ArticleItalian journal of pediatrics2025
Risk factors analysis of airway mucus plugs in community-acquired refractory mycoplasma pneumoniae pneumonia: a case-control study.
Article in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Role of serum amyloid A in Mycoplasma pneumoniae pneumonia and related respiratory diseases.Frontiers in pediatrics · 2026Review
- Integrative Traditional Chinese Medicine Strategies for Refractory Mycoplasma Pneumonia in Children: Clinical Challenges, Mechanisms, and Evidence-Based Insights.Infection and drug resistance · 2026Review
- Immune activation and mucin dysregulation in pediatric refractoryFrontiers in cellular and infection microbiology · 2025Article
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5 authors.
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Abstract
backgroundTo analyze the clinical characteristics and explore the risk factors for airway mucus plugs in children with community-acquired refractory Mycoplasma pneumoniae pneumonia (ca-RMPP).
methodsA retrospective study was conducted on hospitalized children diagnosed with ca-RMPP from October 2023 to October 2024. The patients were divided into airway mucus plugs group and non-airway mucus plugs group based on the imaging findings under fiberoptic bronchoscopy. The differences in general data's, clinical manifestations, imaging changes, pathogens, and laboratory data's between the two groups were compared. Multivariate logistic regression was applied to analyze the independent risk factors for airway mucus plugs in children with ca-RMPP, and the Receiver operating characteristic (ROC) curve was used to evaluate the effectiveness of risk factors.
resultsLength of hospital stay(LOS), Duration of fever, Duration of steroid treatment, Pleural effusion, Neutrophil percentage (NEU%), C-reactive protein (CRP), Procalcitonin (PCT), D-Dimer, Serum amyloid A (SAA), Lactate dehydrogenase (LDH), Ferritin, T8 lymphocyte percentage (CD8+%), Interleukin-1 β (IL-1 β), Interleukin-6 (IL-6), Interleukin-8 (IL-8) in the airway mucus plugs group were all higher than those in the non-airway mucus plugs group, While, the Lymphocyte percentage (LYM%) and CD4/CD8 ratio were lower than those in the non-airway mucus plugs group, and the differences were statistically significant ( p < 0.05). LOS ≥ 7.5 days, Duration of fever ≥ 6.5 days, CRP ≥ 13.11 mg/L, SAA ≥ 256.205 mg/L, and Ferritin ≥ 97.7ng/mL were independent risk factors.
conclusionLOS, Duration of fever, CRP, SAA, and Ferritin are independent risk factors for airway mucus plugs in children with ca-RMPP and the combined test can improve the diagnostic value.
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