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目的分析济南市2012年手足口病聚集性病例的流行特征,为有效防控手足口病提供依据。方法收集2012年济南市报告的手足口病聚集性病例进行流行特征、病原分布等方面分析。结果 2012年济南市共报告342起手足口病聚集性疫情,累计病例1 254例。市区聚集性病例发病率(27.99/10万)显著高于郊区(县)(8.49/10万),差异有统计学意义(χ2=282.61,P<0.01)。自4月起,手足口病聚集性病例开始上升,5-7月报告起数较为集中。病例以5岁以下儿童为主,发病1 077例,占聚集性疫情病例总数的85.89%。聚集性病例的主要发生单位为托幼机构,占总起数的62.57%。聚集性疫情主要以CoxA16病毒感染为主,存在肠道病毒合并感染的疫情。结论托幼机构是手足口病聚集性疫情防控的重点场所,5-7月是其防控工作的关键时期。
Objective To analyze the epidemiological characteristics of HFMD cases in Jinan City in 2012 and provide the basis for effective prevention and treatment of HFMD. Methods To collect the epidemiological characteristics and pathogen distribution of HFMD cases reported in Jinan City in 2012. Results In 2012, a total of 342 cases of hand-foot-mouth disease clustered in Jinan City were reported, with a total of 1 254 cases. The incidence of clustering cases in urban areas was significantly higher than that in rural areas (27.99 / 100000), with a significant difference (χ2 = 282.61, P <0.01). Since April, hand-foot-mouth disease clustered cases began to rise in May-July reported a more concentrated. The cases were mainly children under 5 years old, with a total of 1 077 cases, accounting for 85.89% of the total cases. Aggregated cases of the main unit for nurseries, accounting for 62.57% of the total number. Aggressive epidemic mainly CoxA16 virus infection, there is an outbreak of enterovirus infection. Conclusion Kindergarten is the key area for the prevention and control of hand-foot-mouth disease. May-July is the key period for its prevention and control.