广州市社区甲型H1N1流感监测发现首起学校聚集性疫情分析  

Emergency Surveillance of Community A (H1N1) Influenza and Analysis on the School Outbreak in Guangzhou

作　　者：李美霞[1] 柳洋[1] 李铁钢[1] 

机构地区：[1]广东省广州市疾病预防控制中心,510080

出　　处：《中国学校卫生》2010年第6期702-703,共2页Chinese Journal of School Health

摘　　要：目的探讨社区甲型H1N1流感应急监测在寻找感染来源、发现聚集性疫情以及有效控制疫情方面的作用,为甲型H1N1流感的预防控制提供参考依据。方法制定监测方案,采集监测对象咽拭子用RT-PCR方法 ,检测甲型H1N1流感病毒核酸,采用现场流行病学调查方法 ,对学校甲型H1N1流感聚集性病例的流行特征进行调查。结果应急监测共采集148例监测对象标本,甲型H1N1流感病毒核酸阳性2例,阳性率为1.35%。调查病例时发现广州市首起学校聚集性甲型H1N1流感疫情,5d内发现确诊病例5例,罹患率为12.2%。结论开展社区甲型H1N1流感应急监测,是寻找社区感染来源,及时发现可疑病例,防止疫情扩散蔓延的很好方法 。Objective To explore the importance of emergency surveillance of community A （H1N1） influenza in discovering the patients and outbreak timely,ascertaining the route of transmission and controlling the epidemic effectively,and to provide reference for the prevention and treatment.Methods Plan including throat swabs tested by RT-PCR and outbreak investigation processed by field epidemiology was conducted.Results Total 148 samples were tested with 2 samples （1.35%） positive for A （H1N1） influenza.The first school outbreak was detected by investigating the confirmed case,indicating 5 confirmed cases in later 5 days with attack rate 12.2%.Conclusion Emergency surveillance of community A（H1N1） surveillance plays a critical role in finding patients and route of infection,as well as preventing the spread.Comprehensive measures especially strict management on source of infection make the epidemic controlled significantly with no secondary cases.

关 键 词：流感病毒A型 H1N1亚型 人群监测 社区卫生服务 疾病暴发流行 

分 类 号：R373.13[医药卫生—病原生物学]