Table 3. Mycloplasma pneumoniae testing and detection in children/adolescents and females per year, April 2017–March 2021 (n = 154,241 children/adolescents and 285,238 females).
UN region and country | City or region | Test method | April 2017–March 2018 | April 2018–March 2019 | April 2019–March 2020 | April 2020–March 2021 (COVID-19 pandemic) |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Children/ adolescents |
Females | Children/ adolescents |
Females | Children/ adolescents |
Females | Children/ adolescents |
Females | |||||||||||||||||||
N | n | % | N | n | % | N | n | % | N | n | % | N | n | % | N | n | % | N | n | % | N | n | % | |||
Europe | ||||||||||||||||||||||||||
Western Europe | ||||||||||||||||||||||||||
France | Bordeaux | PCR | 335 | 9 | 2.69 | 236 | 11 | 4.66 | 282 | 15 | 5.32 | 280 | 11 | 3.93 | 272 | 28 | 10.29 | 248 | 17 | 6.85 | 220 | 2 | 0.91 | 193 | 0 | 0.00 |
Switzerland | Geneva | PCR | 201 | 8 | 3.98 | 579 | 17 | 2.94 | 301 | 43 | 14.29 | 704 | 39 | 5.54 | 354 | 45 | 12.71 | 392 | 34 | 8.67 | 161 | 2 | 1.24 | 449 | 3 | 0.67 |
Lausanne | PCR | 42 | 1 | 2.38 | 226 | 5 | 2.21 | 18 | 1 | 5.56 | 200 | 1 | 0.50 | 36 | 4 | 11.11 | 325 | 9 | 2.77 | 2 | 0 | 0.00 | 123 | 0 | 0.00 | |
Berna | PCR | 134 | 17 | 12.69 | 65 | 8 | 12.31 | 175 | 43 | 24.57 | 74 | 18 | 24.32 | 191 | 29 | 15.18 | 78 | 14 | 17.95 | 41 | 0 | 0.00 | 16 | 0 | 0.00 | |
Lucernea | PCR | NA | 7 | NA | NA | 3 | NA | 229 | 10 | 4.37 | NA | 3 | NA | 215 | 21 | 9.77 | NA | 5 | NA | 129 | 1 | 0.78 | NA | 1 | NA | |
Bellinzona | PCR | 155 | 6 | 3.87 | 315 | 2 | 0.63 | 471 | 66 | 14.01 | 500 | 41 | 8.20 | 354 | 22 | 6.21 | 661 | 19 | 2.87 | 118 | 0 | 0.00 | 328 | 0 | 0.00 | |
Zurich (A) | PCR | 29 | 2 | 6.90 | NA | 43 | 6 | 13.95 | NA | 44 | 8 | 18.18 | NA | 35 | 1 | 2.86 | NA | |||||||||
Zurich (B)a | PCR | 104 | 21 | 20.19 | NA | 123 | 22 | 17.89 | NA | 201 | 54 | 26.87 | NA | 1,659 | 6 | 0.36 | NA | |||||||||
St. Gallena | PCR | 20 | 7 | 35.00 | 14 | 4 | 28.57 | 18 | 5 | 27.78 | 12 | 5 | 41.67 | 19 | 6 | 31.58 | 7 | 3 | 42.86 | 8 | 1 | 12.50 | 4 | 1 | 25.00 | |
Aarau | PCR | 441 | 13 | 2.95 | 603 | 14 | 2.32 | 392 | 22 | 5.61 | 723 | 24 | 3.32 | 484 | 26 | 5.37 | 891 | 38 | 4.26 | 287 | 4 | 1.39 | 658 | 6 | 0.91 | |
IgM ELISA | 25 | 4 | 16.00 | 91 | 10 | 10.99 | 20 | 8 | 40.00 | 99 | 7 | 7.07 | 33 | 8 | 24.24 | 77 | 10 | 12.99 | 16 | 3 | 18.75 | 69 | 9 | 13.04 | ||
IgG ELISA | 25 | 3 | 12.00 | 91 | 15 | 16.48 | 20 | 6 | 30.00 | 99 | 19 | 19.19 | 33 | 9 | 27.27 | 77 | 15 | 19.48 | 16 | 1 b | 6.25 | 69 | 18 | 26.09 | ||
Basel (A) | PCR | 4 | 0 | 0.00 | 644 | 6 | 0.93 | 5 | 0 | 0.00 | 937 | 7 | 0.75 | 9 | 0 | 0.00 | 2,201 | 25 | 1.14 | 1 | 0 | 0.00 | 1,251 | 2 | 0.16 | |
Basel (B)a | PCR | 863 | 10 | 1.16 | 404 | 5 | 1.24 | 845 | 6 | 0.71 | NA | 1 | NA | 1,050 | 19 | 1.81 | NA | NA | NA | 634 | 6 | 0.95 | NA | NA | NA | |
Germany | Homburg | PCR | 53 | 2 | 3.77 | NA | 4 | NA | 75 | 3 | 4.00 | NA | 8 | NA | 111 | 4 | 3.60 | NA | 7 | NA | 88 | 0 | 0.00 | NA | 1 | NA |
