AI Article Synopsis

  • During the COVID-19 pandemic, infections of Mycoplasma pneumoniae (MP) significantly decreased, but a surge in infections has been observed in summer 2023, particularly among school-aged children in Shanghai, China.
  • This study investigates the differences in MP prevalence and characteristics before and after the COVID-19 pandemic by analyzing clinical and laboratory data from July 2021 to May 2024.
  • Findings indicate that school-aged children, especially females, are more susceptible to MP infections post-pandemic, with increased prevalence and a notable presence of macrolide-resistant traits, highlighting the need for ongoing monitoring of MP infections.

Article Abstract

Background: During the coronavirus disease 2019 (COVID-19) pandemic, the infection of (MP) decreased significantly. At the beginning of the summer of 2023, there was an increasing trend of MP infection in China and the MP pneumonia (MPP) is surging when it comes to the school season and lasts for several months which has attracted widespread attention.

Objective: This study aims to investigate the prevalent characteristics of the MP and the difference between the COVID-19 pandemic and the post in Shanghai, China.

Methods: The demographic information and the results of laboratory pathogen detection from July 2021 to May 2024 were collected and analyzed to find out the prevalent characteristics of MP. Two periods, during the COVID-19 pandemic and the post-pandemic, were divided and compared. The P1 genotyping and macrolide resistance-associated gene of 23 s rRNA were detected using the remaining MP-positive samples.

Results: During the COVID-19 pandemic, the prevalence of the MP has significantly decreased. Female children are more susceptible to MP infection than the male. The school-aged group (>6 years) had the highest infection rate. The rate of MP P1 genotype during post panel is higher than that during COVID-19 pandemic, which is dominant from July 2021 to May 2024, while the macrolide-resistant associated mutations (A2063G) keep high percentage during or post pandemic.

Conclusion: After the COVID-19 pandemic, an outbreak of MP infection occurred from summer onwards in 2023 with children in Shanghai, China. Immunity debt and high rate of macrolide-resistance may take effects in this MP epidemic. Continuous surveillance of MP is necessary to help to alert the prevalence of MPP.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11350404PMC
http://dx.doi.org/10.3389/fmicb.2024.1427702DOI Listing

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