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伤寒家庭内传播的流行病学意义
引用本文:徐道寅,李建树,周详,孙金兰,王志高,李孝凤,凌泽峰,高谵,符惠民,刘发甲,袁振华,曾宝珍.伤寒家庭内传播的流行病学意义[J].南京医科大学学报,1991(1).
作者姓名:徐道寅  李建树  周详  孙金兰  王志高  李孝凤  凌泽峰  高谵  符惠民  刘发甲  袁振华  曾宝珍
作者单位:南京医学院流行病学教研室 (徐道寅,李建树,周详,孙金兰),江苏省卫生防疫站防疫科 (王志高,李孝凤,凌泽峰,高谵),兴化市卫生防疫站 (符惠民,刘发甲,袁振华),兴化市卫生防疫站(曾宝珍)
摘    要:调查伤寒流行地区两地居民4023人,一年内伤寒发病186例,发病率462.3/万。检出带菌者21例,带菌率0.5%。对发病较多的甲地759户居民中165例伤寒病人进行家庭聚集性分析,提示伤寒病例分布有明显的家庭聚集性、伤寒在家庭内传播起重要作用。对有关流行因素分析亦表明,有家庭内伤寒接触史((?)R=2.1),以及家庭内伤寒带菌者的存在(OR=6.3)是促使伤寒发病增多的重要因素。因此建议在伤寒流行地区的防治工作中,应重视家庭内传染源的监测、管理和易感人群的防护。

关 键 词:伤寒  流行病学  家庭聚集性  伤寒带菌者

EPIDEMIOLOGICAL ASPECTS OF TYPHOID FEVER
Xu Daoyin.EPIDEMIOLOGICAL ASPECTS OF TYPHOID FEVER[J].Acta Universitatis Medicinalis Nanjing,1991(1).
Authors:Xu Daoyin
Abstract:An epidemic of 186 cases of typhoid fever occurred in two regions with a total population of 4023.The morbidity was 462/10 000.Among the population,21 cases were of typhoid carriers.The carrier rate was 0.5%(21/4023).Family aggregation analysis made in region A where the incidence was higher suggested that cc-contact in household might contribute to the spread of the disease.Epidemiological analysis also indicated that history of contact(OR=2.1)and presence of typhoid carrier(OR=6.3)played pivotal roles in the causation of the diseaes.Thus,the authors recommended that in taking prophylactic measures in typhoid endemic areas,one should pay attention to surveillance of reservoir and protection of the susceptibles.
Keywords:typhoid fever  epidemiology  family aggregation  carrier of typhoid fever
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