2013～2017年泰安市细菌性痢疾流行病学特征分析
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摘要
目的了解2013～2017年泰安市细菌性痢疾的流行规律,为及时修改制定预防控制措施提供科学依据。方法采用描述流行病学方法分析2013～2017年泰安市细菌性痢疾发病资料。结果 2013～2017年泰安市共报告细菌性痢疾2 826例,年发病率为8.64/10万～11.73/10万,平均10.12/10万,呈逐年下降趋势。6个县(市、区)均有病例报告,其中宁阳县(1 197例)、新泰市(644例)、泰山区(462例)高发。全年均可发病,春夏季为发病高峰,每年发病集中在5～8月(1 402例、49.61%)。男性发病率(1 624例、29.05/10万)高于女性(1 202例、21.50/10万)(P<0.01),男∶女=1.35∶1;年龄以0～岁组最高(1 165例、41.22%);发病人群以散居儿童为主(1 897例、67.12%),其次是农民(416例、14.72%)和学生(154例、5.45%)。医疗机构报告情况主要以县级及以上综合医院报告为主(1 422例、50.32%),其次为乡镇卫生院(998例、35.31%)(P<0.01)。结论泰安市近5年来细菌性痢疾发病率呈下降趋势,但防控形势依然严峻。
Objective To understand the epidemiological features of bacillary dysentery during 2013-2017 in Tai'an city,so as to provide scientific basis for further formulating and adjusting the prevention and control strategy. Methods Descriptive epidemiological methods were used to analyze the data of bacillary dysentery during 2013-2017 in Tai'an city. Results A total of 2 826 bacillary dysentery cases were reported during 2013-2017 in Tai'an city.The reported incidence fluctuated between 8.64/10~5 and 11.73/10~5,with an average annual incidence of 10.12/10~5.It showed a downward trend year by year.The cases of bacillary dysentery were reported in 6 counties(cities and districts),cases mainly occurred in Ningyang county(1 197 cases),Xintai city(644 cases),and Taishan district(462 cases).Bacillary dysentery occurred throughout the year,it peaked in spring and summer,and the cases concentrated in June-August(1 402 cases,49.61%).The annual incidence rate was higher in male patients(1 624 cases,29.05/10~5) than that of female(1 202 cases,21.50/10~5)(P<0.01),and the sex ratio was 1.35:1.Children aged 0-1 years had the highest incidence(1 165 cases,41.22%).The scattered children(1 897 cases,67.12%) had the largest number of cases,followed by farmers(416 cases,14.72%) and students(154 cases,5.45%).The cases were mainly reported by general hospitals above county level(1 422 cases,50.32%),followed by township hospitals(998 cases,35.31%)(P<0.01). Conclusion The incidence of bacillary dysentery in Tai'an city tends to decrease in the past 5 years,but the situation of prevention and control is still serious.
Objective To understand the epidemiological features of bacillary dysentery during 2013-2017 in Tai'an city,so as to provide scientific basis for further formulating and adjusting the prevention and control strategy. Methods Descriptive epidemiological methods were used to analyze the data of bacillary dysentery during 2013-2017 in Tai'an city. Results A total of 2 826 bacillary dysentery cases were reported during 2013-2017 in Tai'an city.The reported incidence fluctuated between 8.64/10~5 and 11.73/10~5,with an average annual incidence of 10.12/10~5.It showed a downward trend year by year.The cases of bacillary dysentery were reported in 6 counties(cities and districts),cases mainly occurred in Ningyang county(1 197 cases),Xintai city(644 cases),and Taishan district(462 cases).Bacillary dysentery occurred throughout the year,it peaked in spring and summer,and the cases concentrated in June-August(1 402 cases,49.61%).The annual incidence rate was higher in male patients(1 624 cases,29.05/10~5) than that of female(1 202 cases,21.50/10~5)(P<0.01),and the sex ratio was 1.35:1.Children aged 0-1 years had the highest incidence(1 165 cases,41.22%).The scattered children(1 897 cases,67.12%) had the largest number of cases,followed by farmers(416 cases,14.72%) and students(154 cases,5.45%).The cases were mainly reported by general hospitals above county level(1 422 cases,50.32%),followed by township hospitals(998 cases,35.31%)(P<0.01). Conclusion The incidence of bacillary dysentery in Tai'an city tends to decrease in the past 5 years,but the situation of prevention and control is still serious.
引文
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[5] 冯秀,游盛,吴凯.2005～2015年萍乡市细菌性痢疾流行病学特征分析[J].疾病与卫生监测,2016,22(5):444-448.
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[7] 王飞飞,佟建宁.2005～2015年青岛市细菌性痢疾流行病学分析[J].齐鲁医学杂志,2017,32(4):477-479.
[8] 张钟,程婷婷,马涛,等.南京市2005～2012年细菌性痢疾流行病学特征分析[J].中华疾病控制杂志,2014,18(11):1 047-1 051.
[9] 刘晓青,赵玉芹,杨梦,等.一起学校细菌性痢疾暴发疫情的病原追溯和流行病学特征分析[J].现代预防医学,2015,42(16):2 904-2 907.
[2] 隋吉林,张静,孙军玲,等.2009年中国细菌性监测分析[J].疾病监测,2010,25(12):947-950.
[3] 李永红.细菌性痢疾流行病学特征的变迁[J].内科,2013,8(1):58-59.
[4] 阴珊珊,张爱华,毕秀娟,等.2005～2013年泰安市细菌性痢疾流行病学分析[J].预防医学论坛,2014,20(8):585-584.
[5] 冯秀,游盛,吴凯.2005～2015年萍乡市细菌性痢疾流行病学特征分析[J].疾病与卫生监测,2016,22(5):444-448.
[6] 谢冰艳,孙传武.江苏省徐州市2006～2015年细菌性痢疾流行病学特征分析[J].实用预防医学,2017,24(4)482-485.
[7] 王飞飞,佟建宁.2005～2015年青岛市细菌性痢疾流行病学分析[J].齐鲁医学杂志,2017,32(4):477-479.
[8] 张钟,程婷婷,马涛,等.南京市2005～2012年细菌性痢疾流行病学特征分析[J].中华疾病控制杂志,2014,18(11):1 047-1 051.
[9] 刘晓青,赵玉芹,杨梦,等.一起学校细菌性痢疾暴发疫情的病原追溯和流行病学特征分析[J].现代预防医学,2015,42(16):2 904-2 907.