Analysis Of Clinical Epidemiological Characteristics And Severe Risk Factors Of Respiratory Infectious Diseases In Children

Objective:By comparing the clinical epidemiological data of common respiratory infectious diseases in children,this paper discusses the clinical epidemiological characteristics and severe risk factors of respiratory infectious diseases in children caused by different pathogens,and provides theoretical basis for the prevention of common respiratory infectious diseases in children and the judgment of clinical conditions.Methods:Retrospectively collected January 1,2008 solstice December 31,2018,first affiliated hospital of xinjiang medical university infection families were aged 0 to 18 years old common respiratory infections(including mumps,chicken pox,scarlet fever,hand,foot and mouth disease,measles)a total of 1063 cases,according to the etiology is divided into different kinds of bacteria and viruses,separately analyze each disease clinical epidemiological data,then comprehensive analysis of the bacteria and virus group epidemiology,inspection related information and heavy risk factors,the results using SPSS25.0 statistical processing,P<0.05 was considered statistically significant.Results:1.In terms of testing,whether bacterial or viral infection,the levels of white blood cell count,procalcitonin and c-reactive protein were P<0.05 between the groups with or without complications,with statistically significant differences.2.In terms of epidemiology,the percentage of male cases of common respiratory tract infectious diseases in children is greater than that of female cases.The peak ages of measles,HFMD were 0-1 years old and 1-3 years old,and the peak ages of mumps,chickenpox and scarlet fever were 3-7 years old.The peak age of common respiratory infectious diseases in children is from 1 to 7 years old.In addition to HFMD,the other four diseases have two peak onset,mainly concentrated in June and December.3.Clinical severe risk factors:age,nationality,presence or absence of underlying diseases and complications,maximum body temperature,white blood cell count,c-reactive protein level,the duration of fever,abnormal liver function,and abnormal myocardial enzymes were all significant differences between clinical mild and severe with P<0.05.Conclusions:1.In terms of testing: whether bacterial or viral infection,the white blood cell count,calcitonin original and c-reactive protein value of the complication group were all higher than that of the non-complication group.2.In terms of epidemiology,the overall incidence rate of common respiratory tract infectious diseases in children is higher in males than in females,except for HFMD.The onset age is mainly from 1 to 7 years old,except for measles.The peak time of onset was bimodal,which was around June and December,except for HFMD.3.Clinical heavy risk factors,basic diseases,long thermal duration,high leucocyte and high c-reactive protein are independent risk factors for clinical severe diseases.