2008-2012年无锡市手足口病疫情特征及病原学分析

发布时间：2018-04-11 07:04

  本文选题：手足口病 + 流行特征　； 参考：《现代预防医学》2014年22期

【摘要】：目的了解无锡市2008-2012年手足口病流行趋势及其病原学变化特点,为本地区防控手足口病提供科学依据。方法通过《中国疾病预防控制信息系统》收集病例相关信息,采用描述性流行病学方法进行分析比较,收集无锡市哨点医院的手足口病例样本,进行病毒核酸检测。结果无锡市2008-2012年共报告手足口病46 534例,年均发病率161.39/10万;重症比例为22.01‰;死亡率0.014/10万。发病有两个高峰,主要集中在5-7月和11-12月,重症发生亦集中在7月;全区各县区均有发病,无锡新区、滨湖、锡山和惠山等城乡结合地区发病率较高,且重症发生率较高;普通病例男女性别比为1.48∶1,5岁以下儿童发病占93.20%,重症病例主要以散居儿童中3岁及以下儿童高发。病原学监测结果显示以EV71(占50.09%)和Cox A16(31.48%)为主,重症病例EV71阳性率明显高于普通病例。结论手足口病的发生存在明显季节性及地区、性别、年龄差异,且疫情处于上升状态,应加强对手足口病的健康教育及对农村偏远地区和城镇托幼机构的疫情监测力度,同时提高医疗机构对手足口病重症病例的诊断及救治能力。
[Abstract]:Objective to investigate the epidemic trend and etiological changes of HFMD in Wuxi from 2008 to 2012 so as to provide scientific basis for prevention and control of HFMD in Wuxi.Methods the case information was collected through the China Disease Prevention and Control Information system, and the descriptive epidemiological method was used to analyze and compare it. The samples of hand, foot and mouth disease were collected from Wuxi sentry point hospital, and the viral nucleic acid was detected.Results 46,534 cases of hand, foot and mouth disease were reported in Wuxi city from 2008 to 2012, with an average annual incidence of 161.39% / 100 000, a severe disease rate of 22.01 鈥，

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