2011-2017年苏州市区5岁以下儿童流感相关门诊就诊率的估计  

The estimation of influenza-related outpatient rate in children under 5 years in Suzhou from 2011 to 2017

作　　者：高君玫 陈立凌[2] 田健美[3] 诸俊[3] 林玉尊 王胤 于佳 单玮 邵雪君[3] 张涛 张钧[2] 赵根明 GAO Jun-mei;CHEN Li-ling;TIAN Jian-mei;ZHU Jun;LIN Yu-zun;WANG Yin;YU Jia;SHAN Wei;SHAO Xue-jun;ZHANG Tao;ZHANG Jun;ZHAO Gen-ming(Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032,China;Department of Infectious Disease Control,Suzhou Center for Disease Prevention and Control,Suzhou 215000,China;Soochow University Affiliated Children's Hospital,Suzhou 215003,China)

机构地区：[1]复旦大学公共卫生学院流行病学教研室,上海200032 [2]苏州市疾病预防控制中心传染病预防控制科,苏州215000 [3]苏州大学附属儿童医院,苏州215003

出　　处：《中华疾病控制杂志》2019年第1期34-38,共5页Chinese Journal of Disease Control & Prevention

基　　金：中美新发和再发传染病合作项目(5U2GGH000018);第四轮公共卫生三年行动计划重点学科建设项目(15GWZK0101)~~

摘　　要：目的估计2011-2017年苏州市区5岁以下儿童流感相关流感样病例(influenzalike illness,ILI)就诊率。方法 2011年10月～2017年3月,在苏州大学附属儿童医院门急诊室开展对5岁以下儿童ILI病例的监测。收集咽拭子标本并采用实时定量逆转录-聚合酶链反应进行流感病毒检测。同时基于卫生服务利用数据及人口学数据,估计苏州市区5岁以下儿童流感相关ILI就诊数和就诊率。结果 2011-2017年苏州市区约有45 930例次5岁以下流感相关ILI病例,其中因流感病毒A/H1N1感染就诊的ILI病例7 490例,A/H3N2就诊数为17 843例,B就诊数为20 597例。研究期间,苏州市区5岁以下儿童流感相关ILI病例的就诊率为6. 4/100人年,其中2011-2012年流感相关ILI就诊率最高,达20. 5/100人年,2012-2013年最低,为2. 4/100人年。结论苏州市区5岁以下的儿童流感相关ILI就诊数和就诊率较高,疾病负担较大。Objective To estimate the outpatient rate of influenza-related influenza-like illness( ILI) for children younger than 5 years in Suzhou municipal districts. Methods From October 2011 to March 2017,we conducted a prospective surveillance program on ILI for children under 5 years in outpatient settings of Soochow University Affiliated Children’s Hospital( SCH). The throat swabs were collected and tested for influenza viruses by RT-PCR. Based on the healthcare utilization surveys and population data,the number of visits and the outpatient rate of influenza-related ILI for children younger than 5 years in Suzhou municipal districts were estimated. Results During 2011-2017,in total,there were 45 930 estimated influenza-related ILI cases younger than 5 years in Suzhou municipal districts,which consisted of 7 490 influenza A/H1 N1 cases,17 843 influenza A/H3 N2 cases and 20 597 influenza B cases. The estimated outpatient rate of influenza-related ILI was 6. 4% in 2011-2017,which was highest in 2011-2012,20. 5%,and the lowest in 2012-2013,2. 4%. Conclusion The number of visits and the outpatient rate of influenza-related ILI in children younger than 5 years was high in Suzhou municipal districts.

关 键 词：儿童 流感 阳性率 就诊率 

分 类 号：R181[医药卫生—流行病学]