甘肃省2013-2015年输入性疟疾疫情分析

发布时间：2018-05-06 12:34

本文选题：疟疾 + 输入性病例　；参考：《中国寄生虫学与寄生虫病杂志》2017年02期

【摘要】：目的分析甘肃省2013-2015年输入性疟疾疫情,为完善消除疟疾策略和措施提供依据。方法收集2013-2015年甘肃省输入性疟疾防治资料和疫情报告数据,对疫情情况、地区分布、感染疟原虫虫种的构成、病例诊断类型,以及输入性病例的感染来源等进行分析。结果2013-2015年甘肃省共报告疟疾病例97例,其中间日疟52例(占53.6%),恶性疟42例(占43.3%),三日疟、卵形疟和混合感染各1例(占3.1%),均为输入性病例,无本地感染病例。病例感染来源地以东南亚为主(59例,占60.8%),其次为非洲(38例,占39.2%)。发病人群主要为出国务工的21~50岁男性青壮年(91例,占93.8%),4-8月份发病最多(50例,占51.6%)。输入性病例主要分布在文县(49例,占50.5%)、兰州(15例,占15.5%)。病例从发病至确诊的间隔时间中位数为4 d。报告病例主要来自临床医疗机构,占91.8%(89/97),疾病控制机构占8.2%(8/97)。结论甘肃省2013-2015年无本地感染的疟疾病例报告,以输入性间日疟居多,主要来自东南亚。
[Abstract]:Objective to analyze the epidemic situation of imported malaria in Gansu province from 2013 to 2015, and to provide evidence for improving malaria elimination strategies and measures. Methods the data of imported malaria control and epidemic situation were collected from 2013 to 2015 in Gansu Province. The epidemic situation, regional distribution, the composition of Plasmodium infection species, the type of case diagnosis, and the source of infection of imported cases were analyzed. Results A total of 97 malaria cases were reported in Gansu Province from 2013 to 2015, of which 52 cases (53.6%) were reported with vivax malaria, 42 cases (43.33%) with falciparum malaria, 1 case (3.1%) with oval malaria and 1 case with mixed infection. 59 cases (60.8%) came from Southeast Asia, 38 cases (39.2%) from Africa. 91 cases of male adults aged 21 ~ 50 years old who were working abroad, accounted for 93.8% of them, accounting for 50 cases (51.6%) in April to August. The imported cases were mainly distributed in 49 cases (50.5%) in Wenxian County and 15 cases in Lanzhou (15.55%). The median interval between onset and diagnosis was 4 days. The reported cases were mainly from clinical medical institutions, accounting for 91.8% 89 / 97% and the disease control organization 8.2% / 97%. Conclusion imported vivax malaria is the most common malaria cases reported in Gansu province from 2013 to 2015, mainly from Southeast Asia.
【作者单位】：甘肃省疾病预防控制中心;
【分类号】：R181.3;R531.3

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