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目的了解济南市2007年麻疹流行特征,为制定控制对策,降低发病率提供科学依据。方法用Exce数l据库进行统计分析;采用酶联免疫吸附试验(ELISA)检测血清IgM抗体。结果2007年济南市确诊麻疹病例407例,发病率为6.66/10万,为该市1985年以来发病率最高年份,麻疹发病城区和周边县区存在明显差别,发病主要集中在2岁以下和成人,分别占发病总数的47.95%和38.55%。无免疫史和医院内感染是小月龄儿童发病的主要原因。结论济南市2007年麻疹发病呈明显上升趋势。在维持高水平基础免疫的同时,要提高麻疹首针接种及时率和复种接种率,规范免疫接种程序,保证接种质量,提高免疫成功率,加强流动人口管理和医院内感染的管理,是消除麻疹的关键。
Objective To understand the epidemic characteristics of measles in Jinan City in 2007 and provide a scientific basis for formulating control strategies and reducing the incidence of measles. Methods Exce number l database for statistical analysis; enzyme-linked immunosorbent assay (ELISA) serum IgM antibody. Results A total of 407 measles cases were confirmed in Jinan in 2007 with a prevalence of 6.66 / 100 000, the highest incidence in the city since 1985. Significant differences were found between urban areas and surrounding counties in the incidence of measles. The incidence mainly concentrated in adults under 2 years old and adults Accounting for 47.95% and 38.55% of the total respectively. No history of immunization and nosocomial infection is the main reason for the onset of small-month-old children. Conclusion The incidence of measles in Jinan increased obviously in 2007. While maintaining a high level of basic immunization, it is necessary to improve measles vaccination coverage rate and vaccination rate, standardize immunization programs, ensure vaccination quality, improve the success rate of immunization, and strengthen the management of floating population and nosocomial infections. key.