2014年新疆伽师县内脏利什曼病暴发的调查分析

发布时间：2018-03-01 08:10

本文关键词： 新疆维吾尔自治区伽师县内脏利什曼病暴发　出处：《中国寄生虫学与寄生虫病杂志》2015年05期 　论文类型：期刊论文

【摘要】：目的了解2014年新疆维吾尔自治区(简称新疆)伽师县内脏利什曼病暴发的流行病学特点,为制定相关防治策略提供依据。方法从中国疾病预防控制中心传染病报告信息管理系统(简称报告系统)中收集新疆上报的2009年7月1日-2015年6月30日内脏利什曼病疫情数据,进行整理分析。于2014年10月对当年7月1日以来报告内脏利什曼病例数剧增的伽师县卧里托格拉克乡、和夏阿瓦提乡的23个村(3岁以下儿童)开展现场流行病学调查,对有发热,肝、脾肿大等症状和体征者(为疑似病例)采集手指血20μl(监护人知情同意)进行rk39免疫层析试条检测,并对阳性患儿给予葡萄糖酸锑纳(200 mg/kg×6次,静脉给药)治疗。结果 2009年7月1日-2015年6月30日新疆共报告内脏利什曼病813例,其中伽师县占41.45%(337/813);2014年7月1日-2015年6月30日共报告病例数为192例,其中伽师县占86.46%(166/192)。2014年在伽师县,自8月出现首个内脏利什曼病例后,报告病例数呈上升的趋势,10、11和12月报告病例数为114例,占当期报告病例数的68.7%(114/166),至2015年4月无病例报告。2014年7月1日-2015年6月30日,伽师县报告的166例内脏利什曼病病例中,年龄为出生23 d~8岁,其中1岁以下占95.18%(158/166);伽师县卧里托格拉克乡报告的113例中,年龄为出生23 d~3岁,其中1岁以下占96.46%(109/113),符合荒漠型内脏利什曼病流行的特点。现场调查和夏阿瓦提乡和卧里托格拉克乡23个村3岁以下儿童833人,其中14例疑似病例经rk39免疫层析试条检测,阳性者11例,均经葡萄糖酸锑纳治疗1个疗程后治愈出院。结论 2014年伽师县内脏利什曼病报告疫情中95%为1岁以下儿童,确定为荒漠型内脏利什曼病暴发。
[Abstract]:Objective to investigate the epidemiological characteristics of visceral leishmaniasis outbreak in Jiashi County of Xinjiang Uygur Autonomous region in 2014. Methods the data of visceral leishmaniasis (visceral leishmaniasis) reported from July 1st 2009 to June 30th 2015 in Xinjiang were collected from the infectious disease report information management system of China Center for Disease Control and Prevention. In October 2014, a field epidemiological survey was conducted on children under 3 years of age in Hulitograk, Jiashi County, and 23 villages in Xia Awati, where the number of visceral Leishman cases had increased dramatically since July 1st of that year. The patients with symptoms and signs such as fever, hepatomegaly and splenomegaly were collected from 20 渭 l finger blood (informed consent of guardian) for rk39 immunochromatographic test, and the positive children were given antimony gluconate 200 mg/kg 脳 6 times. Results from July 1st 2009 to June 30th 2015, 813 cases of visceral leishmaniasis were reported in Xinjiang. Jiashi County accounted for 86.46% of 16.6% 1926%. Since the first visceral Leishman case appeared in Jiashi County on 2014, the number of reported cases has shown an upward trend of 1011 cases and 114 cases reported in December. There were no cases reported by April 2015. From July 1st 2014 to June 30th 2015, 166 cases of visceral leishmaniasis were reported in Jiashi County, aged 23 days or 8 years. Of the 113 cases reported in Ritoglac Township in Jiashi County, the age of birth was 23 days or 3 years old. Among them, 96.4646 / 109 / 113% of them were under one year old, which was consistent with the epidemic characteristics of desert visceral leishmaniasis. Field investigation and 833 children under 3 years of age in 23 villages in Xia Awati Township and Huiling Ritoglak Township, 14 suspected cases were detected by rk39 immunochromatographic assay. All the 11 cases were cured and discharged after one course of treatment with antimony gluconate. Conclusion in 2014, 95% cases of visceral leishmaniasis in Jiashi County were reported as children under 1 year old and identified as desert visceral leishmaniasis.
【作者单位】：新疆维吾尔自治区疾病预防控制中心;新疆喀什地区疾病预防控制中心;新疆伽师县卧里托格拉克乡卫生院;新疆伽师县疾病预防控制中心;
【分类号】：R531.6

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