1起支原体肺炎暴发的调查  

Investigation on an outbreak of mycoplasma pneumonia

作　　者：王柳顺 黄东升[2] 段文阳 段丽忠[2] 赵丽娟[2] 何恺[2] WANG Liu-shun;HUANG Dong-sheng;DUAN Wen-yang;DUAN Li-zhong;ZHAO Li-juan;HE Kai(Longling County Center for Disease Control and Prevention,Longling,Yunnan,678300,China;不详)

机构地区：[1]龙陵县疾病预防控制中心,云南龙陵678300 [2]保山市疾病预防控制中心,云南保山678000

出　　处：《预防医学论坛》2021年第11期854-856,860,共4页Preventive Medicine Tribune

摘　　要：目的分析保山市龙陵县1起某单位肺炎支原体感染暴发疫情流行特征,为防控肺炎提供依据。方法 2017年2月采用现场流行病学调查方法对此次疫情进行处置,采集病例和密切接触者咽拭子标本进行流感、人偏肺、呼吸道合胞、人博卡、副流感1~4型、中东呼吸综合征、严重急性呼吸综合征、肺支原体,肺衣原体核酸检测。对其血清标本开展支原体IgM抗体检测。结果综合发病者流行病学史、临床表现和实验室检测,判定为1起支原体肺炎聚集性疫情。该起疫情共报告支原体肺炎病例9例,罹患率为20.93%;病例报告高峰主要集中在2月22~27日,共6例(66.67%)。病例均为某单位人员,分布在3个宿舍,其中首发病例所在宿舍发病6例(66.67%),其余宿舍散在发生。经省市县联合处置,无死亡病例报告,未向外界扩散,疫情得到及时有效控制。经过一个最长潜伏期无新增病例发生,宣布本起疫情结案。结论本起疫情暴发的原因为早期预防性措施不到位。Objective To analyze the epidemiological characteristics of an outbreak of mycoplasma pneumoniae infection in a squadron in Longling county, Baoshan city, so as to provide the basis for prevention and control of pneumonia. Methods The on-site epidemiological investigation was conducted in February 2017,the pharynx swabs and serum samples were collected from patients and the close contacts, the PCR method was used to test the Flu A/B,hMPVs and RSV,hBoVs, and PIV 1,2,3,4,MERS,SARS,Adv and MP,CP,meanwhile the MP-IgM of mycoplasma pneumonia was tested. Results It was confirmed that was an outbreak of mycoplasma pneumonia synthesized the medical history, clinical symptoms and laboratory test results of the cases.There were 9 cases of mycoplasma pneumonia in this outbreak, and the attack rate was 20.93%.The first case set on February 1,and the last case came on February 27,lasted for 28 d.Most cases set of mainly from February 22 to February 27.All the cases were in this squadron, distributed in 3 dormitories, among which 6(66.67%) cases occurred in the dormitory where the first case occurred, with an attack rate of 66.67%,while the rest of cases occurred in scattered dormitories.After the outbreak of the epidemic, the provincial, prefecture, county-level CDC and county-level hospital promptly taken preventive, control and treatment measures to prevent and control the spread of the epidemic, there was no spillover cases out of the squadron and no deaths occurred, after a maximum incubation period, there were new cases reported, the epidemic was effectively controlled and terminated. Conclusion The reason of this outbreak is that the early preventive measures are not in place.

关 键 词：支原体 肺炎 暴发 疫情 

分 类 号：R563.1[医药卫生—呼吸系统]