Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024

Abstract Background Mycoplasma pneumoniae (M pneumoniae, MP) is a common pathogen causing respiratory tract infections, particularly in children. In 2023, a resurgence of MP epidemics was observed in Wuhan, Hubei Province, China. This study aims to examine the epidemiological trends and clinical cha...

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Main Authors: Jieyu Mao, Zhili Niu, Mengling Liu, Liangyu Li, Haiyue Zhang, Ruiyun Li, Pingan Zhang, Xiaojun Wu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05435-9
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author Jieyu Mao
Zhili Niu
Mengling Liu
Liangyu Li
Haiyue Zhang
Ruiyun Li
Pingan Zhang
Xiaojun Wu
author_facet Jieyu Mao
Zhili Niu
Mengling Liu
Liangyu Li
Haiyue Zhang
Ruiyun Li
Pingan Zhang
Xiaojun Wu
author_sort Jieyu Mao
collection DOAJ
description Abstract Background Mycoplasma pneumoniae (M pneumoniae, MP) is a common pathogen causing respiratory tract infections, particularly in children. In 2023, a resurgence of MP epidemics was observed in Wuhan, Hubei Province, China. This study aims to examine the epidemiological trends and clinical characteristics of MP infections among children in Wuhan from 2018 to 2024, providing valuable scientific evidence to guide local prevention strategies. Methods From January 1, 2018, to June 30, 2024, samples were collected from children under 14 years with Acute Respiratory Tract Infections (ARTI) at Renmin Hospital of Wuhan University. MP infections were diagnosed through MP-IgM antibody detection and MP-DNA detection. Results were analyzed and compared across distinct epidemic periods. Results Of the 183 626 ARTI children, 57 393 (31.26%) tested positive for MP, with an average age of 4.87 ± 2.99 years and a male-to-female ratio of 1.12:1. The annual positive rates from 2018 to 2024 were 45.92%, 32.23%, 22.84%, 16.22%, 16.26%, and 42.93%, respectively. Across the study period, the highest positive rate was recored in autumn (35.13%, P < 0.05). Two distinct MP outbreaks were identified, in 2018–2019 and 2023. Significant differences were observed between the two outbreaks. The 2018–2019 epidemic peaked in summer, while the 2023 epidemic peaked in November and persisted into February 2024. By age, the 2018–2019 outbreaks predominantly affected pre-school children, whereas the 2023 outbreaks mainly involved school-aged children. In boths outbreaks, girls had higher positive rates. Antibody and DNA testing results followed similar trends. Conclusion This study highlights the epidemiological trends and clinical characteristics of MP infections in Wuhan from 2018 to 2024, including two distinct outbreaks with differing seasonal patterns. The MP strain in 2023 appeared to predominantly affect older children.The trends observed suggest that MP infections may persist into the winter of 2024. Enhanced surveillance of respiratory pathogens and early diagnosis and prevention of MP infections in children remain critical in this region.
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spelling doaj-art-20cb3e2f9299453185f8383527d77cba2025-02-02T12:42:44ZengBMCBMC Pediatrics1471-24312025-01-012511910.1186/s12887-025-05435-9Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024Jieyu Mao0Zhili Niu1Mengling Liu2Liangyu Li3Haiyue Zhang4Ruiyun Li5Pingan Zhang6Xiaojun Wu7Department of Pulmonary and Critical Care Medicine, Renmin Hospital of Wuhan University WuhanDepartment of Clinical Laboratory, Institute of Translational Medicine, Renmin Hospital of Wuhan UniversityDepartment of Pulmonary and Critical Care Medicine, Renmin Hospital of Wuhan University WuhanDepartment of Pulmonary and Critical Care Medicine, Renmin Hospital of Wuhan University WuhanDepartment of Pulmonary and Critical Care Medicine, Renmin Hospital of Wuhan University WuhanDepartment of Pulmonary and Critical Care Medicine, Renmin Hospital of Wuhan University WuhanDepartment of Clinical Laboratory, Institute of Translational Medicine, Renmin Hospital of Wuhan UniversityDepartment of Pulmonary and Critical Care Medicine, Renmin Hospital of Wuhan University WuhanAbstract Background Mycoplasma pneumoniae (M pneumoniae, MP) is a common pathogen causing respiratory tract infections, particularly in children. In 2023, a resurgence of MP epidemics was observed in Wuhan, Hubei Province, China. This study aims to examine the epidemiological trends and clinical characteristics of MP infections among children in Wuhan from 2018 to 2024, providing valuable scientific evidence to guide local prevention strategies. Methods From January 1, 2018, to June 30, 2024, samples were collected from children under 14 years with Acute Respiratory Tract Infections (ARTI) at Renmin Hospital of Wuhan University. MP infections were diagnosed through MP-IgM antibody detection and MP-DNA detection. Results were analyzed and compared across distinct epidemic periods. Results Of the 183 626 ARTI children, 57 393 (31.26%) tested positive for MP, with an average age of 4.87 ± 2.99 years and a male-to-female ratio of 1.12:1. The annual positive rates from 2018 to 2024 were 45.92%, 32.23%, 22.84%, 16.22%, 16.26%, and 42.93%, respectively. Across the study period, the highest positive rate was recored in autumn (35.13%, P < 0.05). Two distinct MP outbreaks were identified, in 2018–2019 and 2023. Significant differences were observed between the two outbreaks. The 2018–2019 epidemic peaked in summer, while the 2023 epidemic peaked in November and persisted into February 2024. By age, the 2018–2019 outbreaks predominantly affected pre-school children, whereas the 2023 outbreaks mainly involved school-aged children. In boths outbreaks, girls had higher positive rates. Antibody and DNA testing results followed similar trends. Conclusion This study highlights the epidemiological trends and clinical characteristics of MP infections in Wuhan from 2018 to 2024, including two distinct outbreaks with differing seasonal patterns. The MP strain in 2023 appeared to predominantly affect older children.The trends observed suggest that MP infections may persist into the winter of 2024. Enhanced surveillance of respiratory pathogens and early diagnosis and prevention of MP infections in children remain critical in this region.https://doi.org/10.1186/s12887-025-05435-9ChildrenMycoplasma pneumoniaeAcute respiratory tract infectionEpidemiology
spellingShingle Jieyu Mao
Zhili Niu
Mengling Liu
Liangyu Li
Haiyue Zhang
Ruiyun Li
Pingan Zhang
Xiaojun Wu
Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024
BMC Pediatrics
Children
Mycoplasma pneumoniae
Acute respiratory tract infection
Epidemiology
title Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024
title_full Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024
title_fullStr Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024
title_full_unstemmed Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024
title_short Comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in Wuhan from 2018 to 2024
title_sort comparison of the epidemiological characteristics of mycoplasma pneumoniae infections among children during two epidemics in wuhan from 2018 to 2024
topic Children
Mycoplasma pneumoniae
Acute respiratory tract infection
Epidemiology
url https://doi.org/10.1186/s12887-025-05435-9
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