江阴市2012年食源性急性胃肠炎疾病流行特征与负担研究  

Study of the Characteristics and Burden of Foodborne Acute Gastroenteritis in Jiangyin City in 2012

作　　者：缪国忠 陆红达[1] 蒋建章[1] 何政[1] 唐建梅[1] 

机构地区：[1]江阴市疾病预防控制中心,江苏江阴214434

出　　处：《现代预防医学》2014年第8期1418-1421,共4页Modern Preventive Medicine

摘　　要：目的探讨江阴市食源性急性胃肠炎的发病规律、特点和经济与社会负担,为制定预防和控制措施提供依据。方法在全市共设立100个监测点,每月进行1次入户调查,调查资料建立数据库,并按时间、场所、致病因素、发病、就诊、住院情况及社会经济负担进行分析。结果江阴市食源性急性胃肠炎发病率为0.392 1次/人年,患者达47.05万人次;就诊率为69.44%,住院率为8.00%;好发地点为自己家中,占55.56%,引起的原因食品以水产品为最高,占27.78%,城市发病率高于农村(χ2=142.24,P<0.005),性别间差异无统计学意义(χ2=2.49,P>0.05),≥70岁组和<5岁组发病率高,临床症状以腹泻、腹痛为主,高发的时间为5、8月份,呈双峰季节分布,全市经济负担达11 028.52万元,造成旷工(课)11.10万天。结论江阴市食源性急性胃肠炎发病率、就诊率、住院率均高于我国其他地区和其他发达国家,发病、社会、经济负担依然较重,应不断建立健全食源性疾病监测机制,加强疾病负担研究。Objective This study was to learn the epidemic characteristics of and the economic and social burden caused by food-borne acute gastroenteritis in Jiangyin City in 2012, so as to provide evidences for making corresponding prevention and con- trol measures. Methods 100 monitoring stations were established in the city, and monthly household survey was conducted in 2012. The survey results were recorded into a database and analyzed according to time, place, morbidity of the cases, the information of hospital visit and admission of patients. The social and economic burden caused by the disease was evaluated. Results In 2012, the incidence of food-borne acute gastroenteritis in Jiangyin is 0.3921 times/per person and a total of 470500 cases occurred. Among the total patients, 69.44% visited doctors and 8.00% had hospital admission. 55.56% of the cases occurred at home. Aquatic prod- ucts were the major origins, accounting for 27.78% of the cases. Incidence was significantly different between urban area and rural area （~=142.24,P〈0.005）, with higher value in urban area. No statistically significant differences were observed between the sexes （~~2.49, P〉O.05）. Age groups of older than 70 and younger than 5 had a high incidence. The major clinical symptoms of acute gas- troenteritis included diarrhea and abdominal pain, and the incidence peaked in May and August. Acute gastroenteritis caused an e- conomic burden of $110.2852 million and absenteeism of 111000 days. Conclusion During 2012, the incidence, the rate of doctor visiting and the rate of hospital admission of food-borne acute gastroenteritis in Jiangyin City were higher than those in other areas of China, and higher than developed countries as well. Acute gastroenteritis caused a heavy social and economic burden. It is neces- sary to establish and improve the food-borne disease monitor system. The study of disease burden should be strengthened as well.

关 键 词：食源性疾病 急性胃肠炎 疾病负担 

分 类 号：R155.5[医药卫生—营养与食品卫生学]