上海市浦东新区儿童猩红热流行病学调查及影响因素分析  

The epidemiological investigation on influencing factors of scarlet fever in Pudong New District of Shanghai

作　　者：徐红梅[1] 朱渭萍[1] 费怡[1] 王远萍[1] 

机构地区：[1]上海市浦东新区疾病预防控制中心传染病防治与消毒管理科,上海200136

出　　处：《中华疾病控制杂志》2013年第8期677-680,共4页Chinese Journal of Disease Control & Prevention

基　　金：上海市浦东新区卫生系统重点学科建设资助(PWZXK2010-09)

摘　　要：目的对上海浦东新区儿童猩红热病例进行调查,探讨猩红热发病的影响因素。方法选择在2011年1月1日～2012年4月30日间,上海市各级医疗机构报告的本辖区10个社区儿童猩红热病例作为病例组,按户籍类型、年龄、性别和儿童职业4个指标进行1∶2配对选择对照开展猩红热调查,条件Logistic回归分析探讨猩红热病例发病的危险因素。结果浦东新区儿童猩红热主要集中在7～8岁年龄组,发病高峰为6月和11月。前1年经常前往医院就诊(OR=3.528,95%CI:1.023～12.166)和前1月接种疫苗(OR=3.651,95%CI:1.064～12.527)均与猩红热的发病呈正相关。结论幼托机构和学校是猩红热的防控重点。前1年经常前往医院就诊(总次数≥4次)和前1月接种疫苗是猩红热发生的重要影响因素。开展猩红热发病影响因素,将有助于提出更好的猩红热预防和控制措施。Objective To investigate the current situation of the scarlet fever in pudong new district and to explore the influencing factors of the disease. Methods We selected the children scarlet fever cases in ten communities who were reported by all of the medical institutions in Shanghai from January 1,2011 to April 30,2012, and the controls were 1 ： 2 matched for residency status, age, gender and occupation with cases. Conditional Logistic regression was used to explore the influencing factors of scarlet fever. Results Scarlet fever cases in Pudong new district concentrated in 7-8 years old children, and the peak incidence was in June and November. Two factors-frequency of hosptalization in the previous year （ OR = 3. 528,95 % CI： 1. 023-12. 166） and vaccination in the previous month （ OR = 3.651,95 % CI： 1. 064-12. 527 ） remained significant risk factors associated with scarlet fever. Conclusions Preschools and schools were the key sites for scarlet fever prevention and control. There were two important factors for scarlet fever occurrence, one was the frequency of hosptalization in the previous year（ the total number≥4 times）, the other was vaccination in the previous month. It would help us come up with better measures for scarlet fever prevention and control to carry out the study of influencing factors for scarlet fever.

关 键 词：猩红热 儿童 危险因素 

分 类 号：R515.1[医药卫生—内科学]