2011-2015年重庆市南岸区手足口病流行病学及病原学特征分析

发布时间：2018-01-19 05:04

本文关键词： 手足口病流行病学特征发病率　出处：《现代预防医学》2017年04期 　论文类型：期刊论文

【摘要】：目的分析2011-2015年重庆市南岸区手足口病流行病学及病原学特征,为科学防控手足口病提供参考依据。方法采用描述流行病学方法对资料进行统计分析。结果近5年累计报告手足口病13 360例,年均发病率349.52/10万,报告1例重症并死亡病例;5-6月及10-12月为发病高峰;街道(374.68/10万)较镇(283.09/10万)发病率高;男性(395.74/10万)发病率高于女性(300.19/10万);发病年龄主要集中在1~3岁组人群,发病职业主要为散居儿童及幼托儿童,2种职业构成比占97.40%;实验室确诊523例,其中EV71型124例,占23.71%,CA16型164例,占31.36%,其他肠道病毒235例,占44.93%;报告手足口病疫情830起,其中聚集疫情823起,暴发疫情7起,存在聚集疫情多,暴发疫情少的特点;疫情发生场所主要在托幼机构(820起,占98.80%)。结论手足口病有明显的时间、人群、地区聚集特征,应加强疫情及病原学监测,做好社区及托幼机构等重点场所防控工作,减少聚集疫情发生,防止手足口病暴发或流行。
[Abstract]:Objective to analyze the epidemiological and etiological characteristics of hand, foot and mouth disease (HFMD) in Nanan District of Chongqing from 2011 to 2015. Methods the data were analyzed by descriptive epidemiology. Results 13 360 cases of HFMD were reported in recent 5 years. The average annual incidence rate was 349.52 / 100, 000. One case of severe and death was reported. The peak of the disease occurred in May-June and October-December. The incidence of the disease was higher in the street area (374.68%) than in the town (2,83.09% -100,000). The incidence rate in males was higher than that in females (3,95.74 / 100,000). The age of onset was mainly in the group of 1 to 3 years old. The occupation of the disease was mainly scattered children and young children. 523 cases were confirmed by laboratory, including 124 cases of EV71 type, 164 cases of CA16 type, accounting for 31.36 cases, 235 cases of other enterovirus, accounting for 44.93%. 830 cases of hand, foot and mouth disease were reported, of which 823 were aggregated and 7 were outbreaks. 820 cases (98.80%) occurred in nurseries. Conclusion Hand-foot-mouth disease has obvious time, population and regional aggregation characteristics, so surveillance of epidemic situation and etiology should be strengthened. Do a good job in prevention and control of community and child-care institutions, reduce the incidence of agglomeration, and prevent the outbreak or epidemic of hand, foot and mouth disease.
【作者单位】：南岸区疾病预防控制中心传染病预防控制科;
【分类号】：R725.1;R181.3
【正文快照】： 手足口病是由肠道病毒感染引起的一种急性传染病,主要传播途径为粪-口途径,呼吸道及日常接触也可引起传播。一般可自行痊愈,部分重症患者伴有并发症,如出现脑膜炎、心肌炎及循环系统疾病等,病情加重可出现死亡。2011-2015年,重庆市南岸区报告手足口病发病率连续5年位居重庆市

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