2005-2015年湖北省百日咳流行病学特征分析

发布时间：2018-02-01 23:38

本文关键词： 百日咳流行特征发病率　出处：《中国儿童保健杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的了解湖北省2005-2015年百日咳的流行特征及近年来湖北省百日咳的流行趋势,为预防控制百日咳提供科学依据。方法运用流行病学描述性分析方法对国家疾病监测信息报告管理系统报的百日咳病例数据进行分析。结果 2005-2015年湖北省共报告百日咳病例565例,无死亡病例。2005-2009年报告发病率从0.163/105降至0.047/105,2010-2013年维持在较低水平,发病率处于0.028/105~0.056/105,2014年开始上升,至2015年发病率为0.217/105。全年均有发病,主要发病高峰在3~9月份,占病例总数的83.4%,病例主要集中在婴幼儿,62.7%的病例集中在1岁以下儿童,以散居儿童为主(85.5%)。结论应完善实验室诊断方法,提高百日咳病例的实验室诊断比例,并通过主动监测估计发病率,加强全程免疫,以有效防控百日咳的感染和流行。
[Abstract]:Objective to understand the epidemic characteristics of pertussis in Hubei Province from 2005 to 2015 and the epidemic trend of whooping cough in Hubei Province in recent years. Methods Epidemiological descriptive analysis method was used to analyze the data of pertussis cases reported by the National Disease Surveillance Information report Management system. A total of 565 cases of pertussis were reported in Hubei Province from 2005 to 2015. No deaths. Reported incidence dropped from 0.163 / 105 to 0.047 / 105 in 2005-2009 and remained low in 2010-2013. The incidence rate was 0.028 / 105 / 0.056 / 105, which began to rise in 2014 and reached 0.217 / 105 by 2015. There were cases throughout the year. The main incidence peak was in March / September, accounting for 83.4% of the total cases. 62.7% of the cases mainly occurred in infants and children under 1 year old. Conclusion the laboratory diagnosis method should be improved, the proportion of laboratory diagnosis of pertussis cases should be increased, and the incidence of pertussis should be estimated by active monitoring to strengthen the whole process of immunization. To effectively prevent and control pertussis infection and epidemic.
【作者单位】：武汉科技大学医学院公共卫生学院;湖北省疾病预防控制中心传染病防治研究所;
【分类号】：R725.1;R181.3
【正文快照】： 百日咳(pertussis)是由百日咳鲍特菌引起的急性呼吸道传染病。在百日咳疫苗使用以前,百日咳是婴幼儿的主要死亡原因之一[1]。湖北省从20世纪60年代中期开始,逐步推广普及使用百白破混合制剂疫苗。随着免疫规划的实施,百白破联合疫苗接种率的提高,湖北省百日咳的发病率和死亡率

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