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目的分析手足口病疫情,探讨局部手足口病高发的原因,提出针对控制措施。方法从中国疾病预防控制信息系统中下载2009-2012年报告手足口病病例数据,运用描述性流行病学方法,通过时间、地区分布,揭示城市区手足口病高发的可能原因。结果鹤壁市手足口病疫情有城市区高发的现象,并且引起该现象的原因是传染源广泛存在、城区居民就诊意识强、医生报告病例标准宽泛、医院院内感染控制存在漏洞、定点医院设置不合理等因素叠加造成的。结论加强医疗机构的院内感染控制,调整手足口病定点医院的设置,培训临床医生传染病诊断标准,落实手足口病综合防治措施。
Objective To analyze the epidemic situation of hand-foot-mouth disease and explore the causes of local hand-foot-mouth disease. Methods The data of 2009-2012 hand-foot-mouth disease were downloaded from China’s disease control and prevention information system. The descriptive epidemiological method was used to reveal the possible causes of hand-foot-mouth disease in urban areas by time and region distribution. Results The HFMD outbreak in Hebi City was caused by the high prevalence in urban areas. The reasons for this phenomenon were widespread sources of infection, strong awareness of residents in urban areas, broad coverage of cases by doctors, loopholes in the control of nosocomial infections in hospitals and unreasonable hospital settings And other factors caused by superimposed. Conclusion To strengthen the control of nosocomial infections in medical institutions, adjust the setting of designated hospitals for hand-foot-mouth disease, train the diagnostic criteria of communicable diseases for clinicians, and implement the integrated prevention and control measures of hand-foot-mouth disease.