2011-2013年北京怀柔地区病毒性腹泻监测结果分析  

Pathogenic analysis on the surveillance of viral diarrhea in Huairou District of Beijing in 2011-2013

作　　者：陈玲霞[1] 姬莉莉[1] 刘建荣[1] 孙建飞[1] 宋淑娥[1] 

机构地区：[1]北京市怀柔区疾病预防控制中心检验科,北京101400

出　　处：《现代预防医学》2014年第13期2454-2456,共3页Modern Preventive Medicine

摘　　要：目的了解2011-2013年怀柔区病毒性腹泻病原学监测结果和流行特征,为其防治提供科学依据。方法以2011年4月-2013年3月怀柔区两个哨点医院散发性腹泻病例为监测对象,采用酶免疫法(ELISA)检测腹泻患者粪便中轮状病毒,分子生物学检测方法检测杯状病毒、星状病毒和肠道腺病毒。结果共检测262份粪便标本,共检出阳性标本89例,总阳性率为34%。四种病毒阳性检出率顺序依次为杯状病毒(18.3%)、轮状病毒(13.4%)、星状病毒(2.7%)和肠道腺病毒(2.3%)。男性146例,女性116例,年龄最小为1月龄,最大为87岁,各年龄组阳性检出率差异无统计学意义。杯状病毒全年均有发病,高峰在10-12月份,轮状病毒高峰在12月份至次年2月份,肠道腺病毒和星状病毒以低流行散发为主。结论怀柔地区近两年散发病毒性腹泻患者杯状病毒和轮状病毒感染率较高,流行季节主要在冬春季。Objective To investigate the main pathogens of viral diarrhea in Huairou District. Methods The fecal specimens of diarrheal patients were collected from the hospital of Huairou District from April 2011 to March 2013. Rotavirus was detected by ELISA. Calicivirus, astrovirus and enteral adenovirus were detected by PCR. Results Tested fecal specimens with the amount of262 were collected. The positive cases were 89 totally, and the positive rate was 14.1%. The positive rate of calicivirus was 18.3%,rotavirus was 13.4%, astrovirus was 2.7% and enteral adenovirus was 2.3%. There were 146 males and 116 females. The ages of patients were from 1 month old to 87 years old and there were no significant differences in the positive rates of those age groups. The peak incidence of calicivirus was from October to December, and that of rotavirus was from December to February of the next year.Astrovirus and enteral adenovirus had low prevalence. Conclusion The infection rate of calicivirus and rotavirus are relatively high among patients with sporadic diarrheal. And the prevalent seasons are mainly in winter and spring.

关 键 词：腹泻 杯状病毒 轮状病毒 监测 

分 类 号：R181.8[医药卫生—流行病学]