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目的对菏泽市2012-2014年15岁以下急性脊髓炎病例监测情况进行分析研究,初步评价菏泽市15岁以下脊髓炎病例报告监测和临床诊治工作进展,掌握其发病流行状况及规律,为保持无脊灰状态工作和脊髓炎病例诊治提供科学依据。方法根据急性弛缓性麻痹病例网络直报系统资料、流行病学个案调查资料、临床诊断资料和实验室病毒检测结果进行分析研究。结果菏泽市2012-2014年共报告15岁以下脊髓炎病例20例。2012-2014年15岁以下脊髓炎病例年平均报告发病率为0.38/10万。20例病例分布在全市9县区的20个乡镇(办事处)的20个行政村(社区),高度散发。48 h及时调查率为100.00%,合格大便标本采集率为100.00%。未检测到脊灰野病毒,1例检测到II型脊灰疫苗病毒,脊灰疫苗病毒分离率为5.00%,未检测到脊灰疫苗衍生病毒与疫苗高变异病毒。非脊灰肠道病毒分离率5.00%。结论菏泽市15岁以下脊髓炎病例报告监测和诊治工作取得了很大进展,但仍有不足之处。建议仍应加强15岁以下脊髓炎病例报告监测和诊治工作。
Objective To analyze and monitor the surveillance of cases of acute myelitis under the age of 15 in Heze City from 2012 to 2014. The progress of monitoring and clinical diagnosis and treatment of cases of myelitis under 15 years of age in Heze City is preliminarily evaluated. Polio status work and diagnosis and treatment of myelitis cases provide a scientific basis. Methods Acute flaccid paralysis cases based on the network direct reporting system information, epidemiological case investigation data, clinical diagnostic data and laboratory virus test results were analyzed. Results Heze 2012-2014 reported a total of 20 cases of myelitis 15 years of age. The average annual reported incidence of myelitis cases aged 15 to 15 years between 2012 and 2014 was 0.38 / 100,000. Twenty cases were distributed in 20 administrative villages (communities) in 20 townships (offices) in 9 counties and districts of the city and were highly distributed. 48 h timely investigation rate was 100.00%, qualified stool specimens collected rate of 100.00%. No polioviruses were detected, one poliovirus type II was detected and the poliovirus isolate rate was 5.00%. No poliovirus and vaccine highly variant virus were detected. Non-polio enterovirus isolation rate of 5.00%. Conclusion Significant progress has been made in the monitoring, diagnosis and treatment of cases of myelitis under the age of 15 in Heze City, but there are still some shortcomings. Recommendations should be strengthened under the age of 15 cases of myelitis report monitoring and diagnosis and treatment.