2012-2018年张掖市发热呼吸道症候群哨点监测结果及分析  

Results and analysis of slight point monitoring of febrile respiratory syndrome in Zhangye City from 2012 to 2018

作　　者：常源兴 袁伟鹏[1] 银万栋[1] 张娅秀 CHANG Yuan-xing;YUAN Wei-peng;YIN Wan-dong;ZHANG Ya-xiu(Center for Disease Control and Prevention,Zhangye,Gansu 734000,China)

机构地区：[1]甘肃省张掖市疾病预防控制中心,甘肃张掖734000

出　　处：《现代预防医学》2020年第12期2136-2139,共4页Modern Preventive Medicine

基　　金：国家科技重大专项(2012ZX10004-208、2017ZX10103006)。

摘　　要：目的了解张掖市发热呼吸道症候群的流行特征及病原种类。方法收集《传染病监测技术平台信息管理系统》中2012-2018年张掖市发热呼吸道症候群病例信息及标本病原学结果,采用描述性流行病学方法对病例和病原学结果进行统计学分析。结果对304例发热呼吸道症候群病例标本进行检测,共检出14种呼吸道病原体。206例病例至少检出1种呼吸道病原体,阳性检出率67.76%,任1病毒阳性率33.11%,任1细菌阳性率54.52%,混合感染病例占42.75%;呼吸道病原体阳性检出率男性66.49%,女性69.91%,性别间阳性率差异无统计学意义(χ^2=0.380,P>0.05);各年龄组阳性率检出中,10~14岁组最高(88.89%),其次为0~4岁组(84.38%),6个年龄组检出阳性率差异有统计学意义(χ^2=34.221、34.131,P<0.05);不同月份呼吸道病原体阳性检出率以1-3月最高(81.63%),其次为4-6月(75.44%),不同月份病原体阳性率差异有统计学意义(χ^2=10.371、10.011,P<0.05)。讨论引起张掖市发热呼吸道症候群的主要病原为肺炎链球菌、流感嗜血杆菌、鼻病毒、冠状病毒和人流感病毒;肺炎链球菌合并其他病原感染率最高;每年1-3月为发病高峰期。Objective To understand the epidemic characteristics and pathogenic species of febrile respiratory syndrome in Zhangye city.Methods The information of febrile respiratory syndrome cases and etiological results of specimens in Zhangye City from 2012 to 218 in the"Information Management System of Infectious Disease Surveillance Technology Platform"was collected,and the cases and etiological results were statistically analyzed by descriptive epidemiological methods.Results A total of 14 respiratory pathogens were detected in 304 cases of febrile respiratory syndrome.At least one respiratory pathogen was detected in 206 cases,with a positive detection rate of 67.76%,a positive rate of 33.11%for any virus,a positive rate of 54.52%for any bacterium,and 42.75%for mixed infection cases;the positive detection rate of respiratory pathogens was 66.49%in males and 69.91%in females,and there was no significant difference in the positive rate between genders(χ^2=0.380,P>0.05);among the positive rates detected in each age group,the highest was in the group aged 10 to 14 years(88.89%),followed by the group aged 0 to 4 years(84.38%),and there was a significant difference in the positive rate detected in the six age groups(χ^2=34.221,34.131,P<0.05);the positive detection rate of respiratory pathogens was highest in January–March(81.63%),followed by April-June(75.44%),and there was a significant difference in the positive rate of pathogens in different months(χ^2=10.371,10.011,P<0.05).Conclusion The main pathogens causing febrile respiratory syndrome in Zhangye City are Streptococcus pneumoniae,Haemophilus influenzae,rhinovirus,coronavirus and human influenza virus;the infection rate of Streptococcus pneumoniae combined with other pathogens is the highest;the peak incidence is from January to March each year.

关 键 词：发热呼吸道症候群 哨点监测 病原 

分 类 号：R195.4[医药卫生—卫生统计学]