本文關(guān)鍵詞： 手足口病 聚集性疫情 流行特征　出處：《中國公共衛(wèi)生》2017年05期 　論文類型：期刊論文

【摘要】：目的了解貴州省2013—2014年手足口病聚集性疫情流行特征,為手足口病的預(yù)防控制提供參考依據(jù)。方法收集貴州省2013年1月1日—2014年12月31日手足口病聚集性疫情,應(yīng)用SPSS 13.0分析手足口病聚集性疫情的三間分布和病原學(xué)特征。結(jié)果貴州省2013—2014年共發(fā)生手足口病聚集性疫情2 496起,涉及病例7 662例,占總報(bào)告病例數(shù)的8.15%,暴發(fā)54起,占聚集性疫情的2.16%,暴發(fā)病例566例,占聚集性病例的7.39%,重癥病例70例,占聚集性病例的0.91%;與2013年比較,2014年手足口病聚集性疫情起數(shù)上升了37.94%,病例數(shù)上升了52.45%;2014年手足口病聚集性疫情流行趨勢與手足口病總疫情基本一致,呈雙峰分布,主峰為3—6月(72.72%),次峰為10—11月(8.57%);手足口病聚集性疫情分布于9個(gè)市(州)的88個(gè)縣(市、區(qū)),居于前5位的市(州)依次為遵義市、黔西南州、貴陽市、六盤水市和畢節(jié)市,居于前10位的縣(市、區(qū))依次為紅花崗區(qū)、遵義縣、匯川區(qū)、鐘山區(qū)、仁懷市、安龍縣、冊亨縣、水城縣、湄潭縣和道真縣;疫情聚集發(fā)生地以農(nóng)村居多(52.84%),發(fā)生場所以家庭聚集最多(45.95%);貴州省2013—2014年手足口病聚集性病例男女性別比為1.35:1,主要集中在≤5歲年齡組(94.18%),以幼托兒童為主(48.69%);對870起手足口病聚集性疫情進(jìn)行的病原學(xué)檢測結(jié)果顯示,腸道病毒檢出率為77.82%,單一感染中其他腸道病毒感染最多(32.20%),其次為Cox A16感染(25.58%),120起混合感染中以EV71合并其他腸道病毒感染最多(7.53%),其次為Cox A16合并其他腸道病毒感染(7.24%),2014年的感染譜與2013年有所不同。結(jié)論貴州省手足口病聚集性疫情隨總體疫情增強(qiáng)而擴(kuò)展,家庭及幼托機(jī)構(gòu)多發(fā),病原變遷,需持續(xù)開展健康教育和監(jiān)測等工作。
[Abstract]:Objective to investigate the epidemic characteristics of HFMD in Guizhou province from 2013 to 2014, and to provide a reference for the prevention and control of HFMD. Methods from January 1st 2013 to December 31st 2014, we collected the epidemic situation of HFMD in Guizhou province. SPSS 13.0 was used to analyze the three distribution and etiological characteristics of HFMD agglomeration in Guizhou. Results there were 2 496 HFMD cases in Guizhou province in 2013-2014, involving 7 662 cases, accounting for 8. 15% of the total reported cases and 54 outbreaks. Accounting for 2.16% of the aggregated epidemic, 566 cases of outbreaks, 7.39 cases of aggregated cases, 70 cases of severe cases, Compared with 2013, the number of cases with HFMD in 2014 increased by 37.94 and 52.45.The epidemic trend of HFMD in 2014 was basically consistent with the total epidemic situation of HFMD, showing a bimodal distribution. The main peak was 72.72 from March to June, the second peak was from October to November, the second peak was from October to November. The concentrated epidemic of HFMD was distributed in 88 counties (cities and districts) in 9 cities (states), and the top 5 cities (prefectures) were Zunyi, Qiannan, Guiyang, Liupanshui and Bijie, respectively, in the order of Zunyi, Qiannan, Guiyang, Liupanshui and Bijie. The top 10 counties (cities, districts) in turn are Honghuagang District, Zunyi County, Huichuan District, Zhongshan District, Renhuai City, Anlong County, Ceiheng County, Shuicheng County, Meitan County and Dazhen County; In Guizhou province, the incidence of HFMD cluster cases in 2013-2014 was 1.35: 1, mainly concentrated in the age group 鈮，

本文編號：1524480