IgM ELISA | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||||||||||||
IgG ELISA | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||||||||||||
Düsseldorf | PCR | 1,003 | 21 | 2.09 | 618 | 10 | 1.62 | 1,026 | 16 | 1.56 | 649 | 5 | 0.77 | 882 | 15 | 1.70 | 523 | 6 | 1.15 | 621 | 10 | 1.61 | 471 | 4 | 0.85 | |
IgM ELISA | 264 | 12 | 4.55 | 179 | 9 | 5.03 | 246 | 36 | 14.63 | 173 | 24 | 13.87 | 246 | 52 | 21.14 | 182 | 37 | 20.33 | 253 | 47 | 18.58 | 161 | 29 | 18.01 | ||
IgG ELISA | 307 | 168 | 54.72 | 237 | 142 | 59.92 | 255 | 141 | 55.29 | 187 | 118 | 63.10 | 226 | 98 | 43.36 | 174 | 96 | 55.17 | 238 | 132 | 55.46 | 157 | 103b | 65.61 | ||
IgA ELISA | NA | NA | 120 | 36 | 30.00 | 80 | 26 | 32.50 | 226 | 37 | 16.37 | 174 | 46 | 26.44 | 237 | 17b | 7.17 | 156 | 24 | 15.38 | ||||||
Saxony | PCR or serology | NA | NA | NA | NA | NA | NA | NA | NA | |||||||||||||||||
Belgium | Antwerp, Leuven (national reference laboratory) | PCR | 748 | 16 | 2.14 | 1,132 | 17 | 1.50 | 208 | 4 | 1.92 | 486 | 9 | 1.85 | 240 | 15 | 6.25 | 510 | 17 | 3.33 | 100 | 2 | 2.00 | 356 | 0 | 0.00 |
National surveillance | Direct test methods (different techniques) | NA | 740 | NA | NA | 639 | NA | NA | 362 | NA | NA | 285 | NA | NA | 493 | NA | NA | 433 | NA | NA | 86b | NA | NA | 140b | NA | |
The Netherlands | Rotterdam | PCR | NA | NA | 47 | 11 | 23.40 | 119 | 22 | 18.49 | 89 | 26 | 29.21 | 163 | 23 | 14.11 | 54 | 12 | 22.22 | 176 | 19 | 10.80 | ||||
Northern Europe | ||||||||||||||||||||||||||
England | National reference laboratory | PCR | 39 | 8 | 20.51 | 63 | 7 | 11.11 | 34 | 2 | 5.88 | 45 | 9 | 20.00 | 84 | 51 | 60.71 | 102 | 50 | 49.02 | 58 | 7 | 12.07 | 49 | 5 | 10.20 |
Denmark | National surveillance | PCR | 15,879 | 2,374 | 14.95 | 55,874 | 2,843 | 5.09 | 9,121 | 515 | 5.65 | 44,132 | 768 | 1.74 | 14,307 | 1,854 | 12.96 | 55,356 | 2,374 | 4.29 | 2,650 | 68 | 2.57 | 27,693 | 83 | 0.30 |
Finland | Turku | PCR or serology | NA | NA | NA | NA | 1,488 | 138 | 9.27 | NA | 804 | 51 | 6.34 | NA | ||||||||||||
National surveillance | PCR or serology | NA | NA | 1,344 | NA | NA | NA | 997 | NA | NA | NA | 699 | NA | NA | NA | 265 | NA | |||||||||
Norway | Trondheim | PCR | 3,306 | 230 | 6.96 | 1,556 | 113 | 7.26 | 2,330 | 56 | 2.40 | 1,041 | 26 | 2.50 | 2,014 | 48 | 2.38 | 920 | 22 | 2.39 | 1,263 | 0 | 0.00 | 486 | 0 | 0.00 |
Southern Europe | ||||||||||||||||||||||||||
Portugal | Coimbraa | PCR | 803 | 5 | 0.62 | 374 | 4 | 1.07 | 924 | 90 | 9.74 | 460 | 38 | 8.26 | 1,084 | 19 | 1.75 | 469 | 8 | 1.71 | 161 | 0 | 0.00 | 69 | 0 | 0.00 |
Greece | Athens (A)a | IgM ELISA | 212 | 19 | 8.96 | 92 | 9 | 9.78 | 236 | 51 | 21.61 | 125 | 32 | 25.60 | 250 | 65 | 26.00 | 118 | 28 | 23.73 | 167 | 35 | 20.96 | 73 | 15 | 20.55 |
IgG ELISA | 212 | 44 | 20.75 | 92 | 19 | 20.65 | 236 | 29 | 12.29 | 125 | 13 | 10.40 | 250 | 37 | 14.80 | 118 | 16 | 13.56 | 167 | 41 | 24.55 | 73 | 19 | 26.03 | ||
Athens (B)a | IgM ELISA | 185 | 9 | 4.86 | 90 | 3 | 3.33 | 181 | 15 | 8.29 | 87 | 6 | 6.90 | 231 | 27 | 11.69 | 106 | 14 | 13.21 | 172 | 14 | 8.14 | 90 | 8 | 8.89 | |
