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目的探索句容市手足口病重症病例发病情况与流行病学特征,为制定科学防控措施提供依据。方法采用描述性流行病学方法对句容市2009~2013年手足口病重症病例资料进行分析。结果 2009~2013年句容市共报告手足口病4 143例,年平均发病率为133.89/10万。发病率最高为2011年(183.51/10万),最低为2012年(74.92/10万)(P<0.01)。其中重症病例39例,占0.94%;发病时间集中在10~12月,占53.85%;农村及城乡结合部占64.10%;散居儿童占74.36%;1~3岁占79.49%;女性重症发生比例由2009年0.48%上升到2013年的2.81%。37例实验室诊断病例中病毒核酸检测阳性16例,阳性检出率为43.24%,其中EV71型占阳性的62.5%。结论句容市手足口病重症病例主要是以EV71感染为主,1~3岁散居儿童为主。
Objective To explore the incidence and epidemiological characteristics of severe cases of hand-foot-mouth disease in Jurong City, and provide the basis for making scientific prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the data of severe cases of HFMD in Jurong City from 2009 to 2013. Results A total of 4 143 hand-foot-mouth disease cases were reported in Jurong from 2009 to 2013, with an average annual incidence of 133.89 / 100 000. The highest incidence rate in 2011 (183.51 / 100,000), the lowest in 2012 (74.92 / 100,000) (P <0.01). Among them, 39 cases were severe cases, accounting for 0.94%; the onset time was from 10 to December, accounting for 53.85%; rural and urban-rural areas accounting for 64.10%; scattered children accounting for 74.36%; 1 to 3 years old accounting for 79.49%; female severe cases From 0.48% in 2009 to 2.81% in 2013. In the 37 cases of laboratory diagnosis of viral nucleic acid detection in 16 cases positive, the positive detection rate was 43.24%, of which EV71 accounted for 62.5% of positive. Conclusion The major cases of hand-foot-mouth disease in Jurong City are mainly EV71 infection, with 1-3 year-old diaspora children.