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目的探讨蒲县手足口病流行特征、适宜的防控措施和防控重点。方法从国家疾病监测信息报告管理系统导出手足口病个案资料,采用描述性流行病学方法进行分析比较。结果 2008~2013年蒲县共报告手足口病1034例,重症47例,死亡1例,年平均报告发病率160.52/10万,最高年(2011)报告发病率377.09/10万,最低年(2008)报告发病率44.94/10万;重症发生率4.55%,其中,1岁以内组达9.96%,病死率2.13%,≤3岁的儿童是手足口病及其重症病例预防控制及甄别救治的重点人群;病原检测2010、2011年优势菌为肠道病毒71型(EV71),2012年转化为柯萨奇病毒A组16型(cox A16)。结论 2008年~2013年蒲县手足口病疫情呈上升态势,发病以散发流行为主,轻症患者多,波及范围广,其发病构成和报告发病率自2010年起跃居法定传染病之首,应进一步加强社区、托幼机构手足口病的预防控制及病原学检测工作。
Objective To explore the epidemic characteristics of hand, foot and mouth disease in Pu County, suitable prevention and control measures and prevention and control focus. Methods The case information of hand, foot and mouth disease was derived from the national disease surveillance information report management system and analyzed by descriptive epidemiological method. Results A total of 1034 cases of hand, foot and mouth disease were reported in Puxian from 2008 to 2013, 47 cases were severe and 1 died. The average annual incidence was 160.52 / 100,000. The highest incidence was 377.09 / ) Reported the incidence of 44.94 / 100000; severe incidence of 4.55%, of which 9.96% within 1 year group, case fatality rate of 2.13%, ≤ 3 years old children with HFMD and its critically ill cases of prevention and control and screening treatment Population; pathogen detection dominant bacteria in 2010 and 2011 were Enterovirus 71 (EV71), and in 2012, they were transformed into coxsackie A16 (cox A16). Conclusion From 2008 to 2013, the epidemic situation of hand, foot and mouth disease in Puxian County was on the rise. The incidence was predominant in sporadic epidemics, with more patients with mild disease and a wide range of infectious diseases. The incidence and reported incidence of this disease jumped to the top of notifiable infectious diseases , Prevention and control of hand-foot-mouth disease and pathogen detection in communities and nurseries should be further strengthened.