贵州省发热出疹性疾病监测结果分析  

Result Analysis of Surveillance on Rash and Fever Illness in Guizhou Province

作　　者：戴丽芳[1] 吴升伟[1] 朱青[1] 张大勇[1] 

机构地区：[1]贵州省疾病预防控制中心免规所,贵州贵阳550004

出　　处：《疾病监测与控制》2016年第5期345-347,共3页Journal of Diseases Monitor and Control

摘　　要：目的分析贵州省发热出疹性疾病（Rash and Fever Illnesses,RFIs）专项监测结果,为RFIs相关传染病的防控提供科学依据。方法采用分层随机抽样的方法抽取T县、S县、J县、Q县作为监测县。对监测县哨点医院2013年8月~2014年7月门诊及住院病例中符合RFIs定义的病例进行监测。采用酶联免疫吸附测定（enzyme-linked immunosorbent assay,ELASA）检测RFIs病例血清麻疹Ig M抗体。结果 RFIs年平均报告发病率为50.83/10万。3~7月为RFIs发病高峰。报告的1 077例RFIs涉及19类疾病,其中报告病例数最多的为手足口病。各年龄段主要感染的疾病不同：0~4岁以手足口病例为主,5~9岁和10~14岁组风疹疑似病例所占比例最大。RFIs在0~4岁组报告发病率最高,达400.04/10万,且发病率随年龄增大而逐渐下降。14例报告为非麻疹疑似病例的RFIs病例血清麻疹Ig M抗体阳性。结论儿童尤其是婴幼儿应是RFIs防控的重点人群,不同年龄段应有针对性地对重点RFIs疾病进行重点防控。不同RFIs疾病极易误诊,加强医疗机构RFIs病例的综合管理,有助于相关传染病的防控。Objective Analysis the Result of Surveillance on Rash and Fever Illness（RFIs） in Guizhou Province, to provide scientific basis for prevention of RFIs related infectious diseases. Methods Surveillance were developed in three counties which selected using stratified random cluster sampling from Guizhou Province. The outpatient and inpatient RFIs cases were monitored during August 2013 to July 2014 in sentinel hospitals in the three counties. Detected measles Ig M antibody in serum of RFIs cases by ELISA. Results RFIs incidence was 50.83/100 000 population. March to July was the peak. Reported 1 077 RFIs cases involved 19 diseases, with reported the most cases of hand foot and mouth disease. Cases in different ages infected different diseases： RFIs incidence in 0~4 age group was high, witch reach to 400.04/100 000 population. With age increasing, RFIs incidence decreased. 1 022 cases reported non-measles collected serum, and detected measles Ig M antibody in it. There were 14 positive serum, the positive rate was 1.37%. Conclusions Children especially infants and young children should be focus group of RFIs prevention.The prevention of RFIs should based on priority disease according to different ages. Different RFIs are easily misdiagnosed. Strengthening the comprehensive management of RFIs cases contribute to prevent and control infectious disease relative.

关 键 词：发热出疹性疾病 流行病学特征 麻疹 

分 类 号：R511.1[医药卫生—内科学] R512.5[医药卫生—临床医学]