【摘要】：目的探討0~7月齡兒童中麻疹易感因素,探索可能對(duì)其采取的保護(hù)措施。方法選取常州市范圍內(nèi)在2009-2013年發(fā)病的0~7月齡兒童,采用病例對(duì)照研究的方法,就病例和對(duì)照的發(fā)病與就診情況、可能的暴露史、居住地和旅行史、既往麻疹患病史、衛(wèi)生服務(wù)情況、社會(huì)人口學(xué)和經(jīng)濟(jì)學(xué)信息等內(nèi)容進(jìn)行入戶個(gè)案訪談?wù){(diào)查。結(jié)果單因素及多因素分析結(jié)果顯示:發(fā)病前7~21 d醫(yī)院暴露史(OR=8.976,OR95%CI=4.087~19.713)、尤其是地市級(jí)(OR=8.00,OR95%CI=2.14~29.85)和縣區(qū)級(jí)(OR=6.33,OR95%CI=1.81~22.11)醫(yī)院暴露史以及病人接觸史(OR=11.4,OR95%CI=1.207~107.653)是0~7月齡兒童麻疹發(fā)病的危險(xiǎn)因素。結(jié)論加強(qiáng)傳染源的管理,防止醫(yī)源性感染,開展育齡婦女、流動(dòng)人口等成人強(qiáng)化免疫是目前消除0~7月齡兒童麻疹的有效手段。
[Abstract]:Objective to explore the risk factors of measles in children aged 0-7 months and explore the protective measures. Methods A case-control study was conducted among 0-7-month-old children in Changzhou city from 2009 to 2013. The cases and controls, possible history of exposure, residence and travel history, and the history of measles cases and controls were studied, and the history of measles was analyzed by means of a case-control study, and a case-control study was carried out with a case-control study. Health services, social demography, economic information and other content of home-to-home interview survey. Results the results of univariate and multivariate analysis showed that the history of hospital exposure (OR=8.976,OR95%CI=4.087~19.713), especially the prefecture (OR=8.00,OR95%CI=2.14~29.85) and county level (OR=6.33,), was 7 ~ 21 days before the onset of the disease. OR95%CI=1.81~22.11) hospital exposure history and patient exposure history (OR=11.4,OR95%CI=1.207~107.653) were risk factors for measles in 7-month-old children. Conclusion strengthening the management of the source of infection, preventing iatrogenic infection and carrying out intensive immunization among women of childbearing age and floating population are the effective means to eliminate measles in children aged 0 to 7 months.
【作者單位】： 常州市疾病預(yù)防控制中心;
【基金】：常州市疾病預(yù)防控制中心科研項(xiàng)目(201210)
【分類號(hào)】：R181.3

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本文編號(hào)：2448012