北京西城区托幼机构手足口病密切接触者感染状况及危险因素分析

发布时间：2018-02-17 00:55

本文关键词： 日托幼儿园手足口病因素分析统计学　出处：《中国学校卫生》2015年06期 　论文类型：期刊论文

【摘要】：目的分析2012—2014年北京市西城区托幼机构手足口病密切接触者感染状况及其危险因素,为制定更有针对性的预防、控制措施提供依据。方法收集2012—2014年北京市西城区托幼机构手足口病例密切接触者流行病学信息及病原学检测结果,结合托幼机构消毒隔离效果监测进行分析。结果 485例密切接触者咽拭子标本中手足口病毒核酸检测总阳性率为15.05%,其中以6月份阳性率最高(31.11%);隐性感染与显性感染比例为1.4∶1;阳性标本中Cox A16、EV71、肠道病毒未分型构成比分别为24.66%,20.55%,54.79%。儿童和老师手卫生不合格(OR=5.438)、物体表面消毒效果不合格(OR=4.253)均为肠道病毒感染的危险因素(P值均0.05)。结论托幼机构手足口病密切接触者肠道病毒感染率较高。需加强手足口密切接触者的管理和宣传教育,普及正确洗手方法,切实落实消毒隔离措施,以减少续发病例和手足口病的暴发和流行。
[Abstract]:Objective to analyze the infection status and risk factors of hand, foot and mouth disease (HFMD) close contacts in kindergartens in Xicheng District, Beijing, from 2012 to 2014. Methods Epidemiological information and etiological detection results of close contacts of hand, foot and mouth disease cases in kindergartens in Xicheng District of Beijing from 2012 to 2014 were collected. Results the total positive rate of HFV nucleic acid detection in throat swabs of 485 close contacts was 15.05, in which the highest positive rate was 31.11% in June, and the latent infection and sexual appeal were observed in the pharynx swabs of 485 close contacts. The proportion of Cox A16 / EV71in positive specimens was 1.4: 1, the untyped composition ratio of enterovirus was 24.666.55 / 54.79.The children and teachers' hand hygiene was not qualified and the disinfectant effect of objects was not qualified. All of them were risk factors of enterovirus infection (P = 0.05). The infection rate of enterovirus in children with hand, foot and mouth disease is relatively high. It is necessary to strengthen the management, publicity and education of those who are in close contact with hand, foot and mouth. To popularize correct hand washing methods and carry out disinfection and isolation measures in order to reduce the outbreak and prevalence of recurrent cases and hand, foot and mouth disease.
【作者单位】：北京市西城区疾病预防控制中心;
【基金】：北京市西城区卫生局青年科技人才(科技新星)培养项目(XWKX2012-19)
【分类号】：R175

【共引文献】