI)cases in Qinghai Province during 2024—2025, characterize their epidemiological patterns, and provide evidence for local prevention and control.

Methods

From February 2024 to August 2025, 7 244 ARI specimens were collected from six sentinel hospitals in five prefectures of Qinghai. Multiplex real-time PCR was used to detect 22 respiratory pathogens, and statistical analyses were performed using SPSS 28.0.

Results

The overall positive rate for the 22 pathogens was 52.32%. The five most frequently detected pathogens were Haemophilus influenzae (33.02%), Streptococcus pneumoniae (26.99%), influenza A virus(10.48%), rhinovirus (9.40%), and SARS-CoV-2 (7.10%). Among 3 790 positive specimens, 60.82% were single infections and 39.18 % were mixed infections. The positive rate in influenza-like illness (ILI) cases (55.73%) was higher than in severe acute respiratory infection (SARI) cases (45.94%), and both the single infection rate (χ2=12.231, P<0.001) and the multiple infection rate (χ2=33.674, P<0.001) differed significantly between ILI and SARI cases. Pathogen detection rates varied across six age groups among ARI cases, peaking in children aged 4-7 years (68.06%) and lowest in adults ≥60 years (39.34%).

Conclusion

ARI in Qinghai Province shows a clear winter-spring peak. Haemophilus influenzae, Streptococcus pneumoniae, influenza A virus, rhinovirus, and SARS-CoV-2 are the predominant pathogens, and mixed infections are common. Detection rates of the 22 pathogens vary by age, season, and region. Therefore, targeted prevention and control measures should be implemented for key populations in different seasons.

