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目的了解东营市手足口病流行趋势和网络报告质量,为进一步防治手足口病提供科学依据。方法采用流行病学方法描述其三间分布,并对未及时报告率、未及时审核率和不准确率指标进行报告质量分析。结果 2011~2013年东营市共报告手足口病14 228例,死亡3例,重症93例,发病率分别为322.07/10万,201.95/10万,170.22/10万。全市所辖5个县区42个乡镇均出现不同程度的暴发流行。每月都有发病,主要集中在5~8月,占80.22%,发病以1~3岁组为主,男女性别比1.50∶1,病例主要以托幼儿童和散居儿童为主,分别占63.94%和31.40%。病原学以Cox A16和EV71为主。手足口病报告质量分析,未及时报告率、未及时审核率均为0.00%,不准确率为0.14%。市级医院报告时间间隔长于县级医疗机构。结论东营市手足口病发病呈明显的季节性,发病呈下降趋势,疫情网络报告质量较高。
Objective To understand the epidemiological trend of hand-foot-mouth disease and the quality of network reports in Dongying City, and provide a scientific basis for further prevention and treatment of hand-foot-mouth disease. Methods Epidemiological methods were used to describe the three distributions, and the reporting quality analysis was conducted on the indicators that were not reported in time, those that failed to be timely examined, and the indicators of inaccuracy. Results A total of 14 228 hand-foot-mouth disease cases were reported in Dongying from 2011 to 2013, with 3 deaths and 93 severe cases. The incidence rates were 322.07 / 100,000, 201.95 / 100,000 and 170.22 / 100,000 respectively. Outbreaks of epidemic occurred in 42 towns and villages in 5 counties under the jurisdiction of the city. Occurred every month, mainly in May to August, accounting for 80.22%, the incidence of 1 to 3-year-old group, male to female ratio of 1.50: 1, the main cases of child care and scattered children, accounting for 63.94 % And 31.40%. Etiology is dominated by Cox A16 and EV71. Hand-foot-mouth disease report quality analysis, not timely reporting rate, not timely audit rate was 0.00%, inaccuracy rate was 0.14%. Municipal hospitals report longer intervals than county-level medical institutions. Conclusion The incidence of hand-foot-mouth disease in Dongying City is obviously seasonal, the incidence is decreasing, and the quality of the epidemic network report is high.