2008-2012年無錫市手足口病疫情特征及病原學(xué)分析
發(fā)布時(shí)間:2018-04-11 07:04
本文選題:手足口病 + 流行特征; 參考:《現(xiàn)代預(yù)防醫(yī)學(xué)》2014年22期
【摘要】:目的了解無錫市2008-2012年手足口病流行趨勢(shì)及其病原學(xué)變化特點(diǎn),為本地區(qū)防控手足口病提供科學(xué)依據(jù)。方法通過《中國(guó)疾病預(yù)防控制信息系統(tǒng)》收集病例相關(guān)信息,采用描述性流行病學(xué)方法進(jìn)行分析比較,收集無錫市哨點(diǎn)醫(yī)院的手足口病例樣本,進(jìn)行病毒核酸檢測(cè)。結(jié)果無錫市2008-2012年共報(bào)告手足口病46 534例,年均發(fā)病率161.39/10萬;重癥比例為22.01‰;死亡率0.014/10萬。發(fā)病有兩個(gè)高峰,主要集中在5-7月和11-12月,重癥發(fā)生亦集中在7月;全區(qū)各縣區(qū)均有發(fā)病,無錫新區(qū)、濱湖、錫山和惠山等城鄉(xiāng)結(jié)合地區(qū)發(fā)病率較高,且重癥發(fā)生率較高;普通病例男女性別比為1.48∶1,5歲以下兒童發(fā)病占93.20%,重癥病例主要以散居兒童中3歲及以下兒童高發(fā)。病原學(xué)監(jiān)測(cè)結(jié)果顯示以EV71(占50.09%)和Cox A16(31.48%)為主,重癥病例EV71陽(yáng)性率明顯高于普通病例。結(jié)論手足口病的發(fā)生存在明顯季節(jié)性及地區(qū)、性別、年齡差異,且疫情處于上升狀態(tài),應(yīng)加強(qiáng)對(duì)手足口病的健康教育及對(duì)農(nóng)村偏遠(yuǎn)地區(qū)和城鎮(zhèn)托幼機(jī)構(gòu)的疫情監(jiān)測(cè)力度,同時(shí)提高醫(yī)療機(jī)構(gòu)對(duì)手足口病重癥病例的診斷及救治能力。
[Abstract]:Objective to investigate the epidemic trend and etiological changes of HFMD in Wuxi from 2008 to 2012 so as to provide scientific basis for prevention and control of HFMD in Wuxi.Methods the case information was collected through the China Disease Prevention and Control Information system, and the descriptive epidemiological method was used to analyze and compare it. The samples of hand, foot and mouth disease were collected from Wuxi sentry point hospital, and the viral nucleic acid was detected.Results 46,534 cases of hand, foot and mouth disease were reported in Wuxi city from 2008 to 2012, with an average annual incidence of 161.39% / 100 000, a severe disease rate of 22.01 鈥,
本文編號(hào):1734927
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