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经过多年的大规模防治,我国大部分地区的疟疾发病率已降至很低水平,继续沿用现行的疟疾监测方法,即对所有的发热病人采血镜检,其阳性检出率已非常低。本研究结果显示,在低疟区临床初诊为不明原因发热病人的疟原虫阳性检出率为0.6,感冒病人的阳性检出率为0.1,因此,在低疟区可以放弃对这两类发热病人进行血检,重点血检临床诊断为疟疾和疑似疟疾的病人,以提高血检效率。采用这种简化的疟疾监测措施,可以巩固疟疾防治成果,节省大量的人力和经费,而在中度疟区仍应继续对四类发热病人进行血检。
After many years of large-scale prevention and control, the incidence of malaria in most parts of China has dropped to a very low level. The current malaria surveillance method continues to be adopted. For all feverish patients, the positive detection rate has been very low. The results of this study showed that the positive detection rate of malaria parasite in clinically newly diagnosed patients with low-malaria endemic area was 0.6 , and the positive rate of cold-sick patients was 0.1 . Therefore, it could be abandoned in the low malaria area Blood tests are performed on these two types of febrile patients, and the major blood tests are clinically diagnosed as malaria and suspected malaria patients to improve the blood test efficiency. Using this simplified malaria surveillance program can consolidate the malaria control results and save a lot of manpower and funding, while in the malaria endemic areas, four types of febrile patients should continue to undergo blood tests.