贵州省2013—2014年手足口病聚集性疫情流行特征分析

发布时间：2018-02-22 13:08

  本文关键词： 手足口病 聚集性疫情 流行特征　出处：《中国公共卫生》2017年05期 　论文类型：期刊论文

【摘要】：目的了解贵州省2013—2014年手足口病聚集性疫情流行特征,为手足口病的预防控制提供参考依据。方法收集贵州省2013年1月1日—2014年12月31日手足口病聚集性疫情,应用SPSS 13.0分析手足口病聚集性疫情的三间分布和病原学特征。结果贵州省2013—2014年共发生手足口病聚集性疫情2 496起,涉及病例7 662例,占总报告病例数的8.15%,暴发54起,占聚集性疫情的2.16%,暴发病例566例,占聚集性病例的7.39%,重症病例70例,占聚集性病例的0.91%;与2013年比较,2014年手足口病聚集性疫情起数上升了37.94%,病例数上升了52.45%;2014年手足口病聚集性疫情流行趋势与手足口病总疫情基本一致,呈双峰分布,主峰为3—6月(72.72%),次峰为10—11月(8.57%);手足口病聚集性疫情分布于9个市(州)的88个县(市、区),居于前5位的市(州)依次为遵义市、黔西南州、贵阳市、六盘水市和毕节市,居于前10位的县(市、区)依次为红花岗区、遵义县、汇川区、钟山区、仁怀市、安龙县、册亨县、水城县、湄潭县和道真县;疫情聚集发生地以农村居多(52.84%),发生场所以家庭聚集最多(45.95%);贵州省2013—2014年手足口病聚集性病例男女性别比为1.35:1,主要集中在≤5岁年龄组(94.18%),以幼托儿童为主(48.69%);对870起手足口病聚集性疫情进行的病原学检测结果显示,肠道病毒检出率为77.82%,单一感染中其他肠道病毒感染最多(32.20%),其次为Cox A16感染(25.58%),120起混合感染中以EV71合并其他肠道病毒感染最多(7.53%),其次为Cox A16合并其他肠道病毒感染(7.24%),2014年的感染谱与2013年有所不同。结论贵州省手足口病聚集性疫情随总体疫情增强而扩展,家庭及幼托机构多发,病原变迁,需持续开展健康教育和监测等工作。
[Abstract]:Objective to investigate the epidemic characteristics of HFMD in Guizhou province from 2013 to 2014, and to provide a reference for the prevention and control of HFMD. Methods from January 1st 2013 to December 31st 2014, we collected the epidemic situation of HFMD in Guizhou province. SPSS 13.0 was used to analyze the three distribution and etiological characteristics of HFMD agglomeration in Guizhou. Results there were 2 496 HFMD cases in Guizhou province in 2013-2014, involving 7 662 cases, accounting for 8. 15% of the total reported cases and 54 outbreaks. Accounting for 2.16% of the aggregated epidemic, 566 cases of outbreaks, 7.39 cases of aggregated cases, 70 cases of severe cases, Compared with 2013, the number of cases with HFMD in 2014 increased by 37.94 and 52.45.The epidemic trend of HFMD in 2014 was basically consistent with the total epidemic situation of HFMD, showing a bimodal distribution. The main peak was 72.72 from March to June, the second peak was from October to November, the second peak was from October to November. The concentrated epidemic of HFMD was distributed in 88 counties (cities and districts) in 9 cities (states), and the top 5 cities (prefectures) were Zunyi, Qiannan, Guiyang, Liupanshui and Bijie, respectively, in the order of Zunyi, Qiannan, Guiyang, Liupanshui and Bijie. The top 10 counties (cities, districts) in turn are Honghuagang District, Zunyi County, Huichuan District, Zhongshan District, Renhuai City, Anlong County, Ceiheng County, Shuicheng County, Meitan County and Dazhen County; In Guizhou province, the incidence of HFMD cluster cases in 2013-2014 was 1.35: 1, mainly concentrated in the age group 鈮，

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