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目的了解2007年北京市海淀区细菌性痢疾发病率水平、流行特征及菌谱分布和耐药情况,为2008年奥运会菌痢科学防控提供基础数据。方法根据海淀区的直报疫情网资料,对2007年菌痢发病现状进行描述性分析,对肠道门诊送检的志贺菌进行菌型和耐药试验。结果2007年海淀区报告菌痢5286例,发病率为213.98/10万,发病居38种法定传染病的第2位;全年6—9月为发病高峰期,峰顶为8月份,发病1288例,占全年发病例数的24.37%;重点发病年龄组为0～4岁组,20岁组,5岁组和70岁以上组;发病人群以学生、散居儿童、公务人员及职员、离退休人员为主,构成比达70.17%;引发菌痢以食源性因素为主;菌型以宋内志贺菌占80.00%,福氏志贺菌占20.00%;志贺菌对各种抗生素耐药有一定差异。结论菌痢仍是危害海淀区人群健康的重要的公共卫生问题之一,发病率远远高于全国平均水平;发病有明显的季节高峰;0～4岁组、学生、公务人员职员为重点防控对象;宋内志贺菌已成为海淀区优势流行株,应加强各部门菌痢预防控制工作,特别是食品卫生的管理督察。
Objective To understand the prevalence, prevalence and distribution of bacterial dysentery and the drug resistance of bacillary dysentery in Haidian District, Beijing in 2007 and provide the basic data for scientific control of bacillary dysentery in 2008 Olympic Games. Methods Based on the data of direct epidemic situation in Haidian District, the descriptive analysis of the incidence of dysentery in 2007 was carried out. The pathogenic bacteria and drug resistance of Shigella were tested in the intestinal clinic. Results In 2007, 5286 cases of bacillary dysentery were reported in Haidian district, with an incidence rate of 213.98 / 100000. The incidence rate was the second in 38 legal infectious diseases. The peak incidence was from June to September in the whole year and the peak was in August. The incidence was 1288 Cases, accounting for 24.37% of the total number of cases in the year; the key onset age group is 0 to 4 years old group, 20 years old group, 5 years old group and 70 years old group; The incidence of patients to students, scattered children, civil servants and staff, Retiree, constitute a ratio of up to 70.17%; lead to dysentery food-based factors; Shigella to bacteria accounted for 80.00%, Shigella flexneri accounted for 20.00%; Shigella for a variety of antibiotics There are some differences in resistance. Conclusions Bacillary dysentery is still one of the important public health problems that endanger the health of Haidian people. The incidence rate is far higher than the national average; the incidence has a clear seasonal peak; 0 to 4-year-old group, students and civil servants are the key anti-personnel Control objects; Shigella sonnei has become the dominant epidemic strains in Haidian District, departments should be strengthened prevention and control of bacillary dysentery, especially food hygiene management inspector.