本文關(guān)鍵詞： 布尼亞病毒 發(fā)熱伴血小板減少綜合征 流行病學(xué)特征 新發(fā)傳染病　出處：《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年16期 　論文類(lèi)型：期刊論文

【摘要】：目的了解南京市發(fā)熱伴血小板減少綜合征(SFTS)的流行病學(xué)特征,為制定有效的防控策略和措施提供科學(xué)依據(jù)。方法采用描述流行病學(xué)方法,分析2010-2016年南京市報(bào)告的SFTS病例時(shí)間、人群、地區(qū)分布特征和報(bào)病醫(yī)療機(jī)構(gòu)分布等,并將2016年流行特征與2010-2015年進(jìn)行比較。結(jié)果 2010-2016年南京市共報(bào)告SFTS確診病例70例,年均10例(2~30例),年均報(bào)告發(fā)病率為0.14/10萬(wàn)(0.05/10萬(wàn)~0.36/10萬(wàn))。4-11月有病例報(bào)告,5-7月是主要發(fā)病高峰(63%)。男性占56%,病例年齡中位數(shù)為60歲(26~82歲),男女年齡分布位置相同(P=0.82);病例以農(nóng)民為主(63%),其次是家務(wù)及待業(yè)(20%)。報(bào)告病例數(shù)前三位地區(qū)為溧水區(qū)(39%)、江寧區(qū)(19%)、浦口區(qū)(14%),共占報(bào)告病例數(shù)的71%。2010年報(bào)告一起家庭聚集性疫情,發(fā)現(xiàn)3例病例,血液、分泌物或排泄物可能是重要傳播因子。全市共有9家機(jī)構(gòu)報(bào)告SFTS病例,其中3家三級(jí)綜合性醫(yī)療機(jī)構(gòu)報(bào)告了全市84%的病例,病例發(fā)病至診斷時(shí)間間隔中位數(shù)為10d(0~30 d)。結(jié)論 2016年南京市報(bào)告SFTS病例顯著增加,流行特征與2010-2015年一致,應(yīng)進(jìn)一步采取綜合措施防控SFTS。
[Abstract]:Objective to investigate the epidemiological characteristics of febrile patients with thrombocytopenia syndrome (SFTS) in Nanjing, and to provide scientific basis for making effective prevention and control strategies and measures. Methods descriptive epidemiological method was used to analyze the time of SFTS cases reported in Nanjing from 2010 to 2016. Population, regional distribution and distribution of medical institutions were compared with those of 2010-2015 in 2016. Results 70 confirmed cases of SFTS were reported in Nanjing from 2010 to 2016. The average annual reported incidence rate was 0.14 / 100 000 (0.05 / 100 000 ~ 0.36 / 100 000) in April to November, the peak of the disease was 63% in May / July. The median age of cases was 56%, and the median age of cases was 60 years old and 26 / 82 years old. The age distribution of male and female patients was the same as that of P0. 82%. The first three areas of the reported cases are the Lishui District, the Lishui District, the Jiangning District, the Jiangning District, the Pukou District, and the 140-member area, which accounts for 71s of the reported cases and 71s of the reported cases. In 2010, a family cluster epidemic was reported. Three cases were found, blood, secretions or excreta may be important transmission factors. Nine institutions in the city reported SFTS cases, of which 3 tertiary comprehensive medical institutions reported 84% cases in the city. The median time between onset and diagnosis was 10 days or 30 days. Conclusion in 2016, the number of SFTS cases reported in Nanjing increased significantly, and the epidemic characteristics were consistent with those from 2010 to 2015. Comprehensive measures should be taken to prevent and control SFTSs.
【作者單位】： 江蘇省南京市疾病預(yù)防控制中心;中國(guó)疾病預(yù)防控制中心衛(wèi)生應(yīng)急中心;
【分類(lèi)號(hào)】：R181.3;R510

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