| 2009年云南省手足口病死亡病例流行病学特征分析 |
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| 引用本文： | 吴燕,尹洁,寸建萍,常利涛,周永明. 2009年云南省手足口病死亡病例流行病学特征分析[J]. 疾病监测, 2010, 25(9): 691-693. DOI: 10.3784/j.issn.1003-9961.2010.09.006 |
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| 作者姓名： | 吴燕 尹洁 寸建萍 常利涛 周永明 |
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| 作者单位： | 1.云南省疾病预防控制中心 急性传染病防制科,云南 昆明 660022 |
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| 基金项目： | 国家科技重大专项“云南及周边省市传染病病原谱流行规律研究”课题（No.2009ZX10004-212） |
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| 摘 要： | 目的探讨2009年云南省手足口病死亡病例流行病学特征。方法死亡病例为临床诊断病例并进行实验室诊断;个案调查由流行病学专业人员使用中国疾病预防控制中心提供的统一调查表进行流行病学调查。结果 2009年全省共报告病例15062例,其中死亡病例13例,病死率为0.086%。死亡病例主要发生在5-8月,主要分布于云南中部地区,男女性别比为0.625∶1,0～1岁组死亡9例(占69.23%),均为散居儿童。主要临床表现为发热、出疹、呼吸困难等,病情进展较快,多在发病4d内死亡。实验室RT-PCR核酸检测阳性率为72.73%。结论手足口病的预防控制应遵循早发现、早报告、早诊断、早治疗及早隔离的防治原则。快速、准确识别重症病例,对症治疗是减少死亡的关键。
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| 关 键 词： | 手足口病 死亡病例 流行病学特征 |
| 收稿时间： | 2010-07-14 |
Epidemiological characteristics of death cases of hand foot and mouth disease in Yunnan,2009 |
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| WU Yan , YIN Jie , CUN Jian-ping , CHANG Li-tao , ZHOU Yong-ming. Epidemiological characteristics of death cases of hand foot and mouth disease in Yunnan,2009[J]. Disease Surveillance, 2010, 25(9): 691-693. DOI: 10.3784/j.issn.1003-9961.2010.09.006 |
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| Authors: | WU Yan YIN Jie CUN Jian-ping CHANG Li-tao ZHOU Yong-ming |
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| Affiliation: | 1.Yunnan Provincial Center for Disease Control and Prevention, Kunming 660022, Yunnan, China |
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| Abstract: | Objective To understand the epidemiological characteristics of the death cases of hand foot and mouth disease （HFMD） in Yunnan in 2009. Methods All the death cases were diagnosed clinically,which were laboratory confirmed,The case survey was conducted by epidemiologists using unified questionnaire provide by China CDC. Results A total of 15 062 HFMD cases were reported in Yunnan in 2009,13 cases were fatal. The case fatality was 0.086%. The deaths mainly occurred from May to August and were distributed in central part of Yunnan. More deaths occurred in females than in males with the ratio of 0.625：1.The death cases （9） in age group of 0-1 year accounted for 69.23% of the total,all the death cases in this age group were children outside child care settings. The main clinical symptoms of death cases were fever,rash,breathing difficulty and rapid disease progress. Most cases died within 4 days after onset. The positive rate of RT-PCR detection was 72.73%. Conclusion The prevention and control of HFMD should be conducted in the way of early finding,early reporting,early diagnosis,early treatment and early isolation. The key measures to reduce death are to identify severe case rapidly and accurately,and give symptomatic treatment. |
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| Keywords: | hand foot and mouth disease death case epidemiological |
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