2013年泰州市门诊急性上呼吸道感染监测结果分析  

Surveillance of acute upper respiratory tract infections in Taizhou City in 2013

作　　者：戴文军[1] 移钱华 韩美芳[2] 查杰[1] 于春霞[1] 

机构地区：[1]泰州市疾病预防控制中心,江苏泰州225300 [2]泰州市人民医院疾控处防保科

出　　处：《中国校医》2015年第4期272-275,共4页Chinese Journal of School Doctor

基　　金：江苏省预防医学基金项目(Y2012050)

摘　　要：目的了解泰州市呼吸道感染疾病的流行动态,探索其流行规律,为科学防控提供依据。方法每周统计监测点流感样病例(ILI)和门诊急性上呼吸道感染病例(AURI),采用描述性方法分析病例资料;使用荧光定量PCR方法对120份流感样病例标本检测13种常见病原体。结果 2013年泰州市流感哨点医院共报告门诊流感样病例(ILI)7 326例,门诊急性上呼吸道感染(AURI)病例30 649例,分别占门诊相应科室病例总数的5.6%和23.4%。120份流感样病例(ILI)标本检出阳性率57.5%,以肺炎链球菌检出率最高。夏季肺炎链球菌和鼻病毒占优势,冬季肺炎链球菌占优势,差异均有统计学意义(P<0.05)。不同年龄组病原检出构成比差异有统计学意义(P<0.05)。结论肺炎链球菌、鼻病毒、腺病毒和甲型流感病毒是泰州市流感样病例的主要病原体,随着季节、月份、人群年龄的不同具有一定的流行规律。Objective To understand the epidemical trends and explore the epidemical law of acute upper respiratory tract infections （AURI） in Taizhou City, so as to provide the evidence to improve the AURI prevention and control. Methods The data of influenza-like illness （ILl） and AURI were collected weekly from the ILI surveillance sites and an- alyzed with the descriptive analysis method. Totally 13 kinds of common respiratory pathogens were detected in 120 clinical swabs simultaneously by fluorescent quantitative PCR. Results The sentinel hospitals reported 7 326 cases of ILI and 30 649 cases of AURI in 2013, and the percentages of ILI and AURI were 5.6% and 23.4%, respectively. Totally 69 positive cases were found in the 120 samples, and the positive ratio was 57.5%. Streptococcus pneumonia was the most common pathogen. In summer, streptococcus pneumonia and human rhinovirus were the predominant pathogens, and in winter, streptococcus pneumonia was the predominant one, which had a significant difference （P〈0.05）. The positive ratios of different age groups showed a significant difference （P〈O.05）. Conclusion Streptococcus pneumonia, human rhinovirus, adenovirus and influenza A virus play important roles in influenza-like illness in Taizhou City, showing certain regular rules in different age groups, different months, and different seasons.

关 键 词：流感 人/流行病学 呼吸道感染/流行病学 流行病学监测 

分 类 号：R446[医药卫生—诊断学]