一起流行性脑脊髓膜炎疫情的调查及控制  

Survey of an outbreak of epidemic cerebrospinal meningitis

作　　者：刘雅姬[1] 肖胜传[1] 林立新[1] 张玮[1] 

机构地区：[1]广东省梅州市疾病预防控制中心,梅州514071

出　　处：《微生物学免疫学进展》2012年第3期55-56,共2页Progress In Microbiology and Immunology

摘　　要：目的对流行性脑脊髓膜炎疫情进行流行病学分析,以了解流行性脑脊髓膜炎(流脑)发生的特点,评价防控措施的效果。方法采用现场流行病学、血清学调查的方法对发生的流行性脑脊髓膜炎疫情进行调查分析。结果此疫情鉴定为一起C群脑膜炎奈瑟菌引起的聚集性病例,3例病人均已接种过A群流脑多糖疫苗3～4次,而未接种过A群C群流脑多糖疫苗,对C群脑膜炎奈瑟菌无免疫力;采取相应措施后疫情得到控制,没有引起流脑流行。结论对C群脑膜炎奈瑟菌所致疫情,采取以预防性服药、应急接种为主的综合控制措施能得到有效控制。Objective To analyze the characteristics of an outbreak of epidemic cerebrospinal meningitis （ ECM ） and assess the effect of control measures. Methods Field epidemiology and serological investigation were carried out for the out- break. Results It was the first identified accumulative outbreak of ECM caused by group C Neisseria meningitidis in Meizhou City. Three patients related to the outbreak were vaccinated with group A Meningococcal polysaccharide vaccine for 3 to 4 times, but not vaccinated with group A, C Meningoc0ceal polysaccharide vaccine, in fact they bad no immunity to group C Neisseria meningitidis. The infection did not spread, but controlled after taking relevant measures. Conclusion The integrated control measures include an early diagnosis and treatment of cases in due time, prophylaxis by administration medicine, emergent vaccination, sterilization of infectious foci and health education, which are effective for control the outbreak of ECM.

关 键 词：流行性脑脊髓膜炎 疫情 控制 

分 类 号：R515.2[医药卫生—内科学]