2011-2015年成都市公共卫生临床医疗中心手足口病流行病学及病原学特征分析

发布时间：2018-03-07 23:27

本文选题：手足口病　切入点：流行病学　出处：《现代预防医学》2017年15期 　论文类型：期刊论文

【摘要】：目的分析成都市公共卫生临床医疗中心2011-2015年收治的手足口病病例的流行病学及病原学特征,为该病的防治提供参考依据。方法采用描述性研究方法,对成都市公共卫生临床医疗中心收治的8 409例手足口病患者临床资料、病原学检测资料进行分析。结果 2011-2015年我中心收治的手足口病患儿发病高峰在4~7月,次高峰为9~11月。发病人数以龙泉区(18.29%)、成华区(8.77%)、锦江区(8.37%)最多,发病人群以散居为主(77.21%),发病年龄集中于1岁~3岁的儿童,1岁是发病高峰年龄(41.96%),男女性别比为1.59∶1。2011-2013年病原检测以EV71(28.72%、29.1%、33.21%)为主,2014年以Cox A16(22.58%)为主,2015年则以其他肠道病原感染(38.66%)为主。结论手足口病疫情仍高居不下,EV71与重型手足口病的发病率密切相关;应将1岁~3岁儿童作为重点防控人群,以春、夏、秋季三季为主要防控季节。预防重症手足口病,病原学检测结果尤为重要。
[Abstract]:Objective to analyze the epidemiological and etiological characteristics of cases in Chengdu public health clinical center of 2011-2015 years were hand foot and mouth disease, to provide reference for the prevention of the disease. Methods descriptive study method, 8409 cases of HFMD in Chengdu public health clinical center from mouth disease in patients with clinical data, pathogen detection data analysis the results of 2011-2015 years. The center of the foot and mouth disease in children with the peak incidence of 4~7 months, the second peak for 9~11 months. The incidence in Longquan region (18.29%), Chenghua District (8.77%), Jinjiang District (8.37%) the most, the incidence in Diaspora (77.21%), mainly concentrated in the age of 1 ~3 years old children at the age of 1, is the peak age of onset (41.96%), the sex ratio was 1.59 1.2011-2013 EV71 in pathogen detection (28.72%, 29.1%, 33.21%), Cox A16 (22.58%) in 2014, 2015 by other intestinal pathogens Infection (38.66%). Conclusion the epidemic of HFMD is still high, the incidence of EV71 with severe hand foot and mouth disease rate should be closely related; children aged 1 ~3 years as the focus of prevention and control of the crowd, in spring, summer, autumn three season season. As the main prevention and control to prevent severe HFMD, pathogen detection results is particularly important.

【作者单位】：成都市公共卫生临床医疗中心传染病研究室;成都市公共卫生临床医疗中心传染儿科;
【基金】：基金项目:成都地区手足口病病原学基因检测与疾病严重程度关系研究(来源:成都市卫计委编号:2013035) 重症手足口病患儿病情进展高危因素研究(来源:成都市卫计委编号:2014025) 手足口病患儿免疫功能变化的前瞻性研究(来源:成都市卫计委编号:2014035)
【分类号】：R181.3;R725.1

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