Please wait a minute...
文章检索
预防医学  2023, Vol. 35 Issue (8): 682-686    DOI: 10.19485/j.cnki.issn2096-5087.2023.08.008
  综述 本期目录 | 过刊浏览 | 高级检索 |
肺炎流行病学研究进展
周星缘, 洪航, 方挺 综述, 许国章 审校
宁波大学医学部公共卫生学院,浙江 宁波 315211
Research progress on the epidemiology of pneumonia
ZHOU Xingyuan, HONG Hang, FANG Ting, XU Guozhang
School of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
全文: PDF(763 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 肺炎是一种常见的下呼吸道感染,在全球范围内造成较大的疾病负担与经济负担,是亟待解决的重要公共卫生问题。本文收集2013—2023年发表的肺炎流行病学研究文献,针对肺炎的流行病学特征和主要影响因素进行综述,发现肺炎在不同地区的流行特征存在较大差异,男性、老年人和儿童是肺炎发病和死亡的高危人群;并且年龄、吸烟、饮酒、空气污染、合并症和疫苗接种是影响肺炎发病和死亡的主要因素。建议通过加强健康教育、减少危险因素暴露和提高疫苗接种率等措施,降低易感人群肺炎发病和死亡风险。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
周星缘
洪航
方挺
许国章
关键词 肺炎社区获得性肺炎医院获得性肺炎流行特征影响因素    
Abstract:Pneumonia is a common lower respiratory tract infection, which causes a large disease and economic burden worldwide, and is an important public health problem to be solved urgently. Based on review of publications pertaining to the epidemiology of pneumonia from 2013 to 2023, this article summaries the epidemiological characteristics and main influencing factors of pneumonia. It is found that the epidemiological characteristics of pneumonia vary in different areas; men, the elderly and children are the high-risk groups of pneumonia incidence and mortality; and age, smoking, alcohol consumption, air pollution, comorbidity and vaccination are the main factors affecting the incidence and mortality of pneumonia. Strengthening health education, reducing exposure to risk factors and promoting vaccination are recommended to lower the morbidity and mortality of pneumonia in susceptible populations.
Key wordspneumonia    community-acquired pneumonia    hospital-acquired pneumonia    epidemiological characteristics    influencing factor
收稿日期: 2023-05-05      修回日期: 2023-07-28      出版日期: 2023-08-10
中图分类号:  R563.1  
基金资助:浙江省医学重点学科“现场流行病学”(07-013); 宁波市市级医疗卫生品牌学科(PPXK2018-10); 宁波市“科技创新2025”重大专项(2021Z021)
作者简介: 周星缘,硕士研究生在读
通信作者: 许国章,E-mail:xuguozhang@nbu.edu.cn   
引用本文:   
周星缘, 洪航, 方挺, 许国章. 肺炎流行病学研究进展[J]. 预防医学, 2023, 35(8): 682-686.
ZHOU Xingyuan, HONG Hang, FANG Ting, XU Guozhang. Research progress on the epidemiology of pneumonia. Preventive Medicine, 2023, 35(8): 682-686.
链接本文:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.08.008      或      https://www.zjyfyxzz.com/CN/Y2023/V35/I8/682
[1] DISEASES G B D,INJURIES C.Global burden of 369 diseases and injuries in 204 countries and territories,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J].Lancet(London,England),2020,396(10258):1204-1222.
[2] SAFIRI S,MAHMOODPOOR A,KOLAHI A A,et al.Global burden of lower respiratory infections during the last three decades[J/OL].Front Public Health,2022,10[2023-07-28].https://doi.org/10.3389/fpubh.2022.1028525.
[3] REGUNATH H,OBA Y.Community-acquired pneumonia[M].Treasure Island(FL):StatPearls,2023.
[4] TORRES A,NIEDERMAN M S,CHASTRE J,et al.International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia:guidelines for the management of hospital-acquired pneumonia(HAP)/ventilator-associated pneumonia(VAP)of the European Respiratory Society(ERS),European Society of Intensive Care Medicine(ESICM),European Society of Clinical Microbiology and Infectious Diseases(ESCMID)and Asociacion Latinoamericana del Torax(ALAT)[J/OL].EurRespir J,2017,50(3)[2023-07-28].https://doi.org/10.1183/13993003.00582-2017.
[5] JAIN S,SELF W H,WUNDERINK R G,et al.Community-acquired pneumonia requiring hospitalization among U.S.adults[J].N Engl J Med,2015,373(5):415-427.
[6] RAMIREZ J A,WIEMKEN T L,PEYRANI P,et al.Adults hospitalized with pneumonia in the United States:incidence,epidemiology,and mortality[J].Clin Infect Dis,2017,65(11):1806-1812.
