Evidence map›Paper›PMID 41029170›Full record

Observational studyMedicine2025

Comparative study of clinical characteristics and long-term prognosis between macrolide-resistant and macrolide-sensitive Mycoplasma pneumoniae infections in children: A retrospective case-control study.

Nanyue Zhou, Yuxin Jiang, Jinyan Mo, Junjie Huang, Zheng Liang

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Clinical characteristics ofTranslational pediatrics · 2025
    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

5 authors.

Nanyue ZhouThe Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.ORCID 0009-0001-7132-0840
Yuxin JiangThe Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Jinyan MoThe Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Junjie HuangThe First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Zheng LiangThe Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to investigate the long-term health impacts of macrolide-resistant macrolide-resistant Mycoplasma pneumoniae (MRMP) infection in children, identify factors influencing MRMP infection, and provide evidence for clinical decision-making to improve prognosis and address challenges posed by antimicrobial resistance. A case-control study was conducted, enrolling 64 pediatric MRMP-infected patients (research group) and 266 macrolide-sensitive macrolide-sensitive M pneumoniae-infected patients (control group) admitted to our hospital from August 2023 to April 2024. All participants underwent standardized evaluations, including physical examinations, medical history review, complete blood count, blood biochemistry, inflammatory marker assays, and immunological profiling. The research group exhibited a lower incidence of fever compared to the control group (P < .01). Respiratory assessments revealed significantly reduced rates of wet rales, intercostal retractions, and lung consolidation in the research group (P < .001). Hematologically, the research group demonstrated lower white blood cell counts (P < .05). Biochemical analysis indicated decreased alanine aminotransferase and urea levels (P < .05), elevated lactate dehydrogenase (P < .05), and comparable creatine kinase and creatine kinase-MB (CK-MB) levels between groups. C-reactive protein was significantly elevated in the research group (P < .001), while immunoglobulin G (IgG), immunoglobulin A (IgA), and immunoglobulin E (IgE) levels remained comparable. Multivariate logistic regression analysis adjusting for potential confounders identified lung consolidation (OR = 65.79, 95% CI: 20.86-207.49) and alanine aminotransferase levels (OR = 0.90, 95% CI: 0.82-0.99) as independent predictors of MRMP infection (P < .05). MRMP and macrolide-sensitive M pneumoniae infections in children present distinct clinical profiles and long-term prognoses. MRMP-infected children demonstrate elevated risks of recurrent respiratory infections and potential long-term respiratory sequelae, underscoring the necessity for rigorous acute-phase lung consolidation monitoring and extended respiratory function surveillance to optimize outcomes.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialMacrolidesMycoplasma pneumoniaePneumonia, MycoplasmaCase-Control StudiesChildChild, PreschoolFemaleHumansInfantMalePrognosisRetrospective StudiesAnti-Bacterial AgentsMacrolidesclinical characteristicslong-term prognosisMRMPMSMPpediatrics

Identifiers

PMID41029170
PMCPMC13593120

What OpenQuestion holds

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Registered trials

None linked

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.