甘肃省2009—2019年发热伴出疹症候群病原分布特征多重对应分析  

Pathogens of patients with fever with rash syndrome in Gansu province,2009–2019:a multiple correspondence analysis

作　　者：周建珲 孟蕾[2] 汪丽娟 刘新凤[2] 袁艳 蒋小娟[2] 李娟生[1] ZHOU Jian-hui;MENG Lei;WANG Li-juan(Department of Epidemiology and Biostatistics,School of Public Health,Lanzhou University,Lanzhou,Gansu Province 730000,China;不详)

机构地区：[1]兰州大学公共卫生学院流行病与卫生统计学研究所,甘肃兰州730000 [2]甘肃省疾病预防控制中心急性传染病防治所

出　　处：《中国公共卫生》2022年第3期356-359,共4页Chinese Journal of Public Health

基　　金：国家科技重大专项(2017ZX10103006)。

摘　　要：目的了解甘肃省2009-2019年发热伴出疹症候群(RFIs)的病原分布特征,为有针对性地实施预防策略及开展病原学监测提供参考依据。方法收集"艾滋病和病毒性肝炎等重大传染病防治"科技重大专项传染病监测技术平台信息管理系统中甘肃省2009年1月-2019年12月哨点医院监测的5822例RFIs病例相关数据,对主要病原分布特征进行多重对应分析。结果甘肃省2009-2019年监测的5822例RFIs病例中,肠道病毒感染者1653例(28.39%),麻疹病毒感染者548例(9.41%),风疹病毒感染者201例(3.45%),水痘带状疱疹病毒感染者495例(8.50%),阴性病例者2925例(50.24%)。多重对应分析结果显示,肠道病毒在河西和陇中地区、夏秋季节、≤5岁散居儿童和幼托儿童、省级和县区级医院住院病例中检出较高,麻疹病毒在陇东和陇南地区、冬春季节、≥18岁其他职业成年人、市级医院中检出较高,6~17岁学生易感染水痘带状疱疹病毒和风疹病毒,门急诊病例多为阴性病例。结论甘肃省2009-2019年RFIs主要病原包括肠道病毒、麻疹病毒、水痘带状疱疹病毒和风疹病毒,不同病原分布特征不同。Objective To examine characteristics of pathogens identified among patients with fever and rash syndrome(RFIs)in Gansu province from 2009 to 2019,and to provide a reference for implementing targeted prevention measures and conducting pathogen surveillance.Methods Sentinel surveillance data on 5822 RFIs cases reported in Gansu province from 2009 through 2019 were extracted from the Information Management System for Prevention and Treatment of AIDS and Viral Hepatitis and other Major Infectious Diseases.Multiple correspondence analysis was adopted to analyze characteristics of pathogens isolated from the RFIs patients.Results Enterovirus infection was confirmed in 1653(28.39%)of the all RFIs patients reported during the period and the number(proportion)of the patients confirmed with other pathogen infections were548(9.41%)for measles virus,201(3.45%)for rubella virus,and 495(8.50%)for varicella-zoster virus,respectively.No pathogen infection was confirmed in 2925(50.24%)RFIs patients.The results of multiple correspondence analysis showed that enteroviruses infection was more frequently diagnosed in hospitalized cases in western and central Gansu province,during summer/autumn season,among scattered children aged≤5 years and kindergarten children,among patients hospitalized in provincial and county-level hospitals;measles virus infection was more frequently confirmed among the patients in eastern and southern areas of Gansu province,during winter/spring season,in the adults(≥18 years)with some specific occupations,and among patients seeking medication at municipal hospitals;and more varicella-zoster virus and rubella virus infections were detected among the students aged 6 to 17 years.No pathogen infection was identified among the majority of the RFIs patients visiting doctors in outpatient/emergency departments.Conclusion The main pathogens inducing RFIs incidents in Gansu province from 2009 to 2019 include enterovirus,measles virus,varicella-zoster virus and rubella virus,and there were disparities in the detec

关 键 词：发热伴出疹症候群(RFIs) 病原 分布特征 多重对应分析 

分 类 号：R515.2[医药卫生—内科学] R181.3[医药卫生—临床医学]