Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19

Abstract Mycoplasma pneumonia pneumonia(MPP) is a common respiratory disease that often occurs in children. The purpose of this study was to explore the clinical characteristics of children with mycoplasma pneumoniae pneumonia, the first outbreak after the prevalence of COVID-19 epidemic. Meanwhile,...

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Main Authors: Fangye Zhou, Sen Yang, Wenchang Zhang, Min Huang
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-13555-6
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author Fangye Zhou
Sen Yang
Wenchang Zhang
Min Huang
author_facet Fangye Zhou
Sen Yang
Wenchang Zhang
Min Huang
author_sort Fangye Zhou
collection DOAJ
description Abstract Mycoplasma pneumonia pneumonia(MPP) is a common respiratory disease that often occurs in children. The purpose of this study was to explore the clinical characteristics of children with mycoplasma pneumoniae pneumonia, the first outbreak after the prevalence of COVID-19 epidemic. Meanwhile, this study also analyzed the predictive value of serum protein indicators and coagulation parameters in the MPP group, as well as the correlation between these indicators. Children with Mycoplasma pneumoniae admitted to the pediatric ward of Chengdu Fifth People’s Hospital from May 2023 to March 2024 were selected. After screening, 411 children who met the research criteria were selected as the study subjects. All of the blood samples were tested for coagulation function, procalcitonin, serum protein and glucose among MPP group and control group. All data were processed for statistical analysis using GraphPad Prism 10.2.3. Comparison of the serum proteins and coagulation function between the MPP group and control group showed that prothrobin time(PT), thrombin time (TT), fibrinogen(Fbg), activated partial thromboplastin time (APTT), international normalized ration(INR), D-Dimer(DD) were significantly higher(P < 0.05) in MPP group. Total protein, albumin, prealbumin, alkaline phosphatase, lactate dehydrogenase, adanosine deaminase, glucose, platelet, procalcitonin also were significantly higher(P < 0.05) in MPP group. A multiple logistic regression analysis showed that the children in MPP group were a statistically significant difference in comparison of TT, Fbg, total protein, albumin, glucose, platelet expression in predicting the development. Then we analyzed the area under the ROC curve and correlation of serum parameters with significant differences in MPP group children. These results indicate that the coagulation function and serum protein of MPP patients who first broke out after the COVID-19 epidemic are different from the previous clinical characteristics, which can be used as a reference for auxiliary diagnosis.
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spelling doaj-art-484fd45986ce4ddbae76dcc8bd5cb7122025-08-20T03:05:26ZengNature PortfolioScientific Reports2045-23222025-08-011511610.1038/s41598-025-13555-6Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19Fangye Zhou0Sen Yang1Wenchang Zhang2Min Huang3Chengdu Fifth People’s Hospital, Chengdu University of T.C.MChengdu Fifth People’s Hospital, Chengdu University of T.C.MChengdu Fifth People’s Hospital, Chengdu University of T.C.MChengdu Fifth People’s Hospital, Chengdu University of T.C.MAbstract Mycoplasma pneumonia pneumonia(MPP) is a common respiratory disease that often occurs in children. The purpose of this study was to explore the clinical characteristics of children with mycoplasma pneumoniae pneumonia, the first outbreak after the prevalence of COVID-19 epidemic. Meanwhile, this study also analyzed the predictive value of serum protein indicators and coagulation parameters in the MPP group, as well as the correlation between these indicators. Children with Mycoplasma pneumoniae admitted to the pediatric ward of Chengdu Fifth People’s Hospital from May 2023 to March 2024 were selected. After screening, 411 children who met the research criteria were selected as the study subjects. All of the blood samples were tested for coagulation function, procalcitonin, serum protein and glucose among MPP group and control group. All data were processed for statistical analysis using GraphPad Prism 10.2.3. Comparison of the serum proteins and coagulation function between the MPP group and control group showed that prothrobin time(PT), thrombin time (TT), fibrinogen(Fbg), activated partial thromboplastin time (APTT), international normalized ration(INR), D-Dimer(DD) were significantly higher(P < 0.05) in MPP group. Total protein, albumin, prealbumin, alkaline phosphatase, lactate dehydrogenase, adanosine deaminase, glucose, platelet, procalcitonin also were significantly higher(P < 0.05) in MPP group. A multiple logistic regression analysis showed that the children in MPP group were a statistically significant difference in comparison of TT, Fbg, total protein, albumin, glucose, platelet expression in predicting the development. Then we analyzed the area under the ROC curve and correlation of serum parameters with significant differences in MPP group children. These results indicate that the coagulation function and serum protein of MPP patients who first broke out after the COVID-19 epidemic are different from the previous clinical characteristics, which can be used as a reference for auxiliary diagnosis.https://doi.org/10.1038/s41598-025-13555-6Mycoplasma pneumonia pneumoniaCoagulation functionSerum proteins
spellingShingle Fangye Zhou
Sen Yang
Wenchang Zhang
Min Huang
Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19
Scientific Reports
Mycoplasma pneumonia pneumonia
Coagulation function
Serum proteins
title Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19
title_full Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19
title_fullStr Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19
title_full_unstemmed Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19
title_short Assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after COVID-19
title_sort assessment of serum parameters caused by the outbreak of mycoplasma pneumoniae pneumonia in children after covid 19
topic Mycoplasma pneumonia pneumonia
Coagulation function
Serum proteins
url https://doi.org/10.1038/s41598-025-13555-6
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