[7] LOPARDO G D,FRIDMAN D,RAIMONDO E,et al.Incidence rate of community-acquired pneumonia in adults:a population-based prospective active surveillance study in three cities in South America[J/OL].BMJ Open,2018,8(4)[2023-07-28].http://dx.doi.org/10.1136/bmjopen-2017-019439.
[8] TORRES A,CILLONIZ C,BLASI F,et al.Burden of pneumococcal community-acquired pneumonia in adults across Europe:a literature review[J].Respir Med,2018,137:6-13.
[9] AZMI S,ALJUNID S M,MAIMAITI N,et al.Assessing the burden of pneumonia using administrative data from Malaysia,Indonesia,and the Philippines[J].Int J Infect Dis,2016,49:87-93.
[10] FAGERLI K,ULZIIBAYAR M,SUURI B,et al.Epidemiology of pneumonia in hospitalized adults≥18 years old in four districts of Ulaanbaatar,Mongolia,2015-2019[J/OL].Lancet Reg Health West Pac,2023,30[2023-07-28].https://doi.org/10.1016/j.lanwpc.2022.100591.
[11] CHOI M J,SONG J Y,NOH J Y,et al.Disease burden of hospitalized community-acquired pneumonia in South Korea:analysis based on age and underlying medical conditions[J/OL].Medicine(Baltimore),2017,96(44)[2023-07-28].http://dx.doi.org/10.1097/MD.0000000000008429.
[12] GIULIANO K K,BAKER D,QUINN B.The epidemiology of nonventilator hospital-acquired pneumonia in the United States[J].Am J Infect Control,2018,46(3):322-327.
[13] BAKER D,QUINN B.Hospital acquired pneumonia prevention initiative-2:incidence of nonventilator hospital-acquired pneumonia in the United States[J].Am J Infect Control,2018,46(1):2-7.
[14] WICKY P H,MARTIN-LOECHES I,TIMSIT J F.HAP and VAP after Guidelines[J].Semin Respir Crit Care Med,2022,43(2):248-254.
[15] ROSENTHAL V D,JIN Z,MEMISH Z A,et al.Multinational prospective cohort study of rates and risk factors for ventilator-associated pneumonia over 24 years in 42 countries of Asia,Africa,Eastern Europe,Latin America,and the Middle East:findings of the International Nosocomial Infection Control Consortium(INICC)[J/OL].Antimicrob Steward Healthc Epidemiol,2023,3(1)[2023-07-28].https://doi.org/10.1017/ash.2022.339.
[16] PAPAZIAN L,KLOMPAS M,LUYT C E.Ventilator-associated pneumonia in adults:a narrative review[J].Intensive Care Med,2020,46(5):888-906.
[17] HU Y,HAN Y,YU C,et al.The hospitalization burden of all-cause pneumonia in China:a population-based study,2009-2017[J/OL].Lancet Reg Health West Pac,2022,22[2023-07-28].https://doi.org/10.1016/jlanwpc.2022.100443.
[18] 中华人民共和国国家卫生健康委员会.2022年中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社,2022.
[19] ZHU Y G,TANG X D,LU Y T,et al.Contemporary situation of community-acquired pneumonia in China:a systematic review[J].J Transl Int Med,2018,6(1):26-31.
[20] SUN Y,LI H,PEI Z,et al.Incidence of community-acquired pneumonia in urban China:a national population-based study[J].Vaccine,2020,38(52):8362-8370.
[21] JIANG N,LI R,BAO J,et al.Incidence and disease burden of community-acquired pneumonia in southeastern China:data from integrated medical resources[J].Hum Vacc Immunother,2021,17(12):5638-5645.
[22] DING X,MA X,GAO S,et al.Effect of ICU quality control indicators on VAP incidence rate and mortality:a retrospective study of1267 hospitals in China[J/OL].Crit Care,2022,26(1)[2023-07-28].https://doi.org/10.1186/s13054-022-04285-6.
[23] ZHANG Y,YAO Z,ZHAN S,et al.Disease burden of intensive care unit-acquired pneumonia in China:a systematic review and meta-analysis[J].Int J Infect Dis,2014,29:84-90.
[24] JIAO J,YANG X Y,LI Z,et al.Incidence and related factors for hospital-acquired pneumonia among older bedridden patients in China:a hospital-based multicenter registry data based study[J/OL].Front Public Health,2019,7[2023-07-28].https://doi.org/10.3389/fpubh.2019.00221.
