發(fā)布時間：2019-05-08 15:26

【摘要】：目的了解白銀市5歲以下兒童社區(qū)獲得性肺炎(Community acquired pneumonia,CAP)的疾病負擔。方法制定病例定義,采用多階段抽樣,在疫苗接種單位調(diào)查5歲以下兒童,了解CAP的發(fā)病情況、就醫(yī)直接和間接花費。結(jié)果白銀市5歲以下兒童CAP發(fā)病密度估計為0.074/人年;城區(qū)、農(nóng)村兒童分別為0.084/人年、0.069/人年;0歲組最低(0.044/人年);1歲組最高(0.088/人年)。每例CAP總費用平均為6 215.9元,其中直接和間接費用分別為4 462.8元和1 753.1元。2016年白銀市5歲以下兒童數(shù)為97 303人,CAP的總經(jīng)濟負擔估計為4 423.7萬元。結(jié)論白銀市5歲以下兒童CAP疾病負擔較高;應(yīng)進一步開展相關(guān)疫苗納入免疫規(guī)劃的成本效益分析。
[Abstract]:Objective to investigate the burden of community acquired pneumonia (Community acquired pneumonia,CAP) in children under 5 years of age in Baiyin city. Methods A case definition was established and a multi-stage sampling was used to investigate children under 5 years of age in vaccination units to understand the incidence of CAP and to find out the direct and indirect costs of seeking medical treatment. Results the incidence density of CAP was estimated to be 0.074 / person-year for children under 5 years of age in Baiyin City, 0.084 / person-year for rural children, 0.069 / person-year for rural children, the lowest for 0-year-old group (0.044 / person-year), and 0.069 / person-year for rural children, respectively. One-year-old group was the highest (0.088 / person-year). The average total cost per case of CAP was 6 215.9 yuan, of which the direct and indirect costs were 4 462.8 yuan and 1 753.1 yuan respectively. In 2016, the number of children under 5 years of age in Baiyin city was 97 303, and the total economic burden of CAP was estimated to be 44.237 million yuan. Conclusion the burden of CAP in children under 5 years of age is higher in Baiyin City, and the cost-benefit analysis of the related vaccines should be further carried out.
【作者單位】： 中國疾病預防控制中心免疫規(guī)劃中心;甘肅省疾病預防控制中心;白銀市疾病預防控制中心;
【分類號】：R725.6

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本文編號：2472015