深圳市幼儿园和学校2017—2023年呼吸道合胞病毒聚集性疫情监测结果  

Surveillance results of respiratory syncytial virus outbreaks in kindergarten and school in Shenzhen,2017-2023

作　　者：王昕[1] 房师松[1] 武伟华[1] 刘慧[1] 孙颖 邹旋 唐秀娟[3] WANG Xin;FANG Shisong;WU Weihua;LIU Hui;SUN Ying;ZOU Xuan;TANG Xiujuan(Pathogen Microorganism Testing Institute,Shenzhen Center for Disease Control and Prevention,Shenzhen(518055),Guangdong Province,China;不详)

机构地区：[1]广东省深圳市疾病预防控制中心病原微生物检验所,518055 [2]广东省深圳市疾病预防控制中心办公室 [3]广东省深圳市疾病预防控制中心传染病防控科

出　　处：《中国学校卫生》2025年第3期435-437,442,共4页Chinese Journal of School Health

基　　金：国家重点研发计划项目(2023YFE0103200);深圳市科技创新委员会项目(KCXFZ20211020172545006)。

摘　　要：目的分析2017—2023年深圳市幼儿园和学校呼吸道合胞病毒聚集性疫情监测结果及流行特点,为呼吸道合胞病毒防控提供科学参考。方法收集和分析深圳市幼儿园和学校2017—2023年呼吸道合胞病毒聚集性疫情监测的流行病学资料和实验室检测结果。结果2017—2023年深圳市共确诊31起发生在幼儿园和学校的呼吸道合胞病毒聚集性疫情,2020年疫情数最多为14起,其次是2023年8起;发病总人数为346名,平均罹患率为22.02%。64.52%的呼吸道合胞病毒疫情发生在幼儿园,其余均发生在中小学校。呼吸道合胞病毒疫情报告最多的月份是9月(18起,占58.06%),其次是3和10月(均为3起,占9.68%)。在31起呼吸道合胞病毒疫情中共采集244份咽拭子样本,经检测呼吸道病毒阳性169份,阳性率为69.26%;其中呼吸道合胞病毒阳性121份,其他呼吸道病毒阳性57份(9份为2种病毒均阳性)。31起呼吸道合胞病毒疫情中,14起由呼吸道合胞病毒单独引起(占45.16%),17起由呼吸道合胞病毒和其他呼吸道病毒混合感染引起(占54.84%)。结论深圳市幼儿园和学校在2020年以后报告较多的呼吸道合胞病毒聚集性疫情,其中多发生在幼儿园,高发季节是秋季和春季。Objective To analyze respiratory syncytial virus(RSV)outbreaks surveillance results and the epidemiological characteristics in kindergarten and school in Shenzhen during 2017-2023,so as to provide a scientific reference for control and prevention of RSV.Methods Epidemiological data and surveillance results of RSV outbreaks in kindergarten and school from 2017 to 2023 were collected for descriptive analyses.Results A total of 31 RSV outbreaks were identified in kindergarten and school in 2017-2023 in Shenzhen,346 cases were reported,the average incidence rate was 22.02%.The most annual RSV outbreaks were reported in 2020 with 14 outbreaks,followed by 8 outbreaks in 2023.A total of 64.52%of RSV outbreaks were identified in kindergarten with rest occurring in primary school or middle school.The greatest monthly count of outbreak was 18(58.06%)in September,followed by 3 outbreaks(9.68%)in March and October.A total of 244 swab samples were collected,169 samples were positive for respiratory viruses,the positive rate was 69.26%,121 samples were positive for RSV,from 31 respiratory syncytical virus outbreaks 57 and samples were positive for other respiratory viruses(9 samples were positive for two respiratory viruses).A toral of 14(45.16%)outbreaks are caused by RSV alone,17 outbreaks(54.84%)were caused by RSV and other respiratory viruses.Conclusions Most RSV outbreaks in kindergarten and school are reported after 2020 in Shenzhen,most RSV outbreaks occur in kindergarten,peak seasons of RSV outbreaks are autumn and spring.

关 键 词：呼吸道合胞病毒 疾病暴发流行 发病率 人群监测 儿童 学龄前 

分 类 号：G478[文化科学—教育学] R181.32[文化科学—教育技术学] R373.1[医药卫生—流行病学]