2012-2015年石家庄市境外输入性疟疾疫情分析及防控对策探讨

发布时间：2018-04-29 13:48

本文选题：输入性疟疾 + 疫情　；参考：《中国血吸虫病防治杂志》2017年04期

【摘要】：目的分析2012-2015年石家庄市境外输入性疟疾流行情况,为制定有针对性的疟疾防控对策提供科学依据。方法收集2012-2015年石家庄市境外输入性疟疾疫情资料,对感染疟原虫虫种、人群特征、感染来源、发病及诊治情况等进行描述性分析,对感染不同种类疟原虫病例的发病-初诊、初诊-确诊、发病-确诊时间分别进行统计分析。结果 2012-2015年石家庄市共报告境外输入性疟疾病例92例,其中来自非洲国家88例(恶性疟占53.41%),来自东南亚及其他地区4例(间日疟占50%)。从病例的分布地区看,除外籍2例、安徽籍1例外,其余89例病例分布于河北省6个地市的28个县(市)区。病例的职业以出境务工的青壮年农民工为主,占90.22%。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5 d。病例报告单位以消除疟疾国家级哨点医院石家庄市第五医院为主,占72.83%。42.39%的病例初次就诊时被诊断为其他疾病。所有病例均为实验室确诊病例,均得到规范的抗疟治疗。结论石家庄市境外输入性疟疾病例逐年增多,且以恶性疟为主,建议进一步建立本地医疗卫生机构与出入境检验检疫部门的长效合作机制,及时、有效地处置输入性疟疾病例,避免重症病例或死亡病例的发生。
[Abstract]:Objective to analyze the prevalence of imported malaria in Shijiazhuang city from 2012 to 2015, and to provide scientific basis for the formulation of malaria control strategies. Methods data of imported malaria from 2012 to 2015 in Shijiazhuang City were collected, and the infectious species, population characteristics, source of infection, incidence, diagnosis and treatment of malaria parasites were analyzed. First-diagnosis-diagnosis, onset-diagnosis time were statistically analyzed. Results from 2012 to 2015, 92 cases of imported malaria were reported in Shijiazhuang, including 88 cases from African countries (53.41% falciparum malaria, 4 cases from Southeast Asia and other regions). According to the distribution of cases, except for 2 cases of foreign nationality and 1 case of Anhui nationality, the remaining 89 cases were distributed in 28 counties (cities) of 6 cities in Hebei Province. The occupation of the cases was mainly young migrant workers who left the country, accounting for 90.22. The median time between onset and diagnosis was 1 day and 5 days. The main unit of case reporting was the Fifth Hospital of Shijiazhuang City, the National sentinel Hospital for Malaria Elimination, accounting for 72.83% of the cases and 42.39% of the cases were diagnosed as other diseases at the first visit. All cases were confirmed by laboratory and were treated with standard antimalarial therapy. Conclusion the number of imported malaria cases in Shijiazhuang is increasing year by year, and falciparum malaria is the main disease. It is suggested that the long-term cooperation mechanism between local medical and health institutions and entry and exit inspection and quarantine departments should be established to deal with imported malaria cases in a timely and effective manner. Avoid serious cases or deaths.
【作者单位】：河北省出入境检验检疫局;河北省石家庄市疾病预防控制中心;河北省国际旅行卫生保健中心;河北省疾病预防控制中心;
【分类号】：R183;R531.3

【相似文献】