幼儿园及学校甲型流感快速诊断中体温监测的价值分析
发布时间:2018-05-04 00:14
本文选题:流感 + 人 ; 参考:《中国学校卫生》2012年06期
【摘要】:目的观察幼儿园及学校人群甲型流感快速诊断中体温监测的价值,为甲型H1N1流感疫情防控工作提供参考。方法对某高校本科生及其附属幼儿园、小学、中学人群发热或急性上呼吸道症状病例不同体温范围内甲型流感检测阳性率和漏检率进行比较。结果 716例病例中,甲型流感检测阳性率为33.9%,体温越高,检出的阳性率也越高;幼儿园、小学、中学病例阳性率之间差异无统计学意义(P0.05),但均显著高于大学生病例的阳性率(P值均0.01);24.6%的体温正常病例甲型流感检测呈阳性;在把甲型流感检测对象分别限定在体温≥37.2℃,≥37.5℃,≥38℃时,幼儿园、小学和中学人群病例的甲型流感漏检率均较高,均明显高于大学生病例中甲型流感的漏检率;当以不低于37.2℃作为检测标准时,大学本科生病例的甲型流感漏检率仅为0.8%。结论在甲型H1N1流感疫情防控工作中,对于大学生采用体温监测来搜索疑似病人效果较好,而中小学和幼儿园仅依靠体温监测搜索病人存在很大的缺陷。
[Abstract]:Objective to observe the value of body temperature monitoring in the rapid diagnosis of influenza A in kindergartens and schools, and to provide reference for the prevention and control of influenza A (H1N1). Methods to compare the positive rate and missed rate of influenza A in different temperature range of fever or acute upper respiratory symptom cases of undergraduates and their affiliated kindergartens, primary schools and middle schools. Results in 716 cases, the positive rate of influenza A was 33.9. The higher the body temperature, the higher the positive rate. There was no significant difference in the positive rate of middle school cases (P 0.05), but it was significantly higher than that of college students (P = 0.01 or 24.6%), and the subjects of influenza A detection were limited to body temperature 鈮,
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