[25] DEB A,PODMORE B,BARNETT R,et al.Clinical and economic burden of pneumococcal disease among individuals aged 16 years and older in Germany[J/OL].Epidemiol Infect,2022,150[2023-07-28].https://doi.org/10.1017S0950268822001182.
[26] JAIN S,WILLIAMS D J,ARNOLD S R,et al.Community-acquired pneumonia requiring hospitalization among U.S.children[J].N Engl J Med,2015,372(9):835-845.
[27] Centers for Disease Control and Prevention.QuickStats:death rates*
from influenza and pneumonia(dagger)among persons aged≥65 years,by sex and age group-national vital statistics system,United States,2018[J/OL].MMWR,2020,69(40)[2023-07-28].https://www.cdc.gov/nchs/nvss/deaths.htm.
[28] GIBSON G J,LODDENKEMPER R,LUNDBACK B,et al.Respiratory health and disease in Europe:the new European Lung White Book[J].Eur Respir J,2013,42(3):559-563.
[29] 胡媛媛. 肺炎对老年患者免疫功能的影响[J].医疗装备,2017,30(4):106-107.
[30] MUTEPE N D,COCKERAN R,STEEL H C,et al.Effects of cigarette smoke condensate on pneumococcal biofilm formation and pneumolysin[J].Eur Respir J,2013,41(2):392-395.
[31] ALMIRALL J,BLANQUER J,BELLO S.Community-acquired pneumonia among smokers[J].Arch Bronconeumol,2014,50(6):250-254.
[32] ALMIRALL J,SERRA-PRAT M,BOLIBAR I,et al.Passive smoking at home is a risk factor for community-acquired pneumonia in older adults:a population-based case-control study[J/OL].BMJ Open,2014,4(6)[2023-07-28].http://dx.doi.org/10.1136/bmjopen-2014-005133.
[33] AHN A,EDWARDS K M,GRIJALVA C G,et al.Secondhand smoke exposure and illness severity among children hospitalized with pneumonia[J].J Pediatr,2015,167(4):869-874.
[34] LEWIS S A,DORATT B M,SURESHCHANDRA S,et al.Ethanol consumption induces nonspecific inflammation and functional defects in alveolar macrophages[J].Am J Respir Cell Mol Biol,2022,67(1):112-124.
[35] SIMOU E,BRITTON J,LEONARDI-BEE J.Alcohol and the risk of pneumonia:a systematic review and meta-analysis[J/OL].BMJ Open,2018,8(8)[2023-07-28].http://dx.doi.org/10.1136/bmjopen-2017-022344.
[36] GUPTA N M,DESHPANDE A,ROTHBERG M B.Pneumonia and alcohol use disorder:implications for treatment[J].Cleve Clin J Med,2020,87(8):493-500.
[37] 关新朋,徐洪兵,方嘉堃,等.大气NOX和NO2急性暴露与儿童呼吸系统疾病门诊量的关联研究[J].预防医学,2023,35(3):185-189,195.
[38] ZHOU X,GUO M,LI Z,et al.Associations between air pollutant and pneumonia and asthma requiring hospitalization among children aged under 5 years in Ningbo,2015-2017[J/OL].Front Public Health,2022,10[2023-07-28].https://doi.org/10.3389/fpubh.2022.1017105.
[39] COLLABORATORS G L.Age-sex differences in the global burden of lower respiratory infections and risk factors,1990-2019:results from the Global Burden of Disease Study 2019[J].Lancet Infect Dis,2022,22(11):1626-1647.
[40] HAN X,ZHOU F,LI H,et al.Effects of age,comorbidity and adherence to current antimicrobial guidelines on mortality in hospitalized elderly patients with community-acquired pneumonia[J/OL].BMC Infect Dis,2018,18(1)[2023-07-28].https://doi.org/10.1186/s12879-018-3098-5.
[41] PELTON S I,SHEA K M,FARKOUH R A,et al.Rates of pneumonia among children and adults with chronic medical conditions in Germany[J/OL].BMC Infect Dis,2015,15[2023-07-28].https://www.altmetric.com/details/4703719.
[42] LUNA C M,PALMA I,NIEDERMAN M S,et al.The impact of age and comorbidities on the mortality of patients of different age groups admitted with community-acquired pneumonia[J].Ann Am Thorac Soc,2016,13(9):1519-1526.
[43] NIEDERMAN M S,FOLARANMI T,BUCHWALD U K,et al.Efficacy and effectiveness of a 23-valent polysaccharide vaccine against invasive and noninvasive pneumococcal disease and related outcomes:a review of available evidence[J].Expert Rev Vaccines,2021,20(3):243-256.
