2010-2015年白银市发热呼吸道症候群病例监测分析

发布时间：2018-01-17 23:11

本文关键词：2010-2015年白银市发热呼吸道症候群病例监测分析　出处：《现代预防医学》2017年05期 　论文类型：期刊论文

【摘要】：目的了解发热呼吸道症候群病例的流行特征及病原种类,评价监测质量,为制定预防控制策略提供依据。方法哨点医院收集发热呼吸道症候群病例信息及标本,市级实验室检测8种病毒、9种细菌,采用检验或Fisher确切概率法进行率的比较。结果 2010-2015年哨点医院报告发热呼吸道症候群病例384例,病毒和细菌阳性率分别为32.81%、32.48%,差异无统计学意义(P0.05)。8种病毒均有检出,9种细菌检出4种,人流感病毒(18.38%)、鼻病毒(10.12%)、肺炎链球菌(9.76%)、肺炎克雷伯菌(7.53%)、流感嗜血杆菌(5.36%)阳性率较高;混合感染占6.25%。10-12月、1-3月病毒阳性率较高,4-6月细菌阳性率最高;不同年龄组病毒和细菌阳性率均明显不同(=16.793,P0.05;=39.819,P0.05),且病原种类存在差异。病例类型和标本类型的均衡性、采样时间的连续性、病原检测率有待提高。结论白银市发热呼吸道症候群病原主要为人流感病毒、鼻病毒、肺炎链球菌、肺炎克雷伯菌、流感嗜血杆菌,今后需要全面提高病原检测能力。
[Abstract]:Objective to investigate the epidemic characteristics and pathogens of febrile respiratory syndrome (FRS), evaluate the quality of surveillance, and provide the basis for making prevention and control strategies. Methods the information and specimens of FRS cases were collected in sentinel hospitals. Eight kinds of viruses and 9 species of bacteria were detected in municipal laboratories. Results 384 cases of febrile respiratory syndrome were reported in sentinel hospitals from 2010 to 2015. The positive rates of virus and bacteria were 32.81 and 32.48, respectively. Human influenza virus 18.38%, rhinovirus 10.12%, Streptococcus pneumoniae 9.76%, Klebsiella pneumoniae 7.53). The positive rate of Haemophilus influenzae 5.36) was higher than that of Haemophilus influenzae. The positive rate of mixed infection was higher in January-January than in April to June. The positive rate of bacteria was the highest in Jun.10-12. The positive rates of virus and bacteria in different age groups were significantly different (P 0.05). 39.819% P0.05, and there were differences in pathogenic species. The equilibrium of case type and specimen type, the continuity of sampling time. Conclusion the main pathogens of febrile respiratory syndrome in Baiyin city are human influenza virus, rhinovirus, Streptococcus pneumoniae, Klebsiella pneumoniae, Haemophilus influenzae. It is necessary to improve the ability of pathogen detection in the future.
【作者单位】：白银市疾病预防控制中心;
【基金】：国家科技重大专项(No.2012ZX10004-208)
【分类号】：R181.8
【正文快照】： 急性呼吸道疾病在全球范围内已经成为人类疾病和死亡的主要原因[1]。做好呼吸道症候群的病原体监测工作,有着显而易见的临床意义,对于公共卫生部门的卫生监测及其防控措施的制定也有着重要意义[2]。2010年,白银市开始实施国家科技重大专项,发热呼吸道症候群监测是项目研究的重

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