Acute respiratory infection  /  Multi-pathogen  /  Positive rate  /  Mixed infection  /  Epidemiological characteristic analysis
王朝才, 刘燕, 徐莉立, 巢世花, 胡玉凤. 青海省7 244例急性呼吸道感染病例的呼吸道多病原监测结果分析. 现代预防医学, 2026 , 53 (5) : 941 -946 . DOI: 10.20043/j.cnki.MPM.202510262
Chao-cai WANG, Yan LIU, Li-li XU, Shi-hua CHAO, Yu-fen HU. Multi-pathogen surveillance results among 7 244 cases of acute respiratory infection in Qinghai Province[J]. Modern Preventive Medicine, 2026 , 53 (5) : 941 -946 . DOI: 10.20043/j.cnki.MPM.202510262
呼吸道感染具有传染性强、传播速度快、人群普遍易感等特点[1],是全球重要的公共卫生问题之一[2]。随着人口流动日益增多,呼吸道传染病的传播范围越来越广泛。北京市对20种呼吸道病原体开展监测,浙江省宁波市对13种常见呼吸道病原体开展监测,了解当地急性呼吸道感染病例的病原谱特征。本文对青海省2024年2月—2025年8月监测哨点医院急性呼吸道感染(acute respiratory infection, ARI)病例的22种呼吸道病原监测结果进行分析,及时掌握青海省呼吸道传染病的病原体流行特征,为制定呼吸道传染病防控措施提供科学依据。
本次研究采集2024年2月—2025年8月青海省5个地市共6家呼吸道多病原监测哨点医院的流感样病例(influenza-like illness,ILI)标本及重症急性呼吸道感染(severe acute respiratory infection,SARI)标本,标本类型为咽拭子,采集标本后2~8℃低温保存并在48 h内运送至各哨点医院所在的市(州)级实验室。
病例纳入标准:按照《全国急性呼吸道传染病哨点监测方案(试行)》[2024版],(1)门急诊ILI[3]:急性起病,发热(体温≥38℃),伴咳嗽或咽痛之一者;(2)住院SARI病例:急性起病,有发热史(体温≥38℃),伴有咳嗽,且本次发病不超过10 d,入院48 h内。采样医院科室包括感染科、呼吸科、儿科门诊和相关科室住院部。
由青海省疾控中心和5家市(州)级疾控中心实验室进行检测。各实验室在收到标本后3个工作日内对标本进行多重real-time 聚合酶链式反应(polymerase chain reaction,PCR)检测(代表性检测设备:Bio-Rad CFX96/Thermofisher ABI QuantStudio 7荧光定量PCR仪),采用全自动核酸提取仪(磁珠法)提取核酸(代表性提取试剂:天隆核酸提取试剂盒,天隆全自动核酸提取仪GeneRotex96),使用多重呼吸道病原体检测商品化试剂盒(代表性检测试剂:硕世呼吸道23种病原体预混核酸检测试剂盒/卓诚惠生27种呼吸道病原体核酸实时荧光PCR检测试剂盒)检测,包括常规检测和建议检测两大类。
常规检测的病原体有:流感病毒、副流感病毒、新冠病毒、冠状病毒、呼吸道合胞病毒、腺病毒、人偏肺病毒、鼻病毒、肠道病毒和博卡病毒、肺炎支原体、肺炎链球菌、A族链球菌、百日咳鲍特菌和流感嗜血杆菌。建议检测的病原体包括六种:军团菌、肺炎克雷伯菌、曲霉菌、隐球菌、鹦鹉热衣原体、肺炎衣原体、肺孢子菌。
采用SPSS 28.0软件进行统计分析。计数资料以例数(%)表示;偏态分布的计量资料采用中位数[M(P25,P75)]表示;不同地区、来源、季节、年龄组组间病原体检出率差异比较采用χ2检验或Fisher确切概率法,率的两两比较采用了χ2分割,同时校正了检验水准α'=α/n,其中n为两两比较的次数。检验水准α=0.05。
共采集标本7 244份,其中门急诊病例4 717份,住院2 527份;男性3 724份,女性3 520份,性别比为1.06∶1;最小年龄1月,最大年龄97岁,年龄[M(P25,P75)]为11(4,38)岁;采样地区为西宁市2 631份(36.33%)、海东市1 134份(15.65%)、海南州1 170份(16.15%)、海西州1 183份(16.33%)、玉树州1 126份(15.54%);0~3岁组2 573份(23.58%)、4~6岁组865份(11.94%)、7~11岁组698份(9.64%)、12~17岁组399例(5.51%)、18~59岁组2 248份(31.03%)、60岁及以上组1 326份(18.30%)。见表1。
7 244份 ARI 标本中,22种病原体核酸检测阳性3 790份,总阳性率为52.32%(3 790/7 244)。阳性率排名前五位的分别是:流感嗜血杆菌占33.02%(2 392/7 244)、肺炎链球菌占26.99%(1 955/7 244)、甲型流感占10.48%(759/7 244)、鼻病毒占9.40%(681/7 244)、新型冠状病毒占7.10%(514/7 244)。3 790份阳性标本中,单一感染占60.82%(2 305/3 790),混合感染占39.18%(1 485/3 790)。混合感染中二重感染占71.18%(1 057/1 485),三重感染占22.49%(334/1 485),四重感染占4.78%(71/1 485),感染5、6、8种病原体占1.55%(23/1 485)。见表2。
在双重感染病例中,检出率较高的病原体组合为流感嗜血杆菌+肺炎链球菌(22.42%,237/1 057)、肺炎链球菌+甲型流感(4.54%,48/1 057)、甲型流感+呼吸道合胞病毒(0.57%,6/1 057);三重感染病例中,检出率较高的病原体组合为流感嗜血杆菌+肺炎链球菌+甲型流感(8.98%,30/334)和肺炎链球菌+甲型流感+呼吸道合胞病毒/鼻病毒/肺炎支原体(0.60%,2/334)。见表2。
4 717份ILI标本中,阳性2 629份,阳性率为55.73%,检出率前三位:流感嗜血杆菌占21.62%、肺炎链球菌占17.74%、甲型流感占8.65%。2 527份SARI标本中,阳性为1 161份,阳性率为45.94%,检出率前三位:SARI标本中感嗜血杆菌占17.41%、肺炎链球菌占13.65%、甲型流感占4.95%。肺炎支原体、军团菌、肺炎克雷伯菌、肺炎衣原体、副流感病毒和博卡病毒的检出率分别为4.99%、0.79%、3.17%、1.31%、1.27%、0.40%,高于在ILI标本中的检出率(分别为3.20%、0.34%、2.84%、1.06%、1.06%、0.36%),新型冠状病毒、甲型流感、腺病毒、鼻病毒、肠道病毒、肺炎支原体、肺炎链球菌、流感嗜血杆菌、军团菌在ILI标本的阳性检出率均高于SARI标本,差异均具有统计学意义(P<0.05)。见表3。
