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目的依据云南省近年感染性腹泻流行态势,探讨当前监测工作的主要问题和困难,为预防控制工作提供参考。方法从“传染病疫情报告信息管理系统”和“突发公共卫生事件管理信息系统”获取病例个案和暴发事件信息,根据《中华人民共和国传染病防治法》和《感染性腹泻诊断标准(WS271-2007)》进行分析评价,用Excel和SAS 9.2软件进行统计描述。结果云南省2011-2013年累计报告感染性腹泻39 347例,3年的报告病例数依次是10 447、12 859和16 041,冬季和夏季报告病例相对较多,报告病例主要分布在滇中和滇东地区,报告病例数前5位州、市的累计报告病例数占全省的73.2%,5岁以下儿童报告病例数占总数的66.32%,3年间全省累计报告感染性腹泻暴发事件8起,县级及以上综合医院报告的病例数占47.6%,发病后48 h内被诊断为感染性腹泻的病例占56.6%,诊断后24 h内填写报告卡的占99.9%,填卡后24 h录入的占92.4%,录入后24 h内审核的占99.8%,9.8%的病例有实验室结果,9%的病例轮状病毒抗原阳性。结论云南省2011-2013年感染性腹泻报告发病数呈上升趋势,云南省感染性腹泻的流行特征全国总体情况基本一致,提高腹泻病例尤其是成人腹泻病例的就诊率,严格执行诊断标准和加强实验室检测工作是提高云南省感染性腹泻监测工作质量的关键。
Objective Based on the epidemic situation of infectious diarrhea in recent years in Yunnan Province, this paper discusses the main problems and difficulties of current surveillance work and provides reference for prevention and control work. Methods The information of cases and outbreaks were obtained from the Infectious Disease Epidemic Reporting Information Management System and Public Health Incident Management Information System. According to the Law of the People’s Republic of China on Prevention and Control of Infectious Diseases and the Diagnosis of Infectious Diarrhea Standard (WS271-2007) "for analysis and evaluation, using Excel and SAS 9.2 software for statistical description. Results A total of 39 347 cases of infectious diarrhea were reported from 2011 to 2013 in Yunnan Province. The number of reported cases in three years was 10 447, 12 859 and 16 041 respectively. There were relatively more cases reported in winter and summer. The reported cases were mainly located in Central Yunnan and In eastern Yunnan, the number of reported cases in the top 5 states and municipalities in the eastern part of the country accounted for 73.2% of the total reported cases in the province, 66.32% of the total reported cases of children under 5 years old, and the cumulative reported infectious diarrhea outbreak in the province in 3 years 47.6% of the cases were reported from county level and above general hospitals, 56.6% of cases were diagnosed as infectious diarrhea within 48 hours after the onset of symptoms, 99.9% of the cases were filled with report cards within 24 hours after diagnosis, 24 h accounted for 92.4%, audited within 24 h after entry accounted for 99.8%, 9.8% of the cases have laboratory results, 9% of cases positive for rotavirus antigen. Conclusions The incidence of infectious diarrhea in Yunnan Province in 2011-2013 is on the rise. The prevalence of infectious diarrhea in Yunnan Province is basically the same as that of the whole country, and the cases of diarrhea, especially those of adult diarrhea cases, are increased. The diagnostic criteria and the experiment are strictly enforced Room testing is to improve the quality of infectious diarrhea monitoring in Yunnan Province, the key.