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目的分析南昌市2009-2010年手足口病疫情流行特征和病原学特点,为制定手足口病防控措施提供科学依据。方法对国家疾病监测信息报告系统中报告的2009-2010年南昌市手足口病疫情资料进行描述性分析,并对部分病例进行病原学检测。结果2009-2010年南昌市共报告手足口病7 803例,年均发病率为85.17/10万,2010年发病率(116.87/10万)比2009年(53.46/10万)上升118.61%;全市9个县(区)均有病例报告,地区间差异有统计学意义(χ2=744.162,P<0.01);全年各月均有发病,病例主要集中在4-6月份;发病率男性显著高于女性,散居儿童和幼托儿童是手足口病的主要发病人群,5岁及以下儿童发病数占总发病数的95.44%;103起聚集性疫情中,92.23%发生在幼托机构;共检测手足口病病例标本573份,病原阳性率为56.20%,EV71和Cox A16分别占43.48%和36.65%。结论南昌市手足口病发病具有明显的季节、地区和人群特征,2010年发病率较2009年大幅上升,对婴幼儿健康危害大,应加强对手足口病的监测和诊疗,及时采取有效的治疗措施。
Objective To analyze epidemiological and etiological characteristics of HFMD in Nanchang from 2009 to 2010 and provide scientific evidence for the prevention and control measures of HFMD. Methods Descriptive analysis of epidemic data of hand-foot-mouth disease in Nanchang from 2009 to 2010, which was reported in the national disease surveillance information reporting system, was carried out and etiological tests were performed on some cases. Results A total of 7 803 HFMD cases were reported in Nanchang from 2009 to 2010, with an average annual incidence rate of 85.17 / 100 000. The incidence rate in 2010 was 116.87 / 100 000, an increase of 118.61% over 2009 (53.46 / 100 000). The city There were case reports in 9 counties (districts), with significant differences between regions (χ2 = 744.162, P <0.01). The incidence in all months and months was mainly in the period from April to June. The incidence of males was significantly higher The incidence of hand-foot-mouth disease in female, diaspora and kindergarten children was the main incidence of HFMD, and the incidence of children aged 5 years and under accounted for 95.44% of the total number of cases. Among the 103 cases of aggregated outbreaks, 92.23% 573 cases of hand, foot and mouth disease cases, the positive rate of pathogen was 56.20%, EV71 and Cox A16 accounted for 43.48% and 36.65% respectively. Conclusion The incidence of HFMD in Nanchang City has significant seasonal, regional and population characteristics. The incidence of HFMD in Nanchang was significantly higher than that of 2009, and it is harmful to the health of infants and toddlers. Monitoring and treatment of HFMD should be strengthened and timely treatment should be taken Measures.