广东省2013年其他感染性腹泻流行病学特征研究  

Characteristics of other infectious diarrhea in Guangdong Province,2013

作　　者：杨芬[1] 孙立梅[1] 郭丽丽[1] 曾育富 谭小华[1] 张锦清[1] 林文青[1] 

机构地区：[1]广东省疾病预防控制中心,广东广州511430 [2]广东省现场流行病学培训项目

出　　处：《华南预防医学》2015年第3期233-237,共5页South China Journal of Preventive Medicine

摘　　要：目的 分析广东省2013年网络报告的其他感染性腹泻（指除霍乱、痢疾、伤寒和副伤寒以外的感染性腹泻）病例的流行特征,为预防控制提供科学依据。方法 通过中国疾病预防控制信息系统“传染病报告信息系统”收集2013年广东省报告的其他感染性腹泻病例资料,通过“突发公共卫生事件管理信息系统”收集2013年广东省其他感染性腹泻暴发疫情资料,对收集到的资料采用描述性流行病学方法进行分析。结果 2013年广东省共报告其他感染性腹泻病例166 274例,年报告发病率为156.95/10万。全省21个地市均有病例报告,报告病例数居前5位的分别为深圳（41 111例）、广州（18 900例）、梅州（11 386例）、江门（10 704例）和东莞（10 691例）,合计占全省病例总数的55.81%。全年发病高峰在1、10、11及12月,共报告99 485例,占59.83%。男性98 356例,女性67 918例,男女性别比为1.45∶1;病例发病年龄主要集中在0~4岁组,共报告130 424例,占总发病数的78.44%;病例职业以散居儿童为主,共报告130 274例,占总发病数的78.35%。共报告19起暴发疫情,均由诺如病毒引起。实验室诊断病例76 264例,占总病例数的45.86%;59 844例报告了病原学检测结果,其中病毒感染58 241例,占97.32%,细菌感染1 525例,占2.55%。病毒感染病例中,以轮状病毒感染为主,占95.73%（55 756/58 241）;细菌感染病例中,以沙门菌属感染为主,占81.11%（1 237/1 525）。结论 广东省2013年其他感染性腹泻发病高峰为秋冬季,5岁以下散居儿童为高发人群;暴发疫情均由诺如病毒感染引起;病毒感染的主要病原为轮状病毒,细菌感染的主要病原为沙门菌。Objective To analyze epidemic characteristics of reported other infectious diarrhea （other than cholera,dysentery, typhoid and paratyphoid） in Guangdong Province in 2013 so as to provide evidence for preventing and controUing the disease. Methods Epidemiological and pathogenic data of re- ported cases of other infectious diarrhea were collected from the Infectious Disease Report Information Sys- tem in China Information System for Disease Prevention and Control from January 1 to December 31,2013. Outbreak data were collected from the Public Health Emergency Management of Information System. De- scriptive statistical analysis was performed. Results A total of 166 274 other infectious diarrhea cases were reported in Guangdong Province in 2013 with an annual incidence rate of 156.95/100 000. The cases were distributed across the twenty-one cities in Guangdong. The top five cities by cases were Shenzhen （41 lllcases）, Guangzhou （ 18 900）, Meizhou （ 11 386）, Jiangrnen （ 10 704）, and Dongguan （ 10 691 ）, whose eases accounted for 55.81% of the total cases of the province. The cases peaked in Jan- uary, October, November, and December, accounting for 59. 83% of the reported cases（99 485/166 274）. There were 98 356 males and 67 918 females and the male to female sex ratio was 1. 45： 1. The children in the age group between 0 and 4 year-old were the main population with infectious di- arrhea （ 130 424 cases, 78.44% of the total cases）. The cases were mainly scattered children （ 130 274 cases, 78.35% ）. Nineteen outbreaks were reported and all caused by norovirus. There were 76 264 labo- ratory-confirmed cases accounted for 45.86% of the cases reported and 59 844 confirmed cases have repor- ted the test results, including 58 241 viral cases （97.32% of the total cases） and 1 525 bacterial cases （2.55%）. The main pathogen of viral diarrhea was rotavirus （95.73% ,55 756/58 241 ）. The main patho- gen of bacterial diarrhea was Salmonella accounting for 81.11% of the bacterial ca

关 键 词：其他感染性腹泻 流行病学 

分 类 号：R183.4[医药卫生—流行病学]