银川市2008-2009年手足口病流行特征及病原学监测分析

目的了解银川市手足口病发病情况、病原学、临床等流行病学规律及发生发展趋势。方法应用流行病学监测研究方法（Prevalence study）对银川市手足口病流行特征、实验室病原学检测、爆发疫情等进行监测分析研究,应用现场流行病学对临床资料进行追踪调查和研究分析。结果 2008年7月1日-2009年6月30日银川市共报告1774例手足口病,报告发病率为113.88/10万;6个县区均有病例报告,以城市为主的三区发病显著高于以农村为主的三县;主要集中在7岁以下儿童;以散居儿童和幼托儿童为主;6月份达到最高峰;共发生22起手足口病暴发疫情,均发生在幼托机构,其中民办幼儿园发生17起;5起构成一般突发公共卫生事件;共采集134例手足口病患者的176份标本进行病毒分离,其中EV71病毒22例（40.74%）、Cox-A16病毒18例（33.33%）、其它肠道病毒14例（25.93%）;阳性检出率30.68%。临床表现主要为发热,部分伴有手、足、口腔、肛周等部位皮疹或疱疹,大多出现咽痛、咳嗽,个别有呕吐等,少数出现神经系统症状。结论加强手足口病病例及实验室监测,提高诊治水平,加大宣传力度,重点加强城市三区、托幼机构尤其是民办幼儿园的疫情防控,建立有效的手足口病综合防控机制。

Epidemic Features and Etiology of HFMD in Yinchuan in Year 2008/2009

Objective To explore the epidemic features and etiology of HFMD in Yinchuan in year 2008/2009.Methods The epidemiology monitor research technique were used to monitor the epidemic features of HFMD in Yinchuan.The laboratory examination were used to monitor etiology of HFMD.Results From July 1st,2008-June 30,1774 cases with Hand-foot-mouth disease were reported and the report incidence rate was 113.88/100,000;Cases distributed all the 6 county areas;The report incidence rate in urban areas was significantly ...