2005-2012年济南市细菌性痢疾流行病学分析

发布时间：2018-05-09 16:39

本文选题：细菌性痢疾 + 流行病学　；参考：《现代预防医学》2015年01期

【摘要】：目的探讨2005-2012年济南市细菌性痢疾(简称菌痢)的流行特征,掌握其流行规律,为进一步控制该病流行,及时修改并制定预防控制措施提供科学依据。方法采用描述流行病学方法,对2005-2012年济南市菌痢发病资料进行分析。结果 2005-2012年济南市共报告菌痢发病11 339例,发病率呈逐年下降,年均发病率为22.50/10万;每年发病集中在6-9月,发病高峰期为7-8月,发病具有明显的季节性;年均发病率自城市中心区到周边郊区逐渐降低,占前三位的是市中区、天桥区、槐荫区,年均发病率分别为38.69/10万,37.33/10万和36.60/10万,发病率最低的是章丘、济阳,年均发病率分别为9.71/10万,8.66/10万;发病人群以散居儿童和学生为主,其次是农民;发病率年龄段以0~,1~,2~为最高;男女发病率比例为1.29∶1(χ2=22.17,P0.001);大部分为临床诊断病例,实验室确诊率仅为15%。结论济南市近8年来菌痢发病率逐年下降,散居儿童、学生和农民为重点防治对象,需提高菌痢的实验室确诊率,以降低菌痢临床诊断的误诊率,应在本病流行季节加强对重点人群和重点地区的教育防治工作。
[Abstract]:Objective to investigate the epidemic characteristics of bacillary dysentery (bacillary dysentery) in Ji'nan for 2005-2012 years, to master its epidemic regularity, to provide scientific basis for further control of the epidemic, to modify and formulate prevention and control measures in time. Methods the descriptive epidemiological methods were used to analyze the data of dysentery in Ji'nan City, and the results were 2005-2012. The incidence of bacillary dysentery was reported in 11339 cases in Ji'nan. The incidence rate was declining year by year and the average annual incidence was 22.50/10 million. The incidence of the disease was 6-9 months, the peak period was 7-8 months, the incidence was seasonal; the average annual incidence rate decreased gradually from the central district to the surrounding suburb, and the top three were in the middle of the city, the Tianqiao District, the Huaiyin area and the annual average. The incidence of the disease was 38.69/10 million and 37.33/10 Vanward 36.60/10 million respectively. The incidence was the lowest in Zhangqiu and Jiyang, with the annual incidence of 9.71/10 million and 8.66/10 million respectively. The incidence of the incidence was the highest among the scattered children and students, and the next was the 0~, 1~, 2~, and the incidence rate was 1.29: 1 (x 2=22.17, P0.001). The rate of laboratory diagnosis is only 15%.. The incidence of bacillary dysentery in Ji'nan has been decreased year by year in Ji'nan. Children, students and farmers are the key prevention and control targets. It is necessary to improve the laboratory diagnosis rate of bacillary dysentery so as to reduce the misdiagnosis rate of clinical diagnosis of bacillary dysentery. It is necessary to strengthen the education and prevention of the key population and key areas in the season of the disease. Cure work.

【作者单位】：济南市疾病预防控制中心;
【分类号】：R516.4

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