2019—2022年某三甲专科医院法定传染病流行病学特征分析  

Analysis of epidemiologic features of notifiable infectious diseases in a grade A tertiary specialized hospital from 2019 to 2022

作　　者：马丽娜 胡美丽[2] 张迎雪[3] 张旭[4] 苑海[1] 牛魁元 MA Lina;HU Meili;ZHANG Yingxue;ZHANG Xu;YUAN Hai;NIU Kuiyuan(Department of Public Health,Baoding Maternal and Child Health Hospital,Baoding,Hebei 071000,China;不详)

机构地区：[1]保定市妇幼保健院公共卫生科,河北保定071000 [2]保定市妇幼保健院科教科,河北保定071000 [3]保定市妇幼保健院产科,河北保定071000 [4]保定市妇幼保健院儿保科,河北保定071000

出　　处：《医学动物防制》2025年第2期173-176,共4页Journal of Medical Pest Control

基　　金：河北省2022年医学科学研究课题项目(20220785)。

摘　　要：目的了解某妇幼保健院法定传染病的报告情况,分析其流行病学特征,为制定传染病和院内感染控制措施提供科学依据。方法采用SPSS 23.0和Excel 2016软件,以描述性流行病学研究方法对2019—2022年网络直报的法定传染病数据进行统计分析。线性趋势检验采用趋势χ^(2)检验,构成比的比较采用χ^(2)检验。结果2019—2022年共报告1938例法定传染病病例,无甲类传染病病例报告,报告乙类传染病病例77例,丙类传染病病例1859例,重点管理传染病病例2例,总报告率呈逐年下降趋势(χ^(2)_(趋势)=1922.38,P<0.01)。时间分布,以1月的传染病报告率(0.47%)居首位,其次是12月报告率为0.29%;性别分布,男性报告传染病病例数多于女性;年龄分布,以1~<5岁儿童报告传染病为主,年龄最大的为74岁;职业分布,以散居儿童报告传染病为主,其次为托幼儿童和学生;排名前3位的传染病依次为流行性感冒、其他感染性腹泻病、梅毒。结论2019—2022年该院报告的传染病病种相对稳定,丙类传染病报告总例数最多。流行性感冒、其他感染性腹泻病、梅毒是目前该院传染病防治工作的重点,应加强重点监测,做好防控及报告工作。Objective To understand the reporting status of notifiable infectious diseases in a maternal and child health hospital,analyze its epidemiologic features,and provide a scientific basis for formulating infectious disease and nosocomial infection control measures.Methods Using SPSS 23.0 and Excel 2016 software,descriptive epidemiological research methods were used to conduct statistical analysis on the legally notifiable infectious disease data directly reported on the internet from 2019 to 2022.Linear trend tests were performed using the trend χ^(2) test,and comparisons of proportion were performed using the χ^(2) test.Results From 2019 to 2022,a total of 1938 cases of statutory notifiable infectious diseases cases were reported,of which there were no reports of Class A infectious diseases cases,77 cases of Class B infectious diseases,1859 cases of Class C infectious diseases,and 2 cases of key managed infectious diseases.The overall reporting rate showed a decreasing trend year by year(χ^(2)_(trend)=1922.38,P<0.01).In terms of temporal distribution,the infectious disease reporting rate in January(0.47%)ranked first,followed by the December reporting rate of 0.29%.In terms of gender distribution,more infectious disease cases were reported among males than females.In terms of age distribution,infectious disease cases were mainly reported in children aged 1-<5 years,with the oldest being 74 years old.In terms of occupational distribution,infectious disease cases were mainly reported in scattered children,followed by children in nurseries and students.The top three infectious diseases were influenza,other infectious diarrhea diseases and syphilis.Conclusion The types of infectious diseases reported by the hospital from 2019 to 2022 are relatively stable,with the highest total number of reported cases of Class C infectious diseases.Influenza,other infectious diarrhea diseases and syphilis are the focus of the hospital′s infectious disease prevention and control work at present,and it is necessary to strengthen ke

关 键 词：妇幼保健 三甲专科医院 法定传染病 流行病学 特征 分析 

分 类 号：R725.1[医药卫生—儿科] R181.3[医药卫生—临床医学]