台州市2009年新生儿破伤风监测结果分析

目的分析台州市2009年新生儿破伤风流行病学特征,提出控制新生儿破伤风的策略和措施。方法对台州市2009年法定传染病报告系统和新生儿破伤风监测系统发病资料,应用Excel软件进行统计分析。结果2009年新生儿破伤风报告病例13例，发病率0.20‰。报告病例数最多的是椒江区（4例，病死1例）；病例报告2～7月份高发，占76.92%（10/13）；报告病例男女性别比例为2.25∶1；患儿母亲均未接种过破伤风内毒素,接受过产前检查者仅占46.15%(6/13)；患儿均未在医院出生,在家中出生占92.31%（12/13）；61.54%（8/13）由未经培训的接生员接生。结论加强新生儿破伤风疫情监测工作,对孕产妇加强健康教育,接种破伤风类毒素疫苗,提高基础卫生服务等是控制新生儿破伤风发生的有效措施。

Monitoring results of neonatal tetanus in Taizhuo in 2009

Objective To analyze the epiderniological characteristics of neonatal tetanus （NT） in Taizhou in 2009, and provide scientific basis for the control and prevention of NT. Methods By using Excel software, statistical analysis was performed based on the surveillance data of reporting system of notifiable diseases and NT specific reporting system in Taizhou in 2009. Results A total of 13 NT cases occurred in 2009, incidence was 0. 20‰. The majority of cases were shown in Jiaojiang area （4 cases, 1 case died） ; the peak months were from February to July, which accounting for 76. 92%（10/13） ; the ratio of male to female was 2. 25：1; All the mothers didn＇t receive tetanus vaccination, 46. 15 % （6/13）of whom received prenatal examination. All babies were not born in the hospitals, and 92. 31% （12/13） were born at home, 61.54% （8/13） were delivered by untrained birth attendants. Conclusion Enhancing NT surveillance and education for ipregnant women, vaccinating tetanus toxoid, and improving basic health service are effective strategies for controlling NT.