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目的分析2009年南阳市卧龙区手足口病发病情况,探讨该区手足口病的流行规律,为预防控制工作提供科学依据。方法使用国家疾病监测信息管理系统收集医疗单位报告辖区内的手足口病疫情资料和病原学资料作流行病学分析。结果 2009年卧龙区疾病预防控制中心共接报手足口病例762例,发病率为86.56/10万,男性多于女性,4~5月为发病高峰季节,多数为散居儿童。实验室诊断病例19例,确诊为EV71阳性的4例,占实验室诊断病例数的21.05%;其他肠道病毒(PE)阳性10例(52.63%);COXA16阳性5例(26.32%)。结论手足口病的发生有明显年龄、性别、季节差异,肠道病毒是近年来引起儿童手足口病的主要病原体,1~3岁儿童是手足口病防控工作的重点人群。各卫生部门要对患儿进行积极的隔离治疗和消毒处理,做好幼托机构的综合防控措施并对社区居民进行健康教育是预防的重要措施。
Objective To analyze the incidence of HFMD in Wolong district in Nanyang city in 2009 and to discuss the prevalence of HFMD in this area and provide a scientific basis for prevention and control. Methods The National Disease Surveillance Information Management System was used to collect epidemiological data of hand-foot-mouth disease outbreaks and etiological data in the area covered by medical institutions. Results In 2009 Wollongong Center for Disease Control and Prevention reported a total of 762 cases of hand, foot and mouth disease, the incidence was 86.56 / 100000, more men than women, April to May is the peak season, the majority of scattered children. Nineteen laboratory diagnosed cases were diagnosed as EV71 positive, accounting for 21.05% of the total number of cases diagnosed in laboratory, 10 cases (52.63%) were positive for other enteroviruses (PE) and 5 cases (26.32%) were COXA16 positive. Conclusion The incidence of hand, foot and mouth disease is obviously different according to age, sex and season. Enterovirus is the major causative agent of hand, foot and mouth disease in children in recent years. Children 1-3 years old are the key population of hand-foot-mouth disease prevention and control. All health departments should make active isolation treatment and disinfection treatment for children, make comprehensive prevention and control measures of childcare institutions and carry out health education for community residents are important measures for prevention.