常州市低于8月龄婴儿麻疹传播影响因素分析
发布时间：2019-03-27 07:54
【摘要】：目的探讨0~7月龄儿童中麻疹易感因素,探索可能对其采取的保护措施。方法选取常州市范围内在2009-2013年发病的0~7月龄儿童,采用病例对照研究的方法,就病例和对照的发病与就诊情况、可能的暴露史、居住地和旅行史、既往麻疹患病史、卫生服务情况、社会人口学和经济学信息等内容进行入户个案访谈调查。结果单因素及多因素分析结果显示:发病前7~21 d医院暴露史(OR=8.976,OR95%CI=4.087~19.713)、尤其是地市级(OR=8.00,OR95%CI=2.14~29.85)和县区级(OR=6.33,OR95%CI=1.81~22.11)医院暴露史以及病人接触史(OR=11.4,OR95%CI=1.207~107.653)是0~7月龄儿童麻疹发病的危险因素。结论加强传染源的管理,防止医源性感染,开展育龄妇女、流动人口等成人强化免疫是目前消除0~7月龄儿童麻疹的有效手段。
[Abstract]:Objective to explore the risk factors of measles in children aged 0-7 months and explore the protective measures. Methods A case-control study was conducted among 0-7-month-old children in Changzhou city from 2009 to 2013. The cases and controls, possible history of exposure, residence and travel history, and the history of measles cases and controls were studied, and the history of measles was analyzed by means of a case-control study, and a case-control study was carried out with a case-control study. Health services, social demography, economic information and other content of home-to-home interview survey. Results the results of univariate and multivariate analysis showed that the history of hospital exposure (OR=8.976,OR95%CI=4.087~19.713), especially the prefecture (OR=8.00,OR95%CI=2.14~29.85) and county level (OR=6.33,), was 7 ~ 21 days before the onset of the disease. OR95%CI=1.81~22.11) hospital exposure history and patient exposure history (OR=11.4,OR95%CI=1.207~107.653) were risk factors for measles in 7-month-old children. Conclusion strengthening the management of the source of infection, preventing iatrogenic infection and carrying out intensive immunization among women of childbearing age and floating population are the effective means to eliminate measles in children aged 0 to 7 months.
【作者单位】： 常州市疾病预防控制中心;
【基金】：常州市疾病预防控制中心科研项目(201210)
【分类号】：R181.3
[Abstract]:Objective to explore the risk factors of measles in children aged 0-7 months and explore the protective measures. Methods A case-control study was conducted among 0-7-month-old children in Changzhou city from 2009 to 2013. The cases and controls, possible history of exposure, residence and travel history, and the history of measles cases and controls were studied, and the history of measles was analyzed by means of a case-control study, and a case-control study was carried out with a case-control study. Health services, social demography, economic information and other content of home-to-home interview survey. Results the results of univariate and multivariate analysis showed that the history of hospital exposure (OR=8.976,OR95%CI=4.087~19.713), especially the prefecture (OR=8.00,OR95%CI=2.14~29.85) and county level (OR=6.33,), was 7 ~ 21 days before the onset of the disease. OR95%CI=1.81~22.11) hospital exposure history and patient exposure history (OR=11.4,OR95%CI=1.207~107.653) were risk factors for measles in 7-month-old children. Conclusion strengthening the management of the source of infection, preventing iatrogenic infection and carrying out intensive immunization among women of childbearing age and floating population are the effective means to eliminate measles in children aged 0 to 7 months.
【作者单位】： 常州市疾病预防控制中心;
【基金】：常州市疾病预防控制中心科研项目(201210)
【分类号】：R181.3
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