[44] DOMNICH A,ARATA L,AMICIZIA D,et al.Effectiveness of MF59-adjuvanted seasonal influenza vaccine in the elderly:a systematic review and meta-analysis[J].Vaccine,2017,35(4):513-520.
[45] NAKASHIMA K,AOSHIMA M,OHFUJI S,et al.Immunogenicity of simultaneous versus sequential administration of a 23-valent pneumococcal polysaccharide vaccine and a quadrivalent influenza vaccine in older individuals:a randomized,open-label,non-inferiority trial[J].Hum Vacc Immunother,2018,14(8):1923-1930.
[46] HAMMOND A,HALLIDAY A,THORNTON H V,et al.Predisposing factors to acquisition of acute respiratory tract infections in the community:a systematic review and meta-analysis[J/OL].BMC Infect Dis,2021,21(1)[2023-07-28].https://doi.org/10.1186/s12879-021-06954-3.
[47] KLOMPAS M,BRANSON R,CAWCUTT K,et al.Strategies to prevent ventilator-associated pneumonia,ventilator-associated events,and nonventilator hospital-acquired pneumonia in acute-care hospitals:2022 update[J].Infect Control Hosp Epidemiol,2022,43(6):687-713.
[1] 吕婧, 徐欣颖, 乔颖异, 石兴龙, 岳芳, 刘营, 程传龙, 张宇琦, 孙继民, 李秀君. 浙江省发热伴血小板减少综合征流行特征及影响因素分析[J]. 预防医学, 2026, 38(1): 10-14.
[2] 吴成慧, 彭艳红, 张可, 朱维晔, 邓亮, 谭玲玲, 瞿丹丹, 米秋香. 中青年2型糖尿病患者益处发现的影响因素分析[J]. 预防医学, 2026, 38(1): 31-35.
[3] 夏文玲, 高强, 李阳, 蔡奔, 万春雨, 崔志贞, 张正, 潘恩春. 2011—2024年淮安市发热伴血小板减少综合征流行特征和时空聚集性分析[J]. 预防医学, 2026, 38(1): 55-59,65.
[4] 方叶冬, 孙芳红, 邓建凯, 邱芳芳, 王晓臻, 周祖木. 瑞安市成年居民慢性病危险因素聚类分析[J]. 预防医学, 2026, 38(1): 60-65.
[5] 吴卉, 徐秋敏, 任治兴, 阴媛, 翟前前, 姚来顺. 2020—2024年长春市水痘流行特征和时空聚集性分析[J]. 预防医学, 2026, 38(1): 66-70,74.
[6] 徐光明, 张震, 叶小红. 2015—2024年临海市新报告HIV/AIDS病例晚发现及影响因素分析[J]. 预防医学, 2026, 38(1): 71-74.
[7] 夏子淇, 陈晴晴, 高四海, 吴矛矛. 温州市中小学生营养健康知识调查[J]. 预防医学, 2026, 38(1): 98-101,106.
[8] 陈慧, 苗姗姗, 刘宪峰, 张慧. 新疆生产建设兵团中小学生龋齿现况调查[J]. 预防医学, 2026, 38(1): 102-106.
[9] 陶桃, 张海芳, 凡鹏飞, 李秋华, 陈晓蕾. 丽水市老年肺结核患者治疗转归的影响因素分析[J]. 预防医学, 2025, 37(9): 892-896,902.
[10] 徐艳平, 闫晓彤, 姚丁铭, 徐越, 张雪海, 孙洁, 徐锦杭. 浙江省中老年人肺炎疫苗接种意愿的影响因素研究[J]. 预防医学, 2025, 37(9): 881-885.
[11] 姜艳, 李锦成, 许纯, 杨科佼, 杨文彬, 徐胜. 扬州市MSM人群艾滋病非职业暴露后预防知晓率调查[J]. 预防医学, 2025, 37(9): 903-906,912.
[12] 凌红, 汪娜, 宋琴, 徐昊. 2009—2023年黄浦区肺结核流行特征和时空聚集性分析[J]. 预防医学, 2025, 37(9): 937-940.
[13] 张俊杰, 罗超, 姜立坤, 张慧颖. 2015—2024年哈尔滨市百日咳流行特征分析[J]. 预防医学, 2025, 37(9): 941-944.
[14] 魏志云, 罗小飞, 于颖洁, 贺亚琴, 杨倩, 窦强. 山西省布鲁氏菌病流行特征与空间聚集性分析[J]. 预防医学, 2025, 37(8): 842-845.
[15] 翟羽佳, 章涛, 古雪, 徐乐, 吴梦娜, 林君芬, 吴晨. 社区老年人认知衰弱现况调查[J]. 预防医学, 2025, 37(8): 762-766,772.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed