Evidence map›Paper›PMID 42157123›Full record

ArticleBMC infectious diseases2026

Predicting societal risk factors for respiratory co-infections: a cross-sectional study based on multi-source fever clinic data.

Jin Huang, Meiquan Zhang, Haiting Fan, Shengzhong Li, Jianshuai Liu, Xiong Lin, Qing Li, Jiawei Chen

Abstract read
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Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jin HuangDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China.
Meiquan ZhangDepartment of Pulmonary and Critical Care Medicine, Fujian Provincial Geriatric Hospital, Fuzhou, China.
Haiting FanDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China.
Shengzhong LiDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China.
Jianshuai LiuDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China.
Xiong LinDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China.
Qing LiDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China.
Jiawei ChenDepartment of Infectious Diseases, The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Wusi Road, Fuzhou, China. 531104142@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to analyze epidemiological characteristics, clinical manifestations, and socio- environmental risk factors of viral-mycoplasma mixed respiratory infections in children presenting at fever clinics, providing evidence for clinical decision-making.

methodsIn this cross-sectional study, we analyzed clinical data from 132 pediatric patients with respiratory co-infections confirmed by direct immunofluorescence assay at the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine (May 1, 2023 - April 30, 2024). Data collection included demographic characteristics, clinical symptoms, laboratory results, and pathogen profiles. Social behaviors and environmental factors were also evaluated. An age- and season-matched comparison group of 185 children with single respiratory infections was included. Statistical analyses involved t-tests, χ² tests, and multivariate logistic regression.

resultsThe majority of patients were aged 4-9 years (75.76%), with a male predominance (64.39%). Adenovirus was the most frequently detected pathogen (100 cases) and demonstrated the highest co-infection rate with Mycoplasma pneumoniae. Cases were primarily concentrated in the main urban area of Fuzhou City, notably in Jin'an (38 cases) and Gulou (34 cases) districts. The co-infection group had a significantly longer duration of fever than the single infection group (P < 0.001) and more severe systemic clinical manifestations. Laboratory parameters, including white blood cell, neutrophil, and C-reactive protein levels, were significantly elevated in the co-infection group (P < 0.05). Among environmental factors, both low ambient temperature (P < 0.001) and humidity (P = 0.011) were significantly associated with co-infection. Multivariate logistic regression analysis identified several independent risk factors for co-infection: Low ambient temperature (OR = 1.144), poor hand hygiene practices (OR = 3.4691), attendance at childcare facilities (OR = 2.042), recent family member infection history (OR = 1.989), and not having received the influenza vaccine (OR = 2.266).

conclusionsViral-mycoplasma co-infections in pediatric patients demonstrate distinct epidemiological patterns and more severe outcomes. Social behaviors and environmental factors represent pivotal risk factors, warranting targeted public health interventions during high-risk periods and in key locations.

Indexed as

CoinfectionFeverRespiratory Tract InfectionsVirus DiseasesAdolescentChildChild, PreschoolChinaCross-Sectional StudiesFemaleHumansInfantMaleRisk FactorsSocial FactorsCo-infectionEpidemiologyFever clinicsMycoplasma infectionsPaediatricsViral infections

Identifiers

PMID42157123
PMCPMC13366943

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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.