IgG ELISA | 185 | 59 | 31.89 | 90 | 25 | 27.78 | 181 | 88 | 48.62 | 87 | 46 | 52.87 | 231 | 92 | 39.83 | 106 | 46 | 43.40 | 172 | 44 | 25.58 | 90 | 20 | 22.22 | ||
Slovenia | Ljubljana | PCR | 530 | 19 | 3.58 | 708 | 7 | 0.99 | 745 | 119 | 15.97 | 857 | 75 | 8.75 | 1,326 | 402 | 30.32 | 1,382 | 218 | 15.77 | 320 | 14 | 4.38 | 528 | 8 | 1.52 |
Asia | ||||||||||||||||||||||||||
Western Asia | ||||||||||||||||||||||||||
Israel | Jerusalem | PCR | 256 | 17 | 6.64 | 573 | 19 | 3.32 | 337 | 39 | 11.57 | 610 | 33 | 5.41 | 364 | 29 | 7.97 | 760 | 25 | 3.29 | 216 | 0 | 0.00 | 275 | 0 | 0.00 |
Eastern Asia | ||||||||||||||||||||||||||
Japan | Kurashiki City (Okayama)a | PCR | 30 | 4 | 13.33 | 16 | 2 | 12.50 | 64 | 14 | 21.88 | 26 | 5 | 19.23 | 34 | 3 | 8.82 | 15 | 1 | 6.67 | 5 | 0 | 0.00 | 5 | 0 | 0.00 |
Tokyo | Rapid antigen test | 25 | NA | NA | 52 | 33 | 63.46 | 80 | 25 | 31.25 | 60 | 9 | 15.00 | 420 | 22 | 5.24 | 180 | 14 | 7.78 | 60 | 3 | 5.00 | 60 | 1 | 1.67 | |
Taiwan | Taoyuana | PCR | 116 | 20 | 17.24 | 56 | 11 | 19.64 | 159 | 63 | 39.62 | 77 | 31 | 40.26 | 204 | 131 | 64.22 | 113 | 71 | 62.83 | 44 | 5 | 11.36 | 16 | 0b | 0.00 |
South-eastern Asia | ||||||||||||||||||||||||||
Singapore | Singaporea | PCR | 4,212 | 387 | 9.19 | NA | 8,765 | 307 | 3.50 | NA | 15,860 | 613 | 3.87 | NA | 8,835 | 33 | 0.37 | NA | ||||||||
South Asia | ||||||||||||||||||||||||||
India | New Delhi | IgM ELISA | 159 | 12 | 7.55 | 30 | 7 | 23.33 | 207 | 7 | 3.38 | 105 | 8 | 7.62 | 113 | 14 | 12.39 | 67 | 7 | 10.45 | 84 | 13 | 15.48 | 49 | 5 | 10.20 |
America | ||||||||||||||||||||||||||
Northern America | ||||||||||||||||||||||||||
United States | Chicagoa | PCR | 3,818 | 10 | 0.26 | 1,892 | 3 | 0.16 | 3,873 | 21 | 0.54 | 1,814 | 15 | 0.83 | 4,653 | 39 | 0.84 | 2,258 | 21 | 0.93 | 1,589 | 2 | 0.13 | 735 | 0 | 0.00 |
Caribbean | ||||||||||||||||||||||||||
Cuba | National surveillance | PCR | 535 | 12 | 2.24 | 398 | 6 | 1.51 | 38 | 1 | 2.63 | 25 | 0 | 0.00 | 497 | 15 | 3.02 | 385 | 6 | 1.56 | 0 | NA | NA | 0 | NA | NA |
Oceania | ||||||||||||||||||||||||||
Australia | Darlinghurst (Sydney) |
PCR | 3,975 | 35 | 0.88 | 8,303 | 36 | 0.43 | 3,050 | 30 | 0.98 | 6,241 | 22 | 0.35 | 4,784 | 111 | 2.32 | 11,242 | 82 | 0.73 | 9,487 | 10 | 0.11 | 36,408 | 10 | 0.03 |
New Zealand | Auckland | PCR | 154 | 11 | 7.14 | 252 | 10 | 3.97 | 167 | 8 | 4.79 | 475 | 13 | 2.74 | 226 | 22 | 9.73 | 401 | 21 | 5.24 | 561 | 3 | 0.53 | 1,219 | 3 | 0.25 |
COVID-19: coronavirus disease; ELISA: enzyme-linked immunosorbent assay; Ig: immunoglobulin; NA: not available; UN: United Nations.
a ≥ 90% of data are from children and adolescents < 18 years of age.
b Statistically significant difference in proportions of children/adolescents or females with positive tests between April 2020 and March 2021 and between April 2017 and March 2020 (Fisher's exact test, p < 0.05).
For serology only total test numbers of IgM considered. Entries in italics signify serological data (± PCR).