2012—2022年贵州省黔南州其他感染性腹泻流行特征分析  

Analysis of the epidemic characteristics of other infectious diarrhea in Qiannan,Guizhou,2012-2022

作　　者：祝俊[1] 吴琦琳 汪慧[2] 张晓[2] 罗雷[2] 王琼 张国琼 田芸 袁俊[2] ZHU Jun;WU Qilin;WANG Hui;ZHANG Xiao;LUO Lei;WANG Qiong;ZHANG Guoqiong;TIAN Yun;YUAN Jun(Qiannan Center for Disease Control and Prevention,Qiannan,Guizhou 558000,China;Guangzhou Center for Disease Control and Prevention)

机构地区：[1]黔南州疾病预防控制中心,贵州黔南558000 [2]广州市疾病预防控制中心

出　　处：《华南预防医学》2024年第10期903-907,共5页South China Journal of Preventive Medicine

基　　金：广州市卫生健康科技项目(20241A011064);广州市科技计划项目(2024A03J0368)。

摘　　要：目的了解2012—2022年贵州省黔南州其他感染性腹泻流行特征及长期变化趋势,为当地疾病防控工作提供参考依据。方法通过中国疾病预防控制信息系统收集2012—2022年贵州省黔南州其他感染性腹泻数据,采用描述性流行病学方法、Joinpoint回归方法分析流行特征及长期变化趋势。结果2012—2022年总共报告11486例其他感染性腹泻病例,年均报告发病率为31.6/10万,总体报告发病率呈上升趋势(趋势χ^(2)=663.085,P<0.01)。10月份至次年1月份发病水平达高位。发病人群以散居儿童为主(7618例,66.3%)。致病原中轮状病毒占比最高(3312例,95.8%)。Joinpoint回归分析结果显示,2012—2022年年均报告率出现2个转折点,其中2015—2020年呈快速上升趋势(APC=24.023,P<0.05)。结论2012—2022年贵州省黔南州其他感染性腹泻总体发病水平呈上升趋势,冬春季高发,优势病原体是轮状病毒。建议当地在高发流行季,对重点人群、重点地区采取有效综合干预措施进行防控。Objective To understand the epidemic characteristics and long-term trends of other infectious diarrhea in Qiannan Prefecture,Guizhou Province from 2012 to 2022,and provide a reference for local disease prevention and control.Methods Data on other infectious diarrhea cases in Qiannan Prefecture from 2012 to 2022 were collected through the China Disease Control and Prevention Information System.Descriptive epidemiological method and Joinpoint regression model were used to analyze the epidemic characteristics and long-term trends.Results From 2012 to 2022,a total of 11486 cases of other infectious diarrhea were reported.The average annual reported incidence rate was 31.6 per 100000 population,and the overall reported incidence rate exhibited an upward trend(trendχ~2=663.085,P<0.01).The incidence rate peaked from October to January of the following year.The disease primarily affected scattered children(7618cases,66.3%).Rotavirus was identified as the predominant pathogen(3312 cases,95.8%).Joinpoint regression analysis revealed two turning points in the annual reporting rate from 2012 to 2022,with a significant increase observed from 2015 to 2020(APC=24.023,P<0.05).Conclusions From 2012 to 2022,there has been an upward trend in the overall incidence of other infectious diarrhea in Qiannan Prefecture.The high incidence is observed during the winter and spring seasons,with rotavirus being identified as the dominant pathogen.It is recommended to implement effective comprehensive intervention measures targeting focus groups and areas during the peak incidence season in order to effectively prevent and control the disease within the local community.

关 键 词：黔南州 其他感染性腹泻 Joinpoint回归 流行特征 

分 类 号：R183.4[医药卫生—流行病学]