佛山市三水区首例B群流脑病例流行病学分析  

Epidemiological investigation of the first case of group B meningitis cases in Sanshui district of Foshan

作　　者：吴碧娇[1] 周开举[1] 蔡文安[1] 卢雪微[1] 何永辉[1] 梁惠琼 

机构地区：[1]佛山市三水区疾病预防控制中心,广东528100

出　　处：《中国公共卫生管理》2017年第6期824-826,共3页Chinese Journal of Public Health Management

摘　　要：目的分析佛山市三水区首例B群流行性脑脊髓膜炎病例的流行病学特点,掌握流脑实际发病水平,为完善流脑的防控策略提供依据。方法采用现场流行病学、血清学方法对患者和密切接触者进行调查分析。结果根据流行病学调查、临床表现和实验室检测结果,确诊为B群流脑。患者表现以发热(最高体温为40℃)、呕吐为主,无抽搐、瘀点瘀斑,无明显流脑病例接触史,经抗感染、对症及支持治疗痊愈,采取综合防控措施,未出现二代病例。结论该病例是通过开展急性脑膜炎和脑炎监测发现的,为佛山市三水区首例B群流脑病例,未发现传染源。应加强流脑尤其是B群流脑菌株病原学监测,并使用敏感药物进行综合防控,同时加强急性脑膜炎和脑炎监测工作,掌握流脑发病情况。Objective To analyze epidemiological characteristics of the first B epidemic cerebrospinal meningitis group（ hereinafter referred to as ECM） in Sanshui district of Foshan and grasp the real epidemic incidence,to provide the basis references for improving the prevention and control strategy of ECM. Methods Field epidemiology and serological methods were used to investigate and analyze the cases and close contacts. Results According to the epidemiological investigation,clinical manifestations and laboratory examination,the case diagnosed as serogroup B. The main manifestations were fever（ the highest temperature was 40 ℃）,vomiting,convulsions,no petechia,no obvious cases of ECM contact history,it is cured by anti infection,symptomatic and supportive treatment,there was no 2 th generation case by taking comprehensive measures of prevention and control. Conclusion The case is found by carring out acute meningitis and encephalitis monitoring,it is the first case of serogroup B,it did not find the source of infection. We should strengthen meningitis,especially serogroup B strains pathogenic surveillance and comprehensive prevention and control measures of drug sensitivity,while strengthening the acute meningitis and encephalitis monitoring work to grasp the real epidemic incidence.

关 键 词：流行性脑脊髓膜炎 B群流脑 流行病学调查 

分 类 号：R515.2[医药卫生—内科学] R181.82[医药卫生—临床医学]