2008—2019年南宁市手足口病暴发疫情流行特征分析  

Analysis of the epidemiological characteristics of hand-foot-and-mouth disease outbreaks in Nanning,2008-2019

作　　者：陈婷[1] 汤洪洋[1] 潘利花[1] 梁长威[1] 黄成伟 梁夏楠 陆明领 闭志友[1] 黄世美[1] 曾毅[1] 梁晓云[1] 黄超俊[1] CHEN Ting;TANG Hong-yang;PAN Li-hua;LIANG Chang-wei;HUANG Cheng-wei;LIANG Xia-nan;LU Ming-ling;BI Zhi-you;HUANG Shi-mei;ZENG Yi;LIANG Xiao-yun;HUANG Chao-jun(Nanning Center for Disease Control and Prevention,Nanning,Guangxi 530023,China)

机构地区：[1]南宁市疾病预防控制中心传染病防制科,广西南宁530023

出　　处：《现代预防医学》2021年第2期206-209,共4页Modern Preventive Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费课题(Z20170717,Z20180353)。

摘　　要：目的了解南宁市手足口病暴发疫情的流行病学特征,为手足口病暴发疫情防控工作提供科学依据。方法收集整理2008—2019年间南宁市报告的手足口病暴发疫情处置资料进行分析。结果2008—2019年南宁市累计报告手足口病暴发疫情104起,每年3—6月和9—10月是疫情高发期,城区报告疫情起数较多,占61.54%,但县区罹患率较高,为4.56%,91.35%的暴发疫情发生在托幼机构,病例以3~4岁儿童为主,占65.33%,病原体以EV71和Cox A16为主,分别占42.86%和32.47%。62.50%疫情为疾控机构通过疫情网检测发现,疫情发现时长中位数为12 d,疫情流行时长中位数为12 d,疫情罹患率中位数为4.93%。结论近3年南宁市手足口病暴发疫情报告起数有下降趋势,托幼机构一直是手足口病暴发疫情重点场所。落实托幼机构保健医生的配备,加强托幼机构尤其是民办托幼机构手足口病防控知识培训,实现早发现早处置早停课,可有效控制手足口病暴发疫情的蔓延。Objective To learn about the epidem iological characteristics of hand-foot-mouth disease(HFMD)outbreaks,so as to provide a scientific basis for the prevention and control of HFMD outbreaks.Methods The disposal data of HFMD outbreaks reported in Nanning City from 2008 to 2019 were collected for analysis.Results From 2008 to 2019,a total of 104 HFMD outbreaks were reported in Nanning City.March-June and September-October were high-incidence periods.There were more reported outbreaks in urban areas(61.54%),while the attack rate was higher in counties(4.56%).91.35% of outbreaks occurred in childcare institutions.The cases were mainly children aged 3 to 4 years(65.33%).The main pathogens were EV71(42.86%)and CoxA16(32.47%).62.50% of the outbreaks were detected by disease control and prevention agencies through the epidemic network.The median duration of outbreak detection was 12d.The median duration of epidemic outbreak was 12d.And the median attack rate was 4.93%.Conclusion In the past three years,the num ber of HFMD outbreaks in Nanning City has shown a downward trend.Childcare institutions have been the key places for HFMD outbreaks.Full-time doctors should be employed in the childcare institutions.The training of HFMD control and prevention knowledge in childcare institutions especially private institutions should be strengthened and early detection,early disposal and early suspension should be accom plished to control the spread of HFMD outbreaks.

关 键 词：手足口病 暴发疫情 罹患率 

分 类 号：R181.81[医药卫生—流行病学]