2004-2012年丽水市急性弛缓性麻痹病例监测情况分析

发布时间：2018-04-27 22:55

  本文选题：急性迟缓性麻痹 + AFP　； 参考：《现代预防医学》2015年11期

【摘要】：目的了解2004-2012年丽水市急性弛缓性麻痹(AFP)病例监测系统的运行情况,分析监测质量。方法监测15岁以下AFP病例,由专业人员对病例调查、采便和随访,在省级疾控中心对粪便标本进行病毒分离和鉴定;省AFP病例专家诊断小组对每例AFP病例进行最终分类;应用SPSS13.0和AFP监测信息报告管理系统对数据进行统计分析。结果 2004-2012年共报告AFP病例81例,按15岁以下儿童数年平均报告发病率为2.10/10万,男女之比为1.79∶1;多为单侧下肢麻痹,占80.25%;3次及以上脊灰糖丸疫苗接种史者占87.65%;冬春季发病较多;共分离到4株肠道病毒,阳性率4.94%,其中非脊灰肠道病毒(NPEV)2株,脊灰病毒(PV)2株(Ⅰ+Ⅱ型),脊灰病毒阳性率为2.47%,经国家疾控中心参比实验室核实均为脊灰疫苗相关株;双份合格粪便采集率100%,粪便及时送检率95.10%,病例48 h流调率100%;监测医院漏报率为10.00%。结论丽水市AFP监测质量较高,常规免疫接种率维持较高水平,同时应采取措施控制监测漏洞。
[Abstract]:Objective to investigate the operation and quality of AFP case monitoring system in Lishui City from 2004 to 2012. Methods the cases of AFP under 15 years of age were monitored, and the cases were investigated, defecated and followed up by professional personnel. The fecal specimens were isolated and identified at the provincial CDC, and the final classification of each AFP case was carried out by the expert diagnosis team of provincial AFP cases. Using SPSS13.0 and AFP monitoring information report management system to carry on the statistical analysis to the data. Results A total of 81 cases of AFP were reported from 2004 to 2012. The average reported incidence rate of children under 15 years old was 2.10 / 100 000, the ratio of male and female was 1.79: 1; most of them were unilateral paralysis of lower extremities, accounting for 87.65% of the history of vaccination of 80.25 or more times of polio sugar pills, and the incidence of diseases in winter and spring was more than that in winter and spring. Four strains of enterovirus were isolated and the positive rate was 4.94. Two strains of non-polio enterovirus (NPEV) and two strains of poliovirus (type 鈪，

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