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目的了解新罗区近10年细菌性痢疾发病特征及规律,为制订防治对策提供依据。方法对2005—2015年细菌性痢疾的监测结果进行回顾性分析。结果新罗区2005—2015年共报告菌痢179例,无死亡。年均发病率2.65/10万,总体呈下降趋势。春末夏初发病数逐渐增多,6~8月达高峰,秋末进入低发期;发病率<10岁组最高(1.07/10万),其次为>60岁组(0.31/10万);男女发病率类似;散居儿童(22.4%)和农民(25.7%)为主要感染人群。179例中,临床诊断占60.8%,实验室诊断占39.1%;实验室诊断菌株57.1%为宋内志贺菌,42.9%为福氏志贺菌。结论菌痢仍是新罗区传染病防治重点之一,应针对高发人群及主要流行菌株制定有效防控措施,避免菌痢暴发。
Objective To understand the characteristics and rules of bacterial dysentery incidence in Xinluo District in recent 10 years and to provide basis for the development of control strategies. Methods The surveillance results of bacterial dysentery from 2005 to 2015 were analyzed retrospectively. Results A total of 179 cases of bacillary dysentery were reported in Xinluo District from 2005 to 2015 without any death. The average annual incidence of 2.65 / 100000, the overall downward trend. The number of onset in late spring and early summer increased gradually, reached the peak in June and August, and reached the low incidence in late autumn; the incidence was lower than 10 years old (1.07 / 100000), followed by> 60 years old (0.31 / 100000) Incidence rates were similar; diaspora (22.4%) and peasants (25.7%) were predominantly infected. Of the 179 cases, clinical diagnosis accounted for 60.8%, laboratory diagnosis accounted for 39.1%; laboratory diagnostic strains 57.1% Shigella sonnei, 42.9% Shigella flexneri. Conclusion Bacillary dysentery is still one of the focuses of prevention and treatment of infectious diseases in Xinluo District. Effective prevention and control measures should be formulated for high incidence population and major epidemic strains to prevent the outbreak of bacillary dysentery.