2010-2016年南京市发热伴血小板减少综合征流行特征分析

发布时间：2018-02-16 01:17

本文关键词： 布尼亚病毒发热伴血小板减少综合征流行病学特征新发传染病　出处：《现代预防医学》2017年16期 　论文类型：期刊论文

【摘要】：目的了解南京市发热伴血小板减少综合征(SFTS)的流行病学特征,为制定有效的防控策略和措施提供科学依据。方法采用描述流行病学方法,分析2010-2016年南京市报告的SFTS病例时间、人群、地区分布特征和报病医疗机构分布等,并将2016年流行特征与2010-2015年进行比较。结果 2010-2016年南京市共报告SFTS确诊病例70例,年均10例(2~30例),年均报告发病率为0.14/10万(0.05/10万~0.36/10万)。4-11月有病例报告,5-7月是主要发病高峰(63%)。男性占56%,病例年龄中位数为60岁(26~82岁),男女年龄分布位置相同(P=0.82);病例以农民为主(63%),其次是家务及待业(20%)。报告病例数前三位地区为溧水区(39%)、江宁区(19%)、浦口区(14%),共占报告病例数的71%。2010年报告一起家庭聚集性疫情,发现3例病例,血液、分泌物或排泄物可能是重要传播因子。全市共有9家机构报告SFTS病例,其中3家三级综合性医疗机构报告了全市84%的病例,病例发病至诊断时间间隔中位数为10d(0~30 d)。结论 2016年南京市报告SFTS病例显著增加,流行特征与2010-2015年一致,应进一步采取综合措施防控SFTS。
[Abstract]:Objective to investigate the epidemiological characteristics of febrile patients with thrombocytopenia syndrome (SFTS) in Nanjing, and to provide scientific basis for making effective prevention and control strategies and measures. Methods descriptive epidemiological method was used to analyze the time of SFTS cases reported in Nanjing from 2010 to 2016. Population, regional distribution and distribution of medical institutions were compared with those of 2010-2015 in 2016. Results 70 confirmed cases of SFTS were reported in Nanjing from 2010 to 2016. The average annual reported incidence rate was 0.14 / 100 000 (0.05 / 100 000 ~ 0.36 / 100 000) in April to November, the peak of the disease was 63% in May / July. The median age of cases was 56%, and the median age of cases was 60 years old and 26 / 82 years old. The age distribution of male and female patients was the same as that of P0. 82%. The first three areas of the reported cases are the Lishui District, the Lishui District, the Jiangning District, the Jiangning District, the Pukou District, and the 140-member area, which accounts for 71s of the reported cases and 71s of the reported cases. In 2010, a family cluster epidemic was reported. Three cases were found, blood, secretions or excreta may be important transmission factors. Nine institutions in the city reported SFTS cases, of which 3 tertiary comprehensive medical institutions reported 84% cases in the city. The median time between onset and diagnosis was 10 days or 30 days. Conclusion in 2016, the number of SFTS cases reported in Nanjing increased significantly, and the epidemic characteristics were consistent with those from 2010 to 2015. Comprehensive measures should be taken to prevent and control SFTSs.
【作者单位】：江苏省南京市疾病预防控制中心;中国疾病预防控制中心卫生应急中心;
【分类号】：R181.3;R510

【相似文献】