Evidence map›Paper›PMID 40448048›Full record

ArticleBMC pediatrics2025

Comparative analysis of the clinical characteristics of severe Mycoplasma pneumoniae pneumonia and severe bacterial pneumonia in children.

Jie Liu, Beibei Bao, Tipei Zhang, Wanyu Jia, Caili Guo, Chunlan Song

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  7. Article
  8. Frontiers in pediatrics · 2026
    Article
  9. Article
  10. Nomogram to predict severeFrontiers in pediatrics · 2026
    Article
  11. Genomic surveillance of the pneumonia outbreak caused byFrontiers in cellular and infection microbiology · 2026
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jie LiuHenan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450000, Henan, China.
Beibei BaoHenan University of Chinese Medicine, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, China.
Tipei ZhangHenan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450000, Henan, China.
Wanyu JiaHenan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450000, Henan, China.
Caili GuoHenan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450000, Henan, China.
Chunlan SongHenan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450000, Henan, China. 13526867323@163.com.

Funding

Henan Provincial Science and Technology Research Project LHGJ20240545Provincial-Ministerial Joint Project of Medical Science and Technology Tackling Program in Henan Province SB201903028
6 · The paper itself

Abstract

purposeThe aim of this study was to analyze the clinical characteristics of severe Mycoplasma pneumoniae pneumonia and severe bacterial pneumonia in children to provide a basis for clinical recognition and diagnosis.

methodsThis was a retrospective analysis of 130 cases of severe Mycoplasma pneumoniae pneumonia (SMPP), 81 cases of severe Streptococcus pneumoniae pneumonia (SPP) and 105 cases of severe Haemophilus influenzae pneumonia (SHIP) in children. Demographic, clinical, laboratory, and imaging data were compared between groups. One-way analysis of variance or Kruskal-Wallis test was used for continuous variables, chi-square test was used for categorical variables, and rank-sum test was used for ranked data. The level of statistical significance was set at P < 0.05.

resultsAll groups showed male predominance (P < 0.05). The SMPP group had older patients, longer hospital stays, prolonged fever, and higher interleukin-6, lactate dehydrogenase, and D-dimer levels (P < 0.05). Imaging revealed a higher proportion of unilateral solid lung lesions in SMPP, with increased tracheal stenosis, emphysema, pleural effusion, and pulmonary embolism (P < 0.05). Fiberoptic bronchoscopy detected more sputum plugs in SMPP (P < 0.05). Conversely, SPP and SHIP groups had younger patients, more wet rales/wheezing, higher white blood cell counts and neutrophil ratios, and bilateral patchy lung shadows (P < 0.05).

conclusionDifferences in age of onset, laboratory tests, like IL-6, and imaging manifestations between SMPP and severe bacterial pneumonia can help us to recognize them early and thus target treatment more appropriately.

Indexed as

Haemophilus InfectionsPneumonia, BacterialPneumonia, MycoplasmaPneumonia, PneumococcalAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesSeverity of Illness IndexClinical characteristicsHaemophilus influenzaeMycoplasma pneumoniaeSevere pneumoniaStreptococcus pneumoniae

Identifiers

PMID40448048
PMCPMC12125830

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.