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目的了解泸州市2009-2013年麻疹监测系统运转情况及存在问题,为调整今后麻疹监测工作和控制策略提供科学依据。方法采用描述性流行病学方法对泸州市2009-2013年麻疹监测系统指标进行分析。结果 2009-2013年泸州市报告疑似麻疹病例423例,实验室诊断病例19例(4.49%),临床诊断病例1例(0.24%),排除病例403例(95.27%)。2009-2013年麻疹排除病例报告发病率分别为0.74/10万,0.81/10万,2.94/10万,3.02/10万和2.55/10万;48h完整调查率分别为94.11%、95.00%、100.00%、100.00%和100.00%;实验室结果 7d内及时报告率分别为80.64%、92.11%、81.58%、92.91%和93.86%;血标本采集率分别为90.62%,95%,100.00%,99.24%和100.00%。2009-2013年泸州市无麻疹暴发疫情。结论自2009年新修订的《四川省麻疹监测实施方案》实施以来,近5年泸州市麻疹监测系统运转工作质量逐年提高,在麻疹发病率较低和加速实现消除麻疹工作的情况下,应开展发热、出疹性疾性病症状监测,进一步提高麻疹监测系统的敏感性,同时切实做好麻疹疫苗常规免疫接种工作,加强院内感染控制。
Objective To understand the operation status and existing problems of measles monitoring system in Luzhou City from 2009 to 2013 and provide scientific basis for adjusting future measles monitoring and control strategies. Methods Descriptive epidemiological methods were used to analyze the indicators of measles surveillance system in Luzhou in 2009-2013. Results In 2009-2013, 423 suspected measles cases, 19 laboratory diagnosed cases (4.49%), 1 clinical diagnosis (0.24%) and 403 (95.27%) cases were excluded. The reported incidences of measles cases from 2009 to 2013 were 0.74 / 100,000, 0.81 / 100,000, 2.94 / 100,000, 3.02 / 100,000 and 2.55 / 100,000, respectively; the complete survey rates at 48h were 94.11%, 95.00% and 100.00, respectively %, 100.00% and 100.00%, respectively. The timely reporting rate of laboratory results was 80.64%, 92.11%, 81.58%, 92.91% and 93.86% respectively within 7 days. The blood collection rates were 90.62%, 95%, 100.00% and 99.24% And 100.00%. 2009-2013 No measles outbreak in Luzhou City. Conclusion Since the implementation of the “Sichuan Province Measles Monitoring Implementation Plan” newly revised in 2009, the quality of the operation of the measles monitoring system in Luzhou has been increasing year by year in the past five years and should be carried out under the condition of a lower incidence of measles and the acceleration of measles elimination Fever, rash disease symptoms monitoring to further improve the sensitivity of the measles monitoring system, and earnestly carry out the routine immunization of measles vaccine, and strengthen the control of nosocomial infections.