论文部分内容阅读
目的掌握2013年江阴市其他感染性腹泻疾病的发病、流行病学特征及致病因子分布情况,为制定预防措施和临床治疗提供依据。方法在6家哨点医院进行其他感染性腹泻疾病监测,采集病例信息和粪便标本,进行肠道致病菌和病毒检测。结果 2013年监测点共发生其他感染性腹泻病例1 272例,发病率为3.18‰;在年龄分布上发病人数最多的为0岁年龄组,占病例总数的17.90%;在职业上以农民为主,占15.01%;在时间分布上以4-5月和7-9月高发。检测553份腹泻标本,病原检出率为8.68%,肠道致病菌检出率为2.17%,肠道病毒检出率为17.56%,两者间差异有统计学意义(χ~2=60.11,P<0.01)。感染性腹泻8-9月以肠道致病菌为主,11月至次年4月以肠道病毒为主。结论 2013年江阴市的感染性腹泻以病毒为主,主要是轮状病毒,细菌性腹泻以副溶血性弧菌为主,初步揭示了江阴市感染性腹泻病原谱。
Objective To grasp the incidence, epidemiological characteristics and distribution of pathogenic factors of other infectious diarrhea diseases in Jiangyin City in 2013, and provide the basis for the formulation of preventive measures and clinical treatment. Methods Six other sentinel hospitals were monitored for other infectious diarrheal diseases. Case information and stool samples were collected for detection of enteric pathogens and viruses. Results A total of 1 272 cases of other infectious diarrhea occurred at the monitoring sites in 2013, with an incidence rate of 3.18 ‰. The highest incidence in the age distribution was 0-year-old group, accounting for 17.90% of the total number of cases; , Accounting for 15.01%; in the time distribution in April-May and July-September high incidence. The detection rate of 553 diarrhea samples was 8.68%, the detection rate of enteric pathogens was 2.17%, and the detection rate of enterovirus was 17.56%. The difference was statistically significant (χ ~ 2 = 60.11 , P <0.01). Infectious diarrhea was mainly caused by enteropathogenic bacteria from August to September, and mainly from enterovirus in November to April. Conclusions In 2013, infectious diarrhea in Jiangyin City was mainly virus, mainly rotavirus. Vibrio parahaemolyticus was the major cause of bacterial diarrhea, which initially revealed the pathogenic spectrum of infectious diarrhea in Jiangyin City.