2015-2016年中山市感染性腹瀉病原學(xué)監(jiān)測結(jié)果分析
發(fā)布時(shí)間:2018-05-22 18:03
本文選題:感染性腹瀉 + 諾如病毒 ; 參考:《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年16期
【摘要】:目的了解2015-2016年中山市感染性腹瀉病原譜及其流行特征,為其防治提供科學(xué)的參考依據(jù)。方法 2015年3月-2016年10月期間對感染性腹瀉哨點(diǎn)醫(yī)院監(jiān)測病例的糞便標(biāo)本開展病原體檢測(含細(xì)菌和病毒),對其結(jié)果進(jìn)行流行病學(xué)分析。結(jié)果檢測1 643份標(biāo)本,共檢出435份陽性,檢出率為26.47%;其中病毒檢出率為22.15%,細(xì)菌檢出率為3.35%,混合感染檢出率為0.97%。病原體以諾如病毒GII型、輪狀病毒和沙門菌為主。各病原體檢出率有明顯的季節(jié)高峰,諾如病毒GII型檢出的高峰期是8月-10月;輪狀病毒檢出的高峰期12月-次年3月;沙門菌檢出的高峰在6月-8月。輪狀病毒感染以5歲以下兒童特別是3歲以下兒童為主,諾如病毒GII型和沙門菌人群普遍易感。結(jié)論感染性腹瀉的病原體以病毒為主;流行季節(jié)主要在冬春季;輪狀病毒腹瀉應(yīng)重點(diǎn)關(guān)注3歲以下人群。
[Abstract]:Objective to understand the pathogenic spectrum and epidemic characteristics of infectious diarrhea in Zhongshan City from 2015 to 2016, and to provide scientific reference for its prevention and treatment. Methods from March 2015 to October 2016, pathogens (including bacteria and virus) were detected in fecal specimens of surveillance cases in sentinel hospitals of infectious diarrhea, and the results were analyzed by epidemiology. Results A total of 435 positive specimens were detected, and the positive rate was 26.47, in which the detection rate of virus was 22.1510, the detection rate of bacteria was 3.35, and the detection rate of mixed infection was 0.97. The pathogens are GII, rotavirus and Salmonella. The detection rate of each pathogen had a seasonal peak, the peak of detection of norovirus GII type was from August to October, the peak of detection of rotavirus was from December to March of the following year, and the peak of detection of Salmonella was from June to August. Rotavirus infection mainly occurred in children under 5 years old, especially in children under 3 years old. Norovirus GII and Salmonella were most susceptible to rotavirus infection. Conclusion the pathogen of infectious diarrhea is mainly virus, the epidemic season is mainly in winter and spring, and rotavirus diarrhea should focus on the population under 3 years old.
【作者單位】: 中山市疾病預(yù)防控制中心;
【基金】:中山市醫(yī)學(xué)科研項(xiàng)目,中山市感染性腹瀉癥候群監(jiān)測系統(tǒng)的建立和應(yīng)用(2016J126)
【分類號】:R181.3
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