本文選題：肺炎支原體　切入點：感染　出處：《軍事醫(yī)學(xué)》2014年05期 　論文類型：期刊論文

【摘要】：目的調(diào)查分析某部發(fā)生的一起肺炎支原體感染暴發(fā)疫情的流行特征和防控效果,提出進(jìn)一步防控建議。方法采用流行病學(xué)現(xiàn)況研究方法,對所有病例的基本特征、臨床表現(xiàn)和聚集性活動等進(jìn)行個案調(diào)查。根據(jù)血清學(xué)檢查和流行病學(xué)調(diào)查結(jié)果判定肺炎支原體感染情況。結(jié)果在2013年5月16日至2013年6月11日期間,某部隊共出現(xiàn)49名確診病例和38名疑似病例,均為男性,總體罹患率為7.8%。疫情高峰時間段為5月27日至6月2日(7 d),病例總數(shù)66人(占75.9%)。在疫情暴發(fā)期間,學(xué)兵10隊、其他學(xué)兵隊和非學(xué)兵隊人群的罹患率分別為47.5%、4.5%和1.2%,其差異具有統(tǒng)計學(xué)意義(P0.01)。49名確診患者年齡為17~26歲,不同年齡組人群罹患率無統(tǒng)計學(xué)差異。患者籍貫和兵源地?zé)o明顯聚集性。感染病例最常出現(xiàn)的臨床癥狀為發(fā)熱和咳嗽,62.5%確診病例出現(xiàn)了單側(cè)或雙側(cè)肺部炎性改變,肺部陽性體征少見。所有確診病例均住院治療,無重癥或危重病例出現(xiàn)。在采取病例監(jiān)測、隔離觀察、取消密集性活動、分散居住以及預(yù)防性服用阿奇霉素等防控措施之后,疫情得到有效控制。結(jié)論封閉、密集的學(xué)習(xí)和訓(xùn)練部隊易出現(xiàn)肺炎支原體感染暴發(fā),有必要進(jìn)一步提高防病意識,加強(qiáng)病例管理,盡量分散居住,減少密集活動,落實個人衛(wèi)生制度。
[Abstract]:Objective to investigate and analyze the epidemic characteristics and control effect of an outbreak of Mycoplasma pneumoniae infection in a certain department, and put forward some suggestions for further prevention and control. According to the results of serological examination and epidemiological investigation, the situation of mycoplasma pneumoniae infection was determined. Results between May 16th 2013 and June 11th 2013, There were 49 confirmed cases and 38 suspected cases in a certain army, all of them were males, the overall attack rate was 7.8. The peak period of the epidemic was from May 27th to June 2nd, and the total number of cases was 66 (75.9%). During the outbreak, 10 teams of soldiers were trained. The attack rates of other students and non-students were 47.5% and 1.2%, respectively. The difference was statistically significant (P < 0.01). The age of 49 confirmed patients was 170-26 years old. There was no statistical difference in the attack rate among different age groups. There was no obvious aggregation in the origin and origin of the patients. The most common clinical symptoms of infection cases were fever and cough. 62.5% of the confirmed cases had unilateral or bilateral pulmonary inflammatory changes. Lung positive signs are rare. All confirmed cases are hospitalized and no severe or critical cases appear. After taking case monitoring, isolation observation, cancellation of intensive activity, scattered residence and preventive use of azithromycin and other preventive measures, Conclusion intensive learning and training troops are prone to the outbreak of Mycoplasma pneumoniae infection. It is necessary to further improve the awareness of disease prevention, strengthen case management, disperse residence as far as possible, and reduce intensive activities. Implement the personal hygiene system.
【作者單位】： 軍事醫(yī)學(xué)科學(xué)院疾病預(yù)防控制所;空軍后勤部衛(wèi)生防疫隊;
【基金】：國家自然科學(xué)基金青年基金項目(81102168)
【分類號】：R563.1

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本文編號：1616981