2009-2019年重庆市其他感染性腹泻流行特征分析  

Analysis on the endemic characteristics for other infectious diarrhea in Chongqing,2009-2019

作　　者：杨琳 赵寒[1] 李勤[1] 李柏松[1] 易娟[1] 熊宇[1] 漆莉[1] YANG Lin;ZHAO Han;LI Qin;LI Bai-song;Yi Juan;Xiong Yu;QI Li(Institute for Communicable Disease Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China)

机构地区：[1]重庆市疾病预防控制中心传染病预防控制所,重庆400042

出　　处：《热带病与寄生虫学》2020年第3期151-154,187,共5页Journal of Tropical Diseases and Parasitology

基　　金：跨区域人员流动下聚集性疫情调查处置机制研究(2020NCPZX18);中国博士后科学基金(2019M660754);重庆市科卫联合医学科研项目(2019GDRC014)。

摘　　要：目的分析重庆市其他感染性腹泻流行病学特征,为制订防控措施提供科学依据。方法通过中国疾病预防控制信息系统"传染病监测系统"收集2009-2019年重庆市其他感染性腹泻疫情资料,运用描述性流行病学方法进行分析。结果2009-2019年重庆市报告其他感染性腹泻病例共359471例,死亡14例,年均报告发病率110.10/10万,年报告发病率在69.75/10万~156.76/10万间,报告发病率整体呈现上升趋势(χ趋势^2=986.165,P<0.001)。每年呈现7-9月和11月-次年1月两个高峰期。年均报告发病率位居前三位的地区为沙坪坝区(354.89/10万)、南岸区(260.31/10万)和垫江县(205.11/10万)。人群分布方面,男性报告发病例数(200968例)和发病率(121.10/10万)均高于女性;年龄上以5岁以下人群报告病例数占比最高(68.53%,246347/359471);职业上以幼托儿童(66.01%,237279/359471)和农民(12.09%,43455/359471)占比较高。感染的病原体以病毒为主(占98.29%);病毒和细菌型病例分别以轮状病毒感染(占94.05%)和沙门氏菌感染(占52.31%)为主。共报告其他感染性腹泻聚集事件189起,报告发病数4363例,无死亡病例。结论重庆市其他感染性腹泻流行形势较为严峻,应采取综合干预措施有效控制暴发和流行。Objective To analyze the epidemiological characteristics of infectious diarrhea other than cholera,dysentery,typhoid and paratyphoid in Chongqing for evidence to scientifically plan prevention and control strategies.Methods The data were collected from the Infectious Disease Monitoring System under the Infectious Disease Report Information System in China on other infectious diarrhea cases reported in Chongqing from 2009 to 2019.Descriptive epidemiology was used to analyze the infection behavior.Results A total of 359471 other infectious diarrhea cases were reported from2009 to 2019(total population incidence:110.10/100000),and 4 deaths were reported.The annual reporting rate was between 69.75/100000 and 156.76/100000,and tended to increase yearly(χtendency^2=986.165,P<0.001).Prevalence was peaked between July and September,and November and January of following year.Higher infections reported each year were Shapingba(354.89/100000),Nanan(260.31/100000)and Dianjiang(205.11/100000).Infection reported in population was higher in males(200968 cases;incidence rate:121.10/100000)than in females.Population aged under 5 years were most affected(68.53%;246347/359471),particularly in children in nursery schools(66.01%;237279/359471),followed by farmer(12.09%;43455/359471).Virus(98.29%)was the dominant pathogen.Cases with rotavirus and Salmonella were 94.05%,52.31%,respectively.A total of 189 aggregation events of other infectious diarrhea were reported,with reported cases of 4363.No death occurred.Conclusion The situation of other infectious diarrhea in Chongqing still remains very serious.Comprehensive intervention measures should be taken to effectively control the outbreak and epidemic.

关 键 词：其他感染性腹泻 流行特征 监测 重庆市 

分 类 号：R183.9[医药卫生—流行病学]