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目的分析2013-2014年东莞市麻疹监测系统运转情况,为加强麻疹监测、消除麻疹提供参考。方法采用描述性流行病学方法对东莞市2013-2014年麻疹监测系统指标进行分析。结果 2013-2014年东莞市报告麻疹监测病例数1 211例,其中实验室诊断病例946例(78.12%),临床诊断病例16例(1.32%),排除病例249例(20.56%)。48 h内完整调查率分别是98.89%和98.98%,血标本3 d内送达率分别是94.65%和94.89%,血清学检测结果 7 d内报告率分别是97.11%和96.81%,监测病例血标本采集率分别是98.69%和98.27%,暴发疫情实验室确诊率100%,暴发疫情病原学标本采集率100%,排除病例报告发病率分别是1.53/10万和1.47/10万。结论东莞市麻疹监测系统的监测指标略低,系统敏感性有待进一步提高。
Objective To analyze the operation status of measles monitoring system in Dongguan City from 2013 to 2014 and provide reference for strengthening measles monitoring and eliminating measles. Methods Descriptive epidemiological methods were used to analyze the indicators of measles surveillance system in Dongguan from 2013 to 2014. Results A total of 1 211 cases of measles surveillance were reported in Dongguan from 2013 to 2014, of which 946 cases (78.12%) were laboratory diagnosed, 16 cases (1.32%) were diagnosed clinically, and 249 cases (20.56%) were excluded. The complete investigation rates within 48 h were 98.89% and 98.98% respectively. The rates of delivery within 3 days of blood samples were 94.65% and 94.89% respectively. The reported rates of serological test within 7 days were 97.11% and 96.81% respectively. The collection rate of specimens was 98.69% and 98.27% respectively. Outbreaks of outbreaks were 100% confirmed in outbreak laboratories. Outbreaks of etiological specimens were collected in 100% of the cases and the incidence of cases excluded was 1.53 / 100000 and 1.47 / 100000 respectively. Conclusion The monitoring index of measles monitoring system in Dongguan City is slightly lower and the system sensitivity needs to be further improved.