甘肃省武威市2004—2013年细菌性痢疾流行病学特征分析

发布时间：2018-02-03 13:11

本文关键词： 细菌性痢疾志贺菌属监测流行病学　出处：《中国公共卫生》2017年02期 　论文类型：期刊论文

【摘要】：目的了解甘肃省武威市细菌性痢疾的流行病学分布特征。方法利用细菌性痢疾监测数据,采用SPSS 13.0,Epi Info 2000软件分析武威市2004—2013年细菌性痢疾的流行病学特征。结果 2004—2013年细菌性痢疾6 684例(男性4 195例,女性2 489例)。细菌性痢疾发病率2004年为69.18/10万,逐年下降至2013年的14.38/10万;病例集中在7~9月(3 725例);2004—2008年4 927例(73.71%);年龄5岁病例2 347例(男性1 596);职业分布以农民、散居儿童、学生为主。病原学监测显示,3 280例临床病例中,病原学初检阳性741例,复核阳性682例,其中福氏志贺菌476例,宋内志贺菌185例,志贺菌21例,未检出鲍氏志贺菌。结论武威市2004—2013年细菌性痢疾发病率逐年下降;有明显的季节性;发病人群以男性、学生、儿童、农民为主;病原体福氏志贺菌和宋内志贺菌为主。
[Abstract]:Objective to understand the epidemiological distribution of bacillary dysentery in Wuwei, Gansu Province. Methods SPSS 13.0 was used to monitor bacillary dysentery. Epi Info 2000 software was used to analyze the epidemiological characteristics of bacillary dysentery in Wuwei City from 2004 to 2013. Results 6684 cases of bacillary dysentery from 2004 to 2013 (. Male 4 195 cases. In 2004, the incidence of bacillary dysentery was 69.18 / 100 000, which decreased to 14.38% / 100 000 on 2013. Cases were concentrated in 3 725 cases from 7 to September. From 2004 to 2008, 4927 cases had 73.71 cases; 2 347 cases aged 5 years (male 1 596); The occupational distribution was mainly peasant, scattered children and students. Etiology monitoring showed that 741 cases were positive in the initial examination of etiology and 682 cases were positive for reexamination. Among them, 476 cases of Shigella flexneri, 185 cases of Shigella sonnei and 21 cases of Shigella baumannii were not detected. Conclusion the incidence of bacillary dysentery in Wuwei from 2004 to 2013 decreased year by year. Obvious seasonality; Male, student, child, farmer were the main groups of the disease. The pathogens Shigella flexneri and Shigella sonnei mainly.
【作者单位】：甘肃省武威市疾病预防控制中心;第四军医大学预防医学系流行病学教研室;
【基金】：武威市科技局科技支撑项目(NWW130226)
【分类号】：R516.4;R181.3
【正文快照】： 细菌性痢疾(bacillary dysentery),是由志贺菌属引起的一种以发热、腹泻、腹部痉挛和脓血便为特征的急性肠道传染病,全球每年有1.65亿人感染细菌性痢疾,约110万人死于细菌性痢疾[1]。细菌性痢疾发生与分布特征受不同地域因素、气象因素及经济状况的影响[1-3],掌握细菌性痢疾的

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