天津市滨海新区托幼机构手足口病聚集性疫情流行特征和危险因素研究

发布时间：2018-03-08 18:30

本文选题：手足口病　切入点：流行特征　出处：《现代预防医学》2017年15期 　论文类型：期刊论文

【摘要】：目的了解辖区托幼机构手足口病聚集性疫情的流行特征及危险因素,为做好辖区托幼机构手足口病的防控工作提供科学依据。方法采用描述性流行病学方法分析2014-2015年天津市滨海新区37起托幼机构手足口病聚集疫情流行特征。以126例实验室确诊病例作为病例组,进行1∶1匹配的病例对照研究分析危险因素。结果 37起聚集疫情发病人数147例,班级平均罹患率为14.89%(147/987)。疫情发病高峰为5~6月、9月,病例以4~5岁儿童为主(102,69.39%)。病原学监测结果以肠道病毒EV71型(44,34.65%)和Cox A16型(39,30.71%)为主。对病例对照研究单因素分析结果有统计学意义的8个因素进行多因素分析,结果显示发病前一周接触史(OR=11.280,95%CI:2.854~44.587)、吮吸手指(OR=22.265,95%CI:4.299~115.303)、吮吸玩具(OR=43.058,95%CI:5.675~326.703)为危险因素,个人专用毛巾(OR=0.049,95%CI:0.007~0.340)、玩具消毒(OR=0.035,95%CI:0.003~0.427)为保护因素。结论托幼机构是手足口病防控的重点场所,加强健康教育,养成良好的卫生习惯对托幼机构手足口病防控意义重大。
[Abstract]:Objective to investigate the epidemic characteristics and risk factors of hand, foot and mouth disease (HFMD) in child-care institutions. Methods A descriptive epidemiological method was used to analyze the epidemic characteristics of hand, foot and mouth disease (HFMD) in 37 kindergartens in Binhai New District of Tianjin from 2014 to 2015. Laboratory confirmed cases as case groups, A case-control study matching 1: 1 was carried out to analyze the risk factors. Results there were 147 patients with 37 outbreaks, and the average class attack rate was 14.89 / 147 / 987. The peak of the outbreak was from 5 to June, and September. The etiological surveillance results were mainly enterovirus EV71 (44.65) and Cox A16 (30.71%). Multivariate analysis was carried out on 8 factors with statistical significance in univariate analysis of the case-control study. The results showed that the risk factors were contact with ORO 11.280C95CI2.854 / 44.587m, sucking fingers OR-22.265C95CI4.299U 115.303m and sucking toys OR-43.058CI-95CIU 5.675326.703. The personal towel OR0.04995 CIW 0.0070.340, toys sterilizing Organ 0.03595 CICell 0.0030.427) were the protective factors. Conclusion the child-care institution is the key place for the prevention and control of hand, foot and mouth diseases, and strengthens health education. It is of great significance to develop good hygiene habits for the prevention and control of hand, foot and mouth disease in kindergartens.
【作者单位】：天津市滨海新区塘沽疾病预防控制中心;
【基金】：天津市滨海新区卫计委科技项目(2013BWKY029)
【分类号】：R181.3;R725.1

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