云南1起A组轮状病毒腹泻暴发的流行病学调查  

An epidemiological survey of diarrhea outbreak caused by group A rotavirus in Yunnan

作　　者：伏晓庆[1] 郝林会[1] 牟建春 倪文玲 李酿忠 白金宝 马晓英 向以斌[1] Fu Xiaoqing;Hao Linhui;Mou Jianchun;Ni Wenling;Li Liangzhong;Bai Jingbao;Ma Xiaoying;Xiang Yibin(Yunnan Provincial Center for Disease Control and Prevention,Kunming 650022,China;Honghe State Center for Disease Control and Prevention,Mengzi 661199,China;Lvchun County Disease Prevention and Control Center,Lvchun 662500,China)

机构地区：[1]云南省疾病预防控制中心,昆明650022 [2]红河州疾病预防控制中心,蒙自661100 [3]绿春县疾病预防控制中心,662500

出　　处：《中华实验和临床病毒学杂志》2019年第5期509-512,共4页Chinese Journal of Experimental and Clinical Virology

摘　　要：目的明确2017年5月云南一起腹泻暴发疫情的病原及感染来源,为制定预防控制措施提供依据。方法采用现场流行病学调查方法对云南省绿春县戈奎乡俄马村委会新寨村发生的一起腹泻疫情进行流行病学调查,现场采样、实验室检测以及数据资料统计分析。结果本次暴发病例44例,采集的13份标本中11份A组轮状病毒核酸阳性,阳性率84.62%。调查显示供水管破损且被人畜粪便及生活污水污染,破损水管走向与病例分布基本一致,且降雨量与发病数呈显著相关。结论本次事件是一起由A组轮状病毒引起的腹泻暴发疫情,降雨导致饮用水直接污染可能是本次暴发的危险因素,应加强对农村饮用水的卫生管理和对村民进行预防肠道传染病健康知识宣传教育。Objective To identify the etiology and source of infection in a diarrhea outbreak in Yunnan in May 2017 and to provide the evidence for formulating prevention and control measures.Methods Epidemiological investigation was carried out on the epidemic situation of diarrhea in the village of Lvchun County in Yunnan Province,the field sampling,laboratory testing and data analysis were also performed.Results Among the 44 patients,11 of the 13 samples were positive for rotavirus nucleic acid in group A,and the positive rate was 84.62%.The survey showed that the water supply pipe was damaged and polluted by human and livestock manure and domestic sewage.The trend of the damaged water pipe was basically the same as the case distribution,and the rainfall was significantly related to the number of the disease.Conclusions This event was an outbreak of diarrhea caused by group A rotavirus.The direct pollution of drinking water caused by rainfall may be the risk factor of this outbreak.The health management of rural drinking water should be strengthened and the health knowledge and education of preventing intestinal infectious diseases should be promoted.

关 键 词：轮状病毒 感染性腹泻 流行病学调查 

分 类 号：S85[农业科学—兽医学]