论文部分内容阅读
目的了解济宁市市中区幼儿园手足口病聚集发病的流行病学特征,为采取科学有效的预防控制措施提供依据。方法对2009年1—10月国家疾病监测信息报告管理系统报告的在济宁市幼儿园发生的手足口病聚集性病例进行调查,将调查后的发病个案信息进行描述性流行病学分析。结果2009年1—10月济宁市市中区共有61所幼儿园报告手足口病病例372例,其中28所幼儿园出现聚集性病例127例。127例聚集性病例中,以3岁年龄组发病最多(占50.39%),男孩罹患率为1.90%(86/4 515),女孩为0.98%(41/4 185),差异有统计学意义(P<0.01);农村托幼儿童聚集性病例数(8例)远少于城市托幼儿童(119例);聚集性病例中重症患儿占11.81%,96.85%的聚集性病例有明确密切接触史。结论2009年济宁市市中区手足口病在幼儿园聚集发生有明显的年龄、性别和地区差异。早期发现疑似病例,及时采取消毒、隔离措施并减少托幼儿童的密切接触,可有效降低手足口病的罹患率。
Objective To understand the epidemiological characteristics of HFMD in kindergartens in Jining City, and to provide evidences for scientific and effective prevention and control measures. Methods A survey of cases of hand-foot-and-mouth disease clustering in kindergartens in Jining City reported by the National Disease Surveillance Information Reporting Management System from January to October in 2009 was conducted. Descriptive epidemiological analysis was conducted on the information of the investigated cases. Results From January to October 2009, a total of 61 kindergartens in Jining City Central District reported 372 cases of HFMD, of which 127 cases were clustered in 28 kindergartens. Among the 127 cases of aggregated cases, the incidence was the highest in the 3-year-old group (50.39%), the prevalence rate was 1.90% (86/4 515) for boys and 0.98% (41/4 185) for girls, the difference was statistically significant P <0.01). The number of cases of child care in rural areas was far less than that of urban children (119 cases). In severe cases, 11.81% were severe cases, and 96.85% were clustered with clear and close contact history. Conclusion In 2009, Jining City Central District hand, foot and mouth disease gathered in kindergartens have obvious age, gender and regional differences. Early detection of suspected cases, the timely adoption of disinfection and isolation measures and reduce the close contact of children and young children, can effectively reduce the incidence of hand-foot-mouth disease.