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机构地区:[1]章丘市疾病预防控制中心,山东章丘250200
出 处:《预防医学论坛》2011年第1期57-59,共3页Preventive Medicine Tribune
摘 要:[目的]分析流感样病例的流行特点,为流感防控措施提供依据。[方法]对2005年10月至2009年12月章丘市流感哨点医院监测资料和2009年8~12月病原学检测资料进行分析。[结果]2005年10月至2009年12月,哨点医院各门诊累计报告流感样病例6 370例,占同期门诊就诊病人总数185 479例的3.43%。流感样病例所占比例,2005年10月至2009年3月4个监测年度流行季节分别为2.32%、2.87%、3.82%、2.93%,2009年5~12月为3.74%;儿科门诊为5.07%,儿科急诊为6.43%,内科门诊为0.17%,内科急诊(包括发热门诊)为8.11%;10月至次年3月分别为2.37%、2.81%、3.27%、3.98%、3.50%、2.70%,2009年5~12月分别为2.73%、3.14%、2.57%、1.18%、5.61%、6.66%7、.41%、5.29%。2009年8~12月采集流感样病人咽拭子228份,检出流感病毒78株,阳性率为34.21%,其中季节性流感病毒H3型50株,H1型1株,甲型未分型6株,B型2株,甲型H1N1型19株。[结论]章丘市2005~2009年流感流行季节哨点医院门诊就诊病人总数中流感样病例所占比例比较平稳,2009年8~12月季节性流感病毒H3型和甲型H1N1型流感病毒为优势病毒株。[Objective]To analyze the epidemic characteristic of influenza like illness,in order to provide basis for flu prevention and control.[Methods]Surveillance data from sentinel hospital from October 2005 to December 2009 and data of pathogenicity test from August to December 2009 were analyzed.[Results]6 370 flu like cases were reported from October 2005 to December 2009 in sentinel hospitals and clinics,accounting for 3.43% of the total 185 479 cases reported during the same period.Influenza-like cases accounted for 2.32%,2.87%,3.82% and 2.93% from October 2005 to March 2009.It accounted for 3.74% from May to December 2009.It accounted for 5.07%,6.43%,0.17% and 8.11% in Pediatric clinic,pediatric emergency room,medical clinic medical emergency room(including fever clinics).It accounted for 2.37%,2.81%,3.27%,3.98%,3.50% and 2.70% from October to March of the following year well it was 2.73%,3.14%,2.57%,1.18%,5.61%,6.66%,7.41% and 5.29% from May to December 2009.228 throat swab samples were collected from the patients from August to December 2009.78 strains of influenza virus were detected,the positive rate was 34.21%,of which 50 strains were type H3 seasonal flu virus,1 strain of H1-type,6 strains of type A,2 strains of B-type and 19 strains of Influenza A H1N1.[Conclusion]The proportion of influenza-like cases reported from sentinel hospitals was relatively stable from 2005 to 2009 in Zhangqiu,type H3 and type A H1N1influenza virus were the dominant strains from August to December 2009.
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