文章摘要
张朱佳子,卢莉,马蕊,吴疆,庞星火.北京市2014年外来就诊麻疹病例特征分析[J].中华流行病学杂志,2015,36(6):617-619
北京市2014年外来就诊麻疹病例特征分析
Analysis on the imported measles cases in Beijing,2014
收稿日期:2015-01-28  出版日期:2015-06-09
DOI:10.3760/cma.j.issn.0254-6450.2015.06.017
中文关键词: 麻疹;就诊病例;监测
英文关键词: Measles;Outpatients;Surveillance
基金项目:
作者单位E-mail
张朱佳子 100013 北京市疾病预防控制中心  
卢莉 100013 北京市疾病预防控制中心 lulibj@sina.com 
马蕊 100013 北京市疾病预防控制中心  
吴疆 100013 北京市疾病预防控制中心  
庞星火 100013 北京市疾病预防控制中心  
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中文摘要:
      目的 分析北京市外来就诊麻疹病例特征,探讨针对性防控策略和建议.方法 自北京市“麻疹监测信息报告管理系统” 截取2014年麻疹病例信息,采用描述性流行病学方法分析.结果 2014年北京市共报告麻疹病例3 328例,其中本市病例2 397例(72.0%),外来就诊病例931例(28.0%).分析显示外来就诊病例报告的时间高峰早于本市病例,而后者中有934例(39.0%)在发病前7~21 d均有医院暴露史.外来就诊病例以儿童为主,其中< 15岁占77.1%(718/931);病例报告医院集中于3家传染病专科医院(567人次,49.0%)和2家儿童专科医院(445人次,38.5%);病例来自24个省份,其中以河北省病例最多(705例,75.7%).分析712例有流行病学调查信息病例的就诊时症状,704例(98.9%)在来京就诊前已出皮疹,621例(87.2%)是在出皮疹后4 d内(处于麻疹传染期)前来就诊.结论 2014年北京市外来就诊麻疹病例数量增多,对北京市疫情造成一定影响,成为消除麻疹面临的又一严峻挑战.
英文摘要:
      Objective To analyze the imported measles cases who came to Beijing seeking for better medical services and to explore the feasible strategies for prevention and control of the situation. Methods Descriptive analysis was conducted for all the measles cases noted from the Measles Surveillance System,between January 1,2014 and December 31,2014. Results 3 328 measles cases were reported in Beijing,including 2 397 (2 397/3 328,72.0%) native residents and 931 (931/3 328,28.0%) came from other provinces. Peak of the imported cases appeared earlier than those native cases,with 934 cases (934/2 397,39.0%) having had hospital exposure 7-21 days prior to the onset of the disease. Majority of the imported were children,including 718 of them (718/931,77.1%) under the age of 15. Most cases were reported from 3 infectious disease hospitals (567/1 156 person-time,49.0%) and 2 children's hospitals (445/1 156 person-time,38.5%). Original addresses of the imported cases distributed in 24 provinces,with 705 of them (705/931,75.7%) coming from Beijing's neighboring province(Hebei). Clinic symptoms with epidemiological information were analyzed on 712 cases. 704 cases (704/712,98.9%) presented rash at home town while another 621 cases(621/712,87.2%) developed rash 4 days after arriving in Beijing and were still in the infectious period. Conclusion There was a big amount of imported measles cases in Beijing that called for the elimination of the disease in a urgent phase. It is necessary to timely develop and conduct targeted prevention and control measures on the disease in Beijing.
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