2020—2023年南京市浦口区发热伴血小板减少综合征流行特征分析  

Analysis on the risk factors of severe fever with thrombocytopenia syndrome in Pukou District,Nanjing City

作　　者：刘阳 刘畅 高胜海 周林 刘骏 LIU Yang;LIU Chang;GAO Shenghai;ZHOU Lin;LIU Jun(Infectious Disease Prevention and Control Department,Pukou District Center for Disease Control and Prevention,Nanjing 210000,China;Disease Control Department,Pukou District Health Commission,Nanjing 210000,China)

机构地区：[1]南京市浦口区疾病预防控制中心传染病防治科,江苏南京210000 [2]南京市浦口区卫生健康委员会疾控科,江苏南京210000

出　　处：《现代医学》2024年第11期1703-1708,共6页Modern Medical Journal

基　　金：浦口区2023年社会事业科技项目(S2023-18)。

摘　　要：目的:分析南京市浦口区发热伴血小板减少综合征(SFTS)的流行特征及死亡危险因素,为SFTS市级监测区监测工作开展和科学防控提供依据。方法:收集整理2020—2023年南京市浦口区SFTS病例传染病报告卡、个案调查表,分析病例的三间分布特征及死亡危险因素。结果:2020—2023年南京市浦口区共报告SFTS确诊病例74例,死亡20例,病死率27.03%。发病率呈整体上升趋势(χ_(趋势)^(2)=7.666,P<0.01)。4—11月有病例报告,5—7月是发病高峰。病例发病年龄集中在60~<75岁(50.00%),职业以农民为主(85.06%),女性多于男性。81.43%的病例存在2次及以上就诊经历,病例发病至诊断时间间隔中位数为13.00。高龄是导致病例死亡的危险因素。结论:浦口区SFTS发病率呈上升态势,病例分布呈扩散趋势,且病死率较高,应对农村老年人重点开展宣传教育并提高辖区内医疗机构医务人员诊断及救治能力。Objective:To analyze the epidemiological characteristics and mortality risk factors of fever associated thrombocytopenia syndrome(SFTS)in Pukou District,Nanjing City,and provide a basis for scientific prevention and control of SFTS.Methods:The infectious disease report cards and case investigation forms of SFTS cases were collected and organized in Pukou District,Nanjing City from 2020 to 2023 to analyze the distribution characteristics and the risk factors for death.Results:From 2020 to 2023,a total of 74 confirmed cases and 20 deaths of SFTS were reported in Pukou District,Nanjing City,with a mortality rate of 27.03%.The incidence rate showed an overall upward trend(χ^(2)=7.666,P<0.01).Cases were reported from April to November,with a peak in incidence from May to July.The age of onset of the cases was concentrated between 60 and 75 years old(50.00%),mostly being farmers(85.06%),and more females than males.81.43%of the cases had two or more medical visits,with a median interval of 13.00 days between onset and diagnosis.Advanced age was a risk factor for mortality of the cases.Conclusion:The incidence of SFTS in Pukou District is on the rise,with a spreading trend in case distribution and a high case fatality rate.It is necessary to focus on publicity and education for the rural elderlies and improving the diagnosis and treatment capabilities of medical staff in the area.

关 键 词：发热伴血小板减少综合征 流行特征 死亡危险因素 

分 类 号：R181.3[医药卫生—流行病学]