论文部分内容阅读
目的:分析江苏省感染性腹泻病流行特征,为综合防控措施的科学制订和综合监测工作的有效开展提供科学依据.方法:对2004~2011年江苏省感染性腹泻病的发病情况和近5年各类感染性腹泻病的病原学监测结果进行分析,对全省所有县及县以上医疗机构在感染性腹泻病实验室检测方面的相关工作开展情况进行调查.结果:2004~2010年全省感染性腹泻病发病率呈现逐年下降趋势,2011年发病率有所反弹,年平均发病率43.79/10万;2004年以来其他感染性腹泻病在感染性腹泻病中所占的构成比增加趋势明显;感染性腹泻病总体呈较为典型的夏季高峰,但伤寒+副伤寒的季节分布近8年中有6年在8、9、10月呈现“V”字型分布,有一定的特殊性和规律性;各类感染性腹泻病的职业分布集中在农民、散居儿童、学生和工人4类人群;发病以男性为主,性别构成比逐年略有增加;随着年龄段上升发病率逐渐下降;报告发病率和实验室检测工作开展率均为苏南高于苏中,苏中高于苏北.病原学监测结果显示,近年来,我省霍乱和痢疾的菌群和菌型分布有所变化,伤寒+副伤寒菌群和菌型分布较为稳定.结论:江苏省感染性腹泻病近年来得到了较好的控制,总体和各分类病种发病特征有一定的规律性和趋势性,今后除继续做好此类传染病的监测和防控工作外,应进一步加强腹泻类传染病病原检测能力、提高实验室诊断率和病原学诊断结果的报告率.“,”Objective:To explore the epidemic characteristics of infective diarrhea disease in Jiangsu province,and to provide scientific basis for effective strategy for general control and monitoring of diarrhea disease.Methods:The epidemiological characteristics and etiologic characteristic of infective diarrhea disease in Jiangsu from 2004 to 2011 were analyzed.A total of 246 hospital of county and above level were investigated to understand the capability of breadboard detection.Results:The incidence of infective diarrhea disease in Jiangsu has been decreasing by years from 2004 to 2010,the incidence bounced in 2011.The average incidence rate was 43.79/100 000.There was a visible supernumerary tendency of constituent ratio in other diarrhea disease.The typical and aestival peak was observed in summer,but there was a regularity and specificity which “V” type distribution was observed from August to October.With occupational distribution,peasants,students,workers and scattered children were the major infected population.Piecemeal decrease of incidence rate was following with aetatis increase.The incidence rate of male was higher than female.The incidence rate and capability of breadboard detection in southern part were higher than central region,and central region were higher than north part.Conclusion:The incidence of infective diarrhea disease has been well controlled.There was a visible supernumerary tendency in epidemiological characteristics.Further step should be taken for the capability of laboratory,diagnose and positive report.