Application of Mycoplasma pneumoniae antibody and load index in the diagnosis of Mycoplasma pneumoniae pneumonia in children

XIE Hui, LI Ji-Ming, ZHANG Hui-Fen, WANG Ye, ZHONG Li-Lin, LIAN Qing-Rong, DONG Hong-Ba

Chinese Journal of Contemporary Pediatrics ›› 2016, Vol. 18 ›› Issue (10) : 984-987.

PDF(1318 KB)
PDF(1318 KB)
Chinese Journal of Contemporary Pediatrics ›› 2016, Vol. 18 ›› Issue (10) : 984-987. DOI: 10.7499/j.issn.1008-8830.2016.10.013
CLINICAL RESEARCH

Application of Mycoplasma pneumoniae antibody and load index in the diagnosis of Mycoplasma pneumoniae pneumonia in children

  • XIE Hui1, LI Ji-Ming2, ZHANG Hui-Fen1, WANG Ye2, ZHONG Li-Lin1, LIAN Qing-Rong1, DONG Hong-Ba1
Author information +
History +

Abstract

Objective To study the role of Mycoplasma pneumoniae (MP) load and antibody measurements in the diagnosis of MP pneumonia. Methods A total of 115 children with MP pneumonia and 400 healthy children were enrolled. The MP load and total antibody level were measured at different stages, and the MP load index (MPLI) was calculated. Results The cut-off value of MPLI for MP infection was 6.12. MPLI and total antibody titer increased during the course of the disease, while MP-DNA decreased rapidly. Within the same time of blood collection, the group with a higher MP load had a significantly higher total antibody titer than the group with a lower MP load (P < 0.05). Within 2 weeks of the course of the disease, the negative antibody group had a significantly higher MPLI than the positive antibody group (P < 0.05). Conclusions MPLI provides a standardized quantitative value of MP-DNA and plays an important role in the early diagnosis of MP infection.

Key words

Mycoplasma pneumoniae / Mycoplasma pneumoniae load index / Total antibody titer / Child

Cite this article

Download Citations
XIE Hui, LI Ji-Ming, ZHANG Hui-Fen, WANG Ye, ZHONG Li-Lin, LIAN Qing-Rong, DONG Hong-Ba. Application of Mycoplasma pneumoniae antibody and load index in the diagnosis of Mycoplasma pneumoniae pneumonia in children[J]. Chinese Journal of Contemporary Pediatrics. 2016, 18(10): 984-987 https://doi.org/10.7499/j.issn.1008-8830.2016.10.013

References

[1] 张健, 李莉, 王文龙, 等. 肺炎支原体抗体分型检测和被动 颗粒凝集检测结果比较[J]. 中华检验医学杂志, 2012, 35(7): 639-642.
[2] Xue G, Wang Q, Yan C, et al. Molecular characterizations of PCR-positive mycoplasma pneumoniae specimens collected from Australia and China[J]. J Clin Microbiol, 2014, 52(5): 1478-1482.
[3] 宁瑶, 李红胜, 陈松劲. 实时荧光定量PCR 在肺炎支原体 DNA 检测中的应用[J]. 浙江临床医学, 2014, 16(5): 810-811.
[4] 胡大康, 张瑾, 刘池波, 等. 荧光PCR 法半定量肺炎支原体 的研究[J]. 中国卫生检验杂志, 2009, 19(4): 755-760.
[5] 中华医学会. 支原体肺炎临床路径( 县医院2013 年版)[DB/OL]. (2013-12-23).http://www.cma.org.cn/kjps/jsgf/.
[6] 马玉楠. 体外生物诊断试剂申报技术要求[J]. 中国新药杂志, 2003, 12(6): 482-485.
[7] 吴跃平, 赵瑞珍. 小儿肺炎支原体感染IgM 抗体检测分析[J]. 国际检验医学杂志, 2006, 27(7): 656-657.
[8] 董晓艳, 陆权. 小儿肺炎支原体感染的诊治现状与进展[J]. 中华实用儿科临床杂志, 2011, 26(4): 235-238.
[9] 王晶, 甘轶文, 毛李征, 等. 实时荧光定量PCR 在儿童肺 炎支原体感染中的诊断价值[J]. 实用临床医药杂志, 2015, 19(15): 91-93.
[10] Xu D, Li S, Chen Z, et al. Detection of Mycoplasma pneumomiae in different respiratoryspecimens[J]. Eur J Pediatr, 2011, 170(7): 851-858.
[11] Wang M, Wang Y, Yan Y, et al. Clinical and laboratory profiles of refractory mycoplasma pneumoniae pneumonia in children[J]. Int J Infect Dis, 2014, 29: 18-23.
[12] 陈正荣, 严永东. 小儿肺炎支原体感染流行病学特征 [J]. 中 国实用儿科杂志, 2015(3): 180-183.
[13] 钟礼立, 彭力, 黄寒, 等. 支气管肺泡灌洗液荧光定量PCR 对儿童肺炎支原体肺炎诊断研究[J]. 中国当代儿科杂志, 2011, 13(3): 191-194.
[14] Jiang W, Yan Y, Ji W, et al. Clinical significance of different bacterial load of mycoplasma pneumoniae in patients with mycoplasma pneumoniae pneumonia[J]. Braz J Infect Dis, 2014, 18(2): 124-128.
[15] 张瑾, 胡大康. 肺炎支原体载量指数在儿童肺炎支原体感染 诊断中的应用[J]. 中华医院感染学杂志, 2009, 19(12): 1613-1615.
[16] Nilsson AC, Björkman P, Persson K. Polymerase chain reaction is superior to serology for the diagnosis of acute Mycoplasma pneumoniae infection and reveals a high rate of persistent infection[J]. BMC Micmbiol, 2008, 8: 93.
[17] 卢志威, 赵辉, 郑跃杰, 等. 三种方法对儿童肺炎支原体感 染诊断的动态评价[J]. 临床儿科杂志, 2012, 30(4): 382-385.
[18] 成云改, 李淑娴, 李雪静, 等. 肺炎支原体肺炎患儿肺泡灌 洗液病菌量与临床特征相关性研究[J]. 中华儿科杂志, 2013, 51(10): 736-740.
[19] 张晓波, 陆爱珍, 王立波, 等. 肺炎支原体荧光定量聚合酶 链反应在肺炎支原体感染中的诊断评价[J]. 中华儿科杂志, 2008, 46(6): 442-445.
PDF(1318 KB)

Accesses

Citation

Detail

Sections
Recommended

/