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目的了解四川省2011-2013年输入性疟疾疫情与诊治情况,为进一步加强输入性疟疾防控工作提供科学依据。方法对四川省2011-2013年输入性疟疾疫情报告数据进行描述性分析。结果 2011-2013年四川省共报告输入性疟疾病例609例,其中恶性疟368例(60.43%),间日疟223例(36.62%),三日疟3例(0.49%),卵形疟4例(0.66%),混合感染8例(1.31%),未分型3例(0.49%)。男女比例为42.5∶1,平均年龄38.60±9.96岁,职业以农民、民工和工人为主。境外感染576例(94.58%),其中非洲396例,东南亚155例。全年均有病例报告,分布全省各市(州)。568例(93.27%)病例实验室确诊,患者从发病到确诊时间平均为3 d,仅105例(17.24%)发病后1 d内确诊。市级医疗机构诊断277例(45.48%),县级疾控中心诊断110例(18.06%),县级医疗机构诊断106例(17.41%),560例病例在四川治疗,治愈553例,死亡7例,治愈率98.75%。结论四川省境外输入性疟疾病例呈上升趋势,有潜在危险,应加强境外输入性疟疾病例的防治管理工作。
Objective To understand the epidemic situation and diagnosis and treatment of imported malaria in Sichuan Province from 2011 to 2013 and provide scientific evidence for further strengthening the prevention and control of imported malaria. Methods Descriptive analysis of imported malaria epidemic data from 2011 to 2013 in Sichuan Province was carried out. Results A total of 609 cases of imported malaria cases were reported in Sichuan Province from 2011 to 2013, of which 368 cases (60.43%) were Plasmodium falciparum, 223 cases (36.62%) were Plasmodium vivax, 3 cases (3.49%) were Plasmodium malaria, Cases (0.66%), mixed infection in 8 cases (1.31%), undifferentiated in 3 cases (0.49%). The male-female ratio was 42.5: 1, with an average age of 38.60 ± 9.96 years. The main jobs were peasants, migrant workers and workers. 576 cases (94.58%) were infected overseas, including 396 cases in Africa and 155 cases in Southeast Asia. There are case reports throughout the year, distributed throughout the province cities (states). 568 cases (93.27%) were confirmed by laboratory tests. The average time from onset to diagnosis was 3 days and only 105 cases (17.24%) were diagnosed within 1 day after onset. There were 277 cases (45.48%) diagnosed by municipal medical institutions, 110 cases (18.06%) diagnosed by CDC, 106 cases (17.41%) diagnosed by county-level medical institutions, 560 cases were cured in Sichuan Province, 553 cases were cured and 7 died For example, the cure rate was 98.75%. Conclusion The cases of imported malaria outside Sichuan Province are on the rise with potential risks. Prevention and management of imported malaria cases abroad should be strengthened.