2010-2015年江阴市手足口病监测分析

发布时间：2018-04-15 14:24

本文选题：手足口病 + 肠道病毒　；参考：《现代预防医学》2017年04期

【摘要】：目的分析江阴市2010-2015年手足口病监测结果,为手足口病防制策略提供科学依据。方法收集2010-2015年江阴市手足口病病例及病原学监测信息进行描述性流行病学分析。结果 2010-2015年全市手足口病病例报告17 020例,年均发病率175.45/10万。发病高峰主要集中在4-7月,在11月出现次高峰。男性发病高于女性,5岁以下的散居儿童和幼托儿童居多,其中1岁组发病率最高。重症病例发病时间、人群分布与普通病例一致。病原学检测结果显示普通病例和重症病例均以肠道病毒71型为主,检出率分别占58.61%和45.69%。流动人口、白细胞上升、出现神经系统症状为重症手足口病危险因素。结论江阴市手足口病呈现季节性、人群差异变化,应加强3岁以下流动儿童家长健康教育和卫生环境整治,自愿接种EV71疫苗不失为一种好的预防手足口病的手段。首诊医生及时作出正确诊断并识别出重症倾向,及时推荐到(重症)收治定点医院,减少和缩短患者中间就诊程序和环节,及早进行科学、规范救治,降低重症手足口病死亡率。
[Abstract]:Objective to analyze the surveillance results of hand, foot and mouth disease (HFMD) from 2010 to 2015 in Jiangyin City, and to provide scientific basis for the prevention and control of HFMD.Methods Epidemiological data of hand, foot and mouth disease (HFMD) and etiology surveillance in Jiangyin City from 2010 to 2015 were collected for descriptive epidemiological analysis.Results from 2010 to 2015, 17,020 cases of hand, foot and mouth disease were reported in the city, with an average annual incidence of 175.45% / 100 000.The peak was mainly in April and July, and the second peak appeared in November.The morbidity of male children was higher than that of female children under 5 years old.The time of onset of severe cases and the distribution of population were consistent with those of common cases.The results of etiological examination showed that enterovirus 71 was the most common case and severe case, the detectable rate was 58.61% and 45.69%, respectively.Floating population, leukocyte rise, nervous system symptoms are the risk factors of severe HFMD.Conclusion Hand-foot-mouth disease in Jiangyin city is seasonal and different in population. It is necessary to strengthen health education and sanitation environment improvement for floating children under 3 years old. Voluntary vaccination with EV71 vaccine is a good method to prevent HFMD.The first doctor promptly made the correct diagnosis and identified the serious tendency, promptly recommended to the (severe) designated hospital, reduced and shortened the procedures and links between the patients, and carried out scientific and standardized treatment as soon as possible.To reduce the mortality rate of severe hand, foot and mouth disease.
【作者单位】：江阴市疾病预防控制中心;
【基金】：江阴市卫计委预防医学科研项目(Z201509)
【分类号】：R725.1;R181.8

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