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目的评估扬州市输入性疟疾防治管理效果,为制定输入性疟疾防控策略提供参考依据。方法统计2012-2013年扬州市劳务输出及回国发热人员疟原虫血检率、疟疾病例中实验室确诊病例比例、恶性疟病例发病24 h内得到规范治疗的比例以及劳务输出信息平台建立情况等,对扬州市输入性疟疾防治管理效果进行综合分析评价。结果2012-2013年扬州市共报告输入性疟疾82例。全市7个县(市、区)均开展了劳务输出及回归人员监测,覆盖率为100%。2012-2013年共有劳务输出人员5 808人次,其中接受医学提醒5 575人次,服务覆盖率达95.99%;5 808名劳务输出人员中有5 525人接受健康行为,健康行为养成率达95.13%。对全市153个镜检站以及医疗、疾控专业人员进行疟疾镜检培训,两年累计达410人,培训覆盖率达100%。82例输入性疟疾病人从发病到初诊时间平均为2.5 d,从发病到确诊时间平均为2.75 d;所有病人均治愈出院,救治康复率为100%;初诊血检78人,初诊血检率为95.12%。78例初检血检均检出疟原虫,血检确诊率为100%;69例恶性疟报告病例均得到实验室确诊。69例恶性疟病例在初诊后24 h内得到规范治疗的有58例,占84.06%。结论扬州市输入性疟疾防治管理效果明显,但仍需加强对劳务输出人员的健康教育以及对医务人员的培训,以进一步防控输入性恶性疟。
Objective To evaluate the effect of malaria control in Yangzhou and provide a reference for the development of malaria control strategy. Methods Statistics on the blood sampling rate of malaria parasite, the proportion of lab-confirmed cases among malaria cases, the proportion of cases receiving standard treatment within 24 hours after the onset of falciparum malaria cases and the establishment of labor export information platform in Yangzhou from 2012 to 2013 were analyzed. To carry out a comprehensive analysis and evaluation of malaria control effects in Yangzhou City. Results A total of 82 cases of imported malaria were reported in Yangzhou from 2012 to 2013. The city’s seven counties (cities, districts) have conducted labor export and return personnel monitoring, coverage was 100%. From 2012 to 2013, a total of 5,808 labor exporters were employed, of whom 5,575 people received medical reminders and their service coverage reached 95.99%. Among them, 5,528 out of 5,808 labor exporters were engaged in healthy behaviors and the rate of healthy behaviors was 95.13% . The city’s 153 mirror stations and medical and disease control professionals for malaria microscopy training, two years totaled 410 people, training coverage of 100%. 82 cases of imported malaria patients from onset to the initial diagnosis of an average of 2.5 d, from the onset to the diagnosis of an average of 2.75 d; all patients were cured and discharged, the recovery rate was 100%; 78 initial examination, the initial examination was 95.12%. Sera from 78 initial blood tests were positive for Plasmodium, with 100% confirmed by blood tests; 69 reported cases of falciparum malaria were laboratory-confirmed. Of the 69 cases of falciparum malaria cases, 58 cases were standardized treatment within 24 hours after first diagnosis, accounting for 84.06%. Conclusion The control effect of imported malaria in Yangzhou is obvious. However, it is still necessary to strengthen the health education of medical workers and the training of medical personnel in order to further prevent and control imported falciparum malaria.