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目的探讨通过主动病例侦察,加强资源匮乏高疟区的疟疾监测和防治服务。方法逐个访问高疟村寨,寻找1周内发过烧的“四热”患者,使用疟疾快速诊断检测疟原虫抗原。结果发现和血检发热患者453例,2年疟史率77.92%;确诊疟疾270例,其中恶性疟243例,间日疟20例和三日疟7例;阳性率59.6%,恶性疟比例90.00%;当地仍为高度地方性疟疾流行区。结论在缺乏基本医疗卫生服务的高疟区,主动病例侦察应该是有效的疟疾监测和防治方法之一。
Objective To explore malaria surveillance and prevention and treatment services in areas with high sclerosis by lack of resources through active surveillance. Methods One by one, we visited the high malaria village and looked for the patients who had the fever in one week and used the rapid malaria diagnosis to detect the malaria antigen. The results showed that 453 cases were diagnosed as fever and the rate of 2-year malaria was 77.92%. 270 malaria cases were diagnosed, of which 243 cases were Plasmodium falciparum, 20 cases and 3 malaria cases. The positive rate was 59.6% and the proportion of falciparum malaria was 90.00 %; The locality is still the endemic area of endemic malaria. Conclusions Active maladjustment should be one of the effective methods of malaria surveillance and control in areas of high malaria lacking basic health care services.