2009-2014年湖州市手足口病流行特征分析  

Epidemiological characteristics of hand, foot and mouth disease in Huzhou, 2009-2014

作　　者：俞梅华[1] 何艳宏[1] 刘光涛[1] 吴晓芳[1] 

机构地区：[1]浙江省湖州市疾病预防控制中心办公室,313000

出　　处：《国际流行病学传染病学杂志》2016年第3期193-196,共4页International Journal of Epidemiology and Infectious Disease

摘　　要：目的：分析浙江省湖州市2009—2014年手足口病（ HFMD ）的流行病学特征，为防控提供依据。方法收集国家疾病监测信息报告管理系统中2009—2014年湖州市HFMD的疫情数据，利用描述性流行病学方法和SPSS17.0统计软件进行流行特征分析，采用实时荧光定量RT-PCR进行病原学检测。结果2009—2014年湖州市共报告HFMD 25930例，平均发病率148.58/10万，主要发生在5—7月份；人群分布上主要发生在5岁以下儿童，男性病例多于女性，以散居儿童和幼托儿童居多，流动人口较多的区域发病率较高；每年优势病原体有所变化，肠道病毒71型是造成大部分重症病例和所有死亡病例的病原体。结论 HFMD在湖州市广泛流行，当前应着重加强城乡结合部散居儿童健康教育和托幼机构聚集性疫情的防控工作。Objective To analyze the epidemiological characteristics of hand, foot and mouth disease （HFMD） from 2009 to 2014 in Huzhou, Zhejiang and to provide evidence for prevention and control. Methods The HFMD epidemic data in Huzhou from 2009 to 2014 were collected from National Information System for Disease Surveillance and were analyzed by descriptive epidemiological method and SPSS17.0 statistical software. The pathogenic detection was carried out by real-time fluorescent quantitative RT-PCR. Results A total of 25 930 HFMD cases were reported from 2009 to 2014, and the annual incidence rate was 148.58/100 000. The epidemic curve showed seasonality and reached a peak between May and July. HFMD cases were commonly found in children under 5 years old with higher incidence rate in males than that in famles. The majority of patients were scattered or kindergarten children. The areas with floating population had a high incidence. The major pathogen changed each year, but enterovirus type 71 was the most important pathogen causing severe cases and deaths. Conclusions HFMD is widely spread in Huzhou. The health education in urban and rural areas should be enhanced, and the prevention and control work in childcare institutions should be strengthened.

关 键 词：手足口病 流行病学 肠道病毒 

分 类 号：R512.5[医药卫生—内科学] R181.3[医药卫生—临床医学]