江苏省2012年急性胃肠炎负担调查情况分析

目的了解江苏居民急性胃肠炎(AGI)负担情况及危险因素。方法 2012年,在江苏10个监测点每月采取整群随机的抽样方式,开展回顾性的横断面调查,并采用多因素非条件logistic回归评估潜在的危险因素。结果共调查12 003名居民,AGI月患病率3.5%,相当于0.50次/人年;秋季最高(4.5%),冬季最低(3.1%);<5岁儿童的患病率最高(10.8%),25~44岁最低(2.9%);38.3%的患者就诊,药物治疗病例中78.4%报告使用抗生素,32.9%使用止泻药。多因素回归分析显示,年龄、季节、监测点和旅游是AGI的影响因素。结论江苏省AGI负担重,使用抗生素、止泻药比例较高。

A population-based survey of acute gastrointestinal illness in Jiangsu Province, 2012

Objective To determine disease burden and risk factors of acute gastrointestinal illness ( AGI) among residents in Jiangsu Province. Method Cluster random sampling method was used to carry out monthly retrospective cross-sectional survey in 10 sentinel sites in Jiangsu Province in 2012;potential risk factors were assessed by multivariate non-conditional logistic regression analy-sis. Results A total of 12 003 residents were surveyed, resulting adjusted monthly prevalence of 3. 5% ,which was equivalent to 0. 50 AGI episodes/person year. The highest incidence was observed in fall (4. 5%),while the lowest incidence was observed in winter (3. 1%). Children aged younger than 5 years old had the highest incidence(10. 8%);while adults aged from 25 to 44 years old had the lowest incidence(2. 9%). Healthcare was sought by 38. 3% of the ill respondents, among which 78. 4% were treated with antibi-otics while 32. 9% were treated with antidiarrheals. Multivariable regression analysis showed gender, season, sentinel site and travel were risk factors of AGI. Conclusion Disease burden of AGI was heavy in Jiangsu Province. Rate of using antibiotics and antidiar-rheals for treatment was high.