2011-2015年重庆市境外输入性疟疾流行特征分析及防控策略探讨

发布时间：2018-03-06 14:16

本文选题：疟疾　切入点：输入性病例　出处：《中国血吸虫病防治杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的分析重庆市境外输入性疟疾病例特点,为输入性疟疾防控策略调整提供依据。方法收集2011-2015年重庆市报告的境外输入性疟疾病例流行病学资料,对其虫种、感染地、就诊情况、诊断结果和治疗情况等数据进行描述性分析。结果 2011-2015年重庆市共报告境外输入性疟疾病例148例,其中恶性疟96例(65.54%),间日疟37例(24.32%);非洲国家输入125例(84.46%),东南亚国家输入23例(15.54%)。发病人群主要为30~50岁境外务工的男性工人,男女性别比11.42∶1。病例报告时间无明显季节变化,仅在年中(6-8月)和年初(1-2月)略有集中。从发病到就诊时间中位数为1 d,从就诊到确诊时间中位数为2 d。首诊单位主要集中在县级(50例,33.78%)、省级医疗机构(36例,24.32%)和个体医生(20例,13.51%),78例(52.70%)病例首诊为疟疾。病例规范治疗率95.54%(142/148),有43例(29.05%)出现了较严重的并发症,死亡3例。结论加强多部门合作,建立协查、主动筛查机制,针对境外务工人员开展疟疾防治健康教育,强化基层医疗机构的疟疾防治技术培训,提高首诊医疗机构的疟疾防治意识,是保证输入性疟疾病例规范管理和消除疟疾的重要措施。
[Abstract]:Objective to analyze the characteristics of imported malaria cases in Chongqing and to provide a basis for adjusting the control strategy of imported malaria. Methods Epidemiological data of imported malaria cases reported from 2011 to 2015 in Chongqing were collected. Results 148 imported malaria cases were reported in Chongqing from 2011 to 2015. Among them, 96 cases were falciparum malaria, 37 cases were vivax malaria, 125 cases were imported from African countries, 23 cases were imported from Southeast Asian countries. The main population was male workers aged 30 to 50 years old, the sex ratio of male to female was 11.42% 1.There was no significant seasonal change in the time of case reporting. The median time from onset to visit was 1 day, and the median time from diagnosis to diagnosis was 2 days. The first consultation unit was mainly concentrated in 50 cases at the county level (33.7810%), and 36 cases in provincial medical institutions (24.32). The first diagnosis was malaria. The standard treatment rate of the cases was 95.54 / 1480.There were 43 cases with severe complications. Conclusion strengthen multi-department cooperation, establish cocheck, active screening mechanism, carry out malaria prevention and control health education for overseas migrant workers, strengthen the training of malaria control technology in primary medical institutions, and strengthen the training of malaria prevention and control technology in primary medical institutions. It is an important measure to improve the awareness of malaria control in first-time medical institutions to ensure the standardized management of imported malaria cases and the elimination of malaria.
【作者单位】：重庆市疾病预防控制中心;
【分类号】：R181.3;R531.3

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