| 福建省厦门市某中学双线盗毒蛾幼虫致过敏性皮炎暴发的流行病学调查 |
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| 引用本文： | 阮菁如,钟春燕,黄佳峰. 福建省厦门市某中学双线盗毒蛾幼虫致过敏性皮炎暴发的流行病学调查[J]. 疾病监测, 2017, 32(6): 528-530. DOI: 10.3784/j.issn.1003-9961.2017.06.020 |
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| 作者姓名： | 阮菁如 钟春燕 黄佳峰 |
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| 作者单位： | 1.厦门市思明区疾病预防控制中心, 福建 厦门 361009 |
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| 摘 要： | 2016年6月，福建省厦门市某中学学生发生不明原因皮疹，共81例病例，其中77例为初二学生，学生的罹患率为4.6%（81/1 753），皮疹主要为前臂部位的红色斑丘疹。流行病学调查结果显示，在学校的芒果树下练习排球垫球（OR=5.1，95%CI:1.8~14.4）是发生皮炎的危险因素，练习垫球后及时清洗手臂具有保护作用（OR=0.4，95%CI: 0.2~0.6）。连续湿热雨天后双线盗毒蛾幼虫在芒果树上大量繁殖，并掉落地面，导致学生体育课垫球时接触到毒毛。本次调查未在病例皮疹部位直接找到蛾幼虫毒毛，但根据调查结果推测该起皮炎暴发为芒果树上的双线盗毒蛾幼虫所致。为预防毒蛾幼虫皮炎再次发生，建议学校在毒蛾幼虫繁殖季节对校园内树木开展杀虫工作，并教育学生在毒蛾幼虫繁殖季节不要在树下活动，活动后要及时清洗手臂等暴露部位。
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| 关 键 词： | 毒蛾 幼虫 过敏性皮炎 暴发 流行病学调查 |
| 收稿时间： | 2016-09-08 |
Epidemiological survey of outbreak of atopic dermatitis caused by Porthesia scintillans larva in a middle school in Xiamen |
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| RUAN Jing-ru,ZHONG Chun-yan,HUANG Jia-feng. Epidemiological survey of outbreak of atopic dermatitis caused by Porthesia scintillans larva in a middle school in Xiamen[J]. Disease Surveillance, 2017, 32(6): 528-530. DOI: 10.3784/j.issn.1003-9961.2017.06.020 |
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| Authors: | RUAN Jing-ru ZHONG Chun-yan HUANG Jia-feng |
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| Affiliation: | 1.Siming District Center for Disease Control and Prevention of Xiamen, Xiamen 361009, Fujian, China |
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| Abstract: | In June 2016,a total of 81 middle school students were diagnosed with dermatitis of unknown cause and 77 of the diagnosed cases were grade 2 students.The overall attack rate was 4.6％ (81/1 753) and maculopapule on the upper arm was the main clinical manifestation.Epidemiological survey showed that practicing volleyball under mango trees was highly associated with the incidence of dermatitis (OR =5.1,95％ CI:1.8-14.4);while washing hands after volleyball practice had protective effect against dermatitis (OR =0.4,95％ CI:.2-.6).Porthesia scintillans larva incased obviously in the mango trees in the school due to warm and wet plum rain season.Students came into contact with the venomous setae of Porthesia scintillans larva which fell to the ground when they practiced volleyball under the trees.No venomous setae of the Porthesia scintillans larva was found directly in affected students,but the survey results indicated that Porthesia scintillans larva was likely to be the cause of the dermatitis.It is suggested that the schools should conduct elimination of Porthesia scintillans larva,especially during their breeding period,and health education in students for the avoidance of any activity under affected trees and washing of hands and exposed skin after activity. |
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| Keywords: | Moth Larvae Dermatitis Outbreak Epidemiological survey |
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