2010-2018年福建省某医院法定传染病流行病学分析  

Epidemiological analysis of 39 reportable infectious diseases in a Grade 3A comprehensive hospital (tertiary general hospital) in Fujian Province from 2010 to 2018

作　　者：林滨钰 冯欣宇[2] LIN Bin-yu;FENG Xin-yu(The Second Hospital Affiliated with Fujian Medical University,Quanzhou,Fujian,China 362000;National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention,Key Laboratory of Parasite and Vector Biology,National Health commission,WHO Collaborating Center for Tropical Diseases,National Center for International Research on Tropical Diseases)

机构地区：[1]福建医科大学附属第二医院预防保健科,福建泉州362000 [2]中国疾病预防控制中心寄生虫病预防控制所,国家卫生健康委员会寄生虫与媒介生物学重点实验室,世界卫生组织热带病合作中心,国家热带病国际研究中心

出　　处：《中国病原生物学杂志》2019年第7期801-805,共5页Journal of Pathogen Biology

基　　金：国家自然科学基金项目(No.81802039)

摘　　要：目的分析2010-2018年福建省某医院报告法定传染病的流行病学特征,为加强医院传染病管理以及当地传染病的预防和控制措施的制定提供依据。 方法根据福建医科大学附属第二医院2010-2018年向《中国疾病预防控制信息系统》网络直报的法定传染病疫情报告数据,运用横断面研究及描述性流行病学的方法,按疾病构成、分类、主要传播途径等采用EpiData 3.1和SAS 9.2统计软件进行统计分析。 结果医院2010-2018年报告法定传染病25种共15 009例,其中乙类传染病12 886例,丙类传染病2 123例;死亡73例。报告发病数总体呈下降趋势(Z=-20.90,P<0.01)。患者中男性多于女性,且以散居儿童、农民和家务及待业者多见。报告前5位的传染病依次是病毒性肝炎、梅毒、手足口病、肺结核、艾滋病,占报告法定传染病总病例数的96.03%。 结论2010-2018年福建省医院报告法定传染病以病毒性乙肝为主,梅毒、手足口病、肺结核、艾滋病发病数居高不下,为该地区传染病防控的重点。Objectives To analyze the epidemiological characteristics of statutorily reportable infectious diseases reported by a Grade 3Acomprehensive hospital in Fujian Province from 2010to 2018,and to provide evidence to enhance the management of infectious diseases in hospitals and a reference for local measures to prevent and control infectious diseases. Methods Data on statutorily reportable infectious diseases directly reported by the Second Hospital Affiliated with Fujian Medical University to the Chinese System for Information on Disease Control and Prevention from 2010-2018 were examined using a cross-sectional methodology and descriptive epidemiology to analyze the composition and classification of diseases and the main routes of transmission with the statistical software EpiData 3.1and SAS 9.2. Results From 2010to 2018,this tertiary general hospital reported a total of 15 009cases of 25statutorily reportable infectious diseases.There were no reports of class A infectious diseases,12 886cases of class B infectious diseases,2 123cases of class C infectious diseases,and 73deaths.The number of reported cases tended to decrease(Z=-20.90,P<0.01), and males were affected more often than females.Most cases involved children living separately from their parents,farmers, housewives,and the unemployed.The top five reported infectious diseases were viral hepatitis,syphilis,hand,foot, and mouth disease,tuberculosis,and AIDS,and the top five statutorily reportable infectious diseases accounted for 96. 03%of the total number of reported cases. Conclusion Viral hepatitis still is a main threat that threatens local residents in Fujian.However,emphasis also needs to be placed on reducing the incidence and prevalence of syphilis,hand,foot, and mouth disease,tuberculosis,and AIDS in this region.

关 键 词：法定传染病 流行病学 疾病防控 

分 类 号：R51[医药卫生—内科学]