对南昌市9个县（区）消除疟疾县级考核评估结果的分析  

Analysis of assessment results in eliminating malaria in 9 counties （districts） of Nanchang

作　　者：彭国华[1] 胡主花[1] 付仁龙[1] 钱科[1] 冯小武[1] Peng Guohuo;Hu Zhuhua;Fu Renlong;Qian Ke;Feng Xiaowu(Schistosomiasis and Endemic Disease Prevention Section,Nanchang Municipal Center for Disease Control and Prevention,Nanchang 330038,Chin)

机构地区：[1]南昌市疾病预防控制中心血吸虫病地方病防制科,南昌330038

出　　处：《中华地方病学杂志》2018年第8期641-645,共5页Chinese Journal of Endemiology

摘　　要：目的对南昌市9个县（区）通过消除疟疾达标考核的评估结果进行分析，探讨适合本地区消除疟疾后的监测工作。方法2016年，收集南昌市2010-2015年疟疾防治资料数据，包括网络报告本地疟疾疫情、发热病例血检、专报系统中疟疾病例个案流行病学调查表、疫点调查和处置表等数据。收集2013年东湖、西湖、青山湖和湾里区，2014年南昌、安义县，2015年进贤县、青云谱区和新建区进行的消除疟疾县级达标考核资料。同时收集每个县（区）临床医生疟疾诊治知识考核、检验人员疟原虫镜检技能考核资料；复核30张阴性血片和2010年以来的所有阳性血片。结果2010-2015年南昌市共报告本地疟疾病例93例，除2010年2例本地感染疟疾病例外，其余均为输入性病例。全市共血检发热病例64027例，检出阳性101例，阳性率为0．16％，阳性血片复核率为100．00％（101／101）。阴性血片复核率为9．69％（6195／63926）。9个县（区）均通过消除疟疾县级达标考核，总考核得分均在90分以上。疟原虫镜检考核正确率为91．58％（174／190），疟疾诊治知识正确率为95．00％（1710／1800），市级血片复核符合率为100．00％（304／304），制片、染色合格率为88．16％（268／304）。结论南昌市9个县（区）均通过消除疟疾达标考核，今后应继续做好消除后监测工作，巩固已取得的消除疟疾成果。Objective To analyze the results of assessment of malaria elimination in 9 counties （districts） of Nanchang City, and explore suitable monitoring methods for malaria after elimination of the disease in this region. Methods In 2016, the data from the network reports of malaria epidemic situation, blood examinations of febrile patients, epidemiological questionnaires of local malaria cases, investigation of epidemic focuses and disposal tables were collected and analyzed in Nanchang City from 2010 to 2015. The data of malaria elimination assessment at county （district） level of Donghu District, Xihu District, Qingshanhu District and Wanli District in 2013, Nanchang County and Anyi County in 2014, Jinxian County, Qingyunpu District and Xinjian District in 2015 were collected. At same time, the data of ability of the diagnosis and treatment of malaria in clinicians, the microscopical examinations of Plasmodium in the inspection personnel were collected. Totally 30 negative blood slides and all positive blood slides since 2010 were reviewed. Results From 2010 to 2015, 93 local malaria cases were reported in Nanchang City, the majority of malaria cases were imported except 2 local malaria infection cases in 2010. Totally 64 027 febrile patients received blood detections for malaria, of which 101 cases were positive and the positive rate was 0.16%. The positive blood slides review rate was 100.00% （101/101）, the negative blood slides review rate was 9.69% （6 195/63 926）. 9 counties （districts） all passed the malaria elimination assessment at county （district） level. The malaria elimination assessment scores of the 9 counties （districts） were all higher than 90 points. The correct rate of inspection personnel of microscopical examinations of Plasmodium was 91.58% （174/ 190）, the correct rate of knowledge of the diagnosis and treatment of malaria was 95.00% （1 710/1 800）, the coincidence rate of blood slides review was 100.00% （304/304） in Nanchang, the qualified rate of slidesprodu

关 键 词：疟疾 消除 考核评估 

分 类 号：R531.3[医药卫生—内科学]