ARI病例男、女性22种病原体阳性率分别为53.87%、50.68%,不同性别病原体阳性率差异有统计学意义(χ2=7.358,P<0.007),其中SARI病例中男性病原体阳性率高于女性,差异有统计学意义(χ2=8.883,P<0.003)。ARI病例6个年龄组不同,4~7岁病例22种病原体的阳性率最高,为68.06%(588/864),60岁及以上病例最低,为39.34%(522/1 327)。除了曲霉菌、隐球菌和鹦鹉热衣原体外,各年龄病例其他呼吸道病原体阳性检出率差异均有统计学意义(P<0.05)。其中新型冠状病毒、呼吸道合胞病毒、肺炎链球菌、普通冠状病毒在0~<4岁组儿童中感染最高(P<0.003);甲型流感、人偏肺病毒、肠道病毒、流感嗜血杆菌、副流感病毒在4~<7岁组儿童中感染率最高(P<0.003);腺病毒、肺炎支原体、A族链球菌在7~<12岁组儿童中感染率最高(P<0.003);鼻病毒、百日咳鲍特菌、肺炎衣原体在12~<18岁组儿童中感染率最高(P<0.003);肺炎克雷伯菌在≥60岁组人群中感染率最高(P<0.003)。见表4。
呼吸道多病原监测在诊断效率、治疗精准性、公共卫生响应和成本控制等方面均具有显著优势,是现代呼吸道传染病防控和临床诊疗的重要工具。可早期发现混合感染或新发疫情,支持公共卫生快速响应,降低院内感染和传播风险。国内已有不少新冠和流感病毒流行变迁的研究[4-9],因此,开展本地区常见急性呼吸道传染病病原谱监测以及分析流行病学特征,对本地疫情防控和早期识别急性呼吸道传染病的流行等重大公共卫生风险有着重大意义[10-11]。
本研究采集2024年2月—2025年8月青海省六家哨点医院就诊的ILI和SARI咽拭子样本,检测了22种急性呼吸道传染病病原,总体阳性率为52.32%,其中单一感染率为31.82%,混合感染率为20.50%。总体阳性率高于北京市的50.84%、苏州市的35.86%[12-13],低于河南省的63.10%、山西省的61.52%和浙江省的58.98%[14-15]。总感染率前五位的病原体依次为流感嗜血杆菌、肺炎链球菌、甲型流感、鼻病毒及新冠病毒。ILI和SARI病例检出率居于前三位的病原体均为流感嗜血杆菌、肺炎链球菌和甲型流感。流感嗜血杆菌是诱发小儿下呼吸道疾病的重要原因,可引起小儿鼻窦炎、中耳炎、结膜炎、肺炎等并发症,其所致的肺炎以1岁左右婴幼儿居多[16]。今后工作中应进一步重视对流感嗜血杆菌感染的防治工作,对出现临床症状的及时进行诊断和治疗,加强易感人群疫苗接种工作。
检测22种病原体中,肺炎支原体和军团菌在SARI标本中的检出率高于ILI标本,新型冠状病毒、甲型流感、腺病毒、鼻病毒、肠道病毒、肺炎支原体、肺炎链球菌、流感嗜血杆菌在ILI标本的阳性检出率均高于SARI标本,差异均有统计学意义(P<0.01),ILI病例一般于发病3天内采集标本,标本采集时多数处于疾病前期,病原体载量较高,而SARI病例则采集发病10天以内的标本,且因临床症状严重,在发病前期多数经历过全面、直接给药治疗,采样时病原体已经受到抑制或者转阴。所以,医院应在病人门急诊就诊时及时采样检测,做到早诊断、早治疗,以减轻病人负担。
3 790份阳性标本中,单一感染占60.82%,混合感染占39.18%,高于大连、深圳、宁波、北京地区的报道[17-18]。青海省急性呼吸道病例多为病原单一感染,明显高于混合感染,混合感染主要为二重感染,占71.18%,四重及以上病例较少,仅占1.55%。结果显示我省急性呼吸道感染率较高,混合感染明显高于部分省份研究结果,免疫功能较低下的人群更容易发生混合感染,疾控部门要制定防控策略,加大急性呼吸道传染病防控力度;医院及时发现患者混合感染的情况,尽早干预,有效减少重症病例的发生。
从全年分布来看,冬春季节病原体检出种类和数量均高于夏秋季节,可见冬春季为呼吸道感染的高发季节[19],其中流感病毒、流感嗜血杆菌、肺炎链球菌、肺炎克雷伯菌、鼻病毒、A族链球菌、腺病毒等主要呼吸道病原体冬季检出率最高,夏季较少;新冠病毒、肺炎支原体秋季检出率最高。青海省属于高原地区,冬季气温低,开窗通风少,人群容易聚集。建议各地因地制宜开发并开展有针对性的防控措施,如加大宣传力度、接种疫苗、全面消毒、开窗通风等,减少疾病传播。
各年龄组不同病原感染率差异明显,4~7岁病例阳性率最高,为68.06%,60岁及以上病例最低,为39.34%,儿童感染率高于成人和老年人,散居儿童新型冠状病毒、呼吸道合胞病毒、肺炎链球菌感染率最高;幼托儿童甲型流感、人偏肺病毒、肠道病毒、流感嗜血杆菌感染率最高;小学生腺病毒、肺炎支原体、A族链球菌感染率高;中学生鼻病毒、百日咳鲍特菌、肺炎衣原体感染率最高;老年人肺炎克雷伯菌感染率最高。青海省呼吸道病原体阳性病例主要分布于0~18岁人群,该年龄段主要为散居儿童、幼托儿童和学生,正处于身体生长阶段,抵抗力低,群体性学习、生活,接触病原体的机会多,而老年人社会活动相对较少,感染机会相对降低[20]。学龄前儿童和学生是我省呼吸道病原感染的高危人群,是今后防控重点人群,同时继续关注我省多病原感染特征,监测异常动态及时做出预警。不断加强民众防病意识,鼓励接种疫苗、佩戴口罩、扩大社交距离等措施,以完善呼吸道防控体系,降低呼吸道传染病发病率,从而保障人民群众身体健康[21]。
  • 青海省昆仑英才·高层次卫生健康人才项目(〔2025〕10号)
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2026年第53卷第5期
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doi: 10.20043/j.cnki.MPM.202510262
  • 接收时间:2025-10-14
  • 首发时间:2026-11-02
  • 出版时间:2026-03-10
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  • 收稿日期:2025-10-14
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青海省昆仑英才·高层次卫生健康人才项目(〔2025〕10号)
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    1.青海省疾病预防控制中心,青海 西宁 810000
    2.青海大学

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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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