论文部分内容阅读
目的:分析2012—2013年间苏州市姑苏区儿童手足口病流行特征,为进一步做好儿童手足口病防控工作提供科学依据。方法:采用描述性流行病学方法对儿童手足口病病例、重症手足口病的个案调查表以及肠道病毒核酸检测结果等相关资料进行分析。结果:2012年和2013年苏州市姑苏区疾病预防控制中心收到儿童手足口病患者2 088例,其中临床诊断病例为1 981例,实验室诊断病例为97例,疑似报告病例为10例;报告重症病例59例,无死亡病例;2012年其发病率为110.2/10万,2013年其发病率为93.47/10万;两年度儿童手足口病报告病例呈现2个高峰期(3~7月和11~12月),≤3岁的儿童为主(分别占66.12%和73.65%),其发病率(男∶女)性别比分别为1.57:1.00和1.63:1.00;在实验室诊断病例中,Cox A16阳性者为27例(27.83%),EV71阳性者为43例(44.34%),其他肠道病毒(EVG)阳性者为27例(27.83%)。结论:苏州市姑苏区儿童手足口病的流行具有明显的季节性和人群特征,对婴幼儿的身心健康影响较大,虽然姑苏区两年度的发病率均低于苏州市同期发病率,但儿童手足口病流行优势的毒株发生转变;在流行季节应针对高危人群采取积极防控措施,做好5岁及以下托幼机构和社区散居儿童手足口病防控工作,临床上应及时识别和诊疗手足口病,加强对重症病例的监测和救治,是当前对手足口病防控工作的主要措施。
OBJECTIVE: To analyze the epidemiological characteristics of HFMD in Gusu District of Suzhou City from 2012 to 2013 and to provide a scientific basis for prevention and control of HFMD in children. Methods: Descriptive epidemiological methods were used to analyze cases of hand-foot-mouth disease in children, case-list of severe hand-foot-mouth disease and results of enterovirus nucleic acid test. Results: 2 088 cases of hand, foot and mouth disease were reported in Gusu District Center for Disease Control and Prevention in 2012 and 2013, of which 1 981 cases were diagnosed clinically, 97 cases were laboratory diagnosed and 10 cases were suspected reported. The reported 59 cases of severe cases, no deaths; in 2012 the incidence was 110.2 / 100 000, the incidence rate was 93.47 / 100 000 in 2013; two years reported cases of hand, foot and mouth disease in children 2 peak (March to July And 11-12 months), children ≤3 years of age (66.12% and 73.65% respectively), and the incidence rates (male: female) were 1.57: 1.00 and 1.63: 1.00 respectively. In the laboratory diagnosis 27 cases (27.83%) were Cox A16 positive, 43 cases (44.34%) were EV71 positive and 27 cases (27.83%) were positive for other enterovirus (EVG). Conclusion: The prevalence of hand, foot and mouth disease in children in Gusu district of Suzhou City has obvious seasonal and crowd characteristics, which have a great impact on the physical and mental health of infants and young children. Although the incidence rate in Gusu district in two years is lower than that in Suzhou city, The prevalence of hand, foot and mouth disease epidemic strains change; in the popular season should be targeted at high-risk groups to take active prevention and control measures to do 5 years old and below community-based child care and nurseries hand-foot-mouth disease prevention and control of clinics should be timely identification and Diagnosis and treatment of hand, foot and mouth disease, to strengthen the monitoring and treatment of severe cases, is the current major measures against foot and mouth disease prevention and control work.