全州县2008年-2015年伤寒、副伤寒监测结果分析  

Analysis of the surveillance results of typhoid and paratyphoid in Quanzhou during 2008-2015

作　　者：蒋叶伟 蒋艳凤[1] 姚崔华 蒋园园 JIANG Ye - wei JIANG Yan- feng YAO Cui - hua JIANG Yuan - yuan(Quanzhou Center for Disease Control and Prevention, Quanzhou, Guangxi 541500, China)

机构地区：[1]全州县疾病预防控制中心,广西全州541500 [2]全州县妇幼保健院,广西全州541500

出　　处：《中国卫生检验杂志》2017年第9期1319-1322,共4页Chinese Journal of Health Laboratory Technology

摘　　要：目的全面掌握全州县伤寒、副伤寒的发病情况及流行特征,为制定防治策略和措施提供科学依据。方法在全州县建立伤寒、副伤寒监测系统,采集就诊发热患者和疑似患者血液标本、疫点水(定点水)水样以及饮食从业人员和随访患者粪便标本进行检测。结果采集发热患者血液标本12 307份,共检出伤寒、副伤寒574例,发病率占4.66%;男性略多于女性,性别比为1.12∶1;20岁~49岁以下占50.87%,以少年儿童和青壮年阳性者多;发病高峰在6月-10月,占总发病数的59.06%;发病数前5名的乡镇均为交通便利的地方,占总发病数的76.48%;发病人群以农民和学生为主,分别占53.14%和24.56%;饮食从业人员、随访患者和水样均未检出阳性。结论通过积极的防控措施,近4年全州县伤寒、副伤寒发病率下降明显。Objective To master the incidence and prevalence characteristics of typhoid and paratyphoid in Quanzhou, so as to provide scientific basis for formulating disease control measures. Methods A monitoring system was established. Blood samples from fever cases or suspected cases, water samples （fixed water） from epidemic area, or feces from dietary practitioner and follow - up patients were elected for detection. Results Blood samples were collected from 12 307 fever patients, and a total of 574 cases of typhoid and paratyphoid were detected, with the positive rate of 4.66% ; cases in men were more than in women, with the ratio of male to female as 1.12 ： 1 ; the cases within 20 -49 years old accounted for 50.87%, with the positive rate mainly in children, teenager and young men. The incidence peak was concentrated in June - October, accounting for 59.06% of confirmed cases. The top 5 cases counts were almost from towns with convenient transports, accounting for 76.48% ; the majority patients were farmers and students, accounting for 53.14% and 24.56%, respectively; typhoid and paratyphoid were not detected from diet practitioners, cases who were followed up and water samples. Conclusion With active prevention and control measures, the incidence decreased significantly in the recent four years in Quanzhou.

关 键 词：伤寒 副伤寒 监测 综合预防 分析 

分 类 号：R516.3[医药卫生—内科学]