福建省2005—2009年细菌性痢疾监测分析

目的]了解福建省细菌性痢疾(菌痢)发病规律,掌握流行趋势,为制订防治对策提供科学依据。方法]对疫情报告和监测点病例作回顾性分析。结果]2005—2009年全省菌痢发病率4.31/10万～9.28/10万,年均发病率6.58/10万。发病有明显的季节性;0～5岁组发病率最高(41.20/10万);发病顺位依次为散居儿童、农民、幼托儿童和学生。5年监测总检出率为2.5%,仅发现福氏志贺菌(B群)和宋内志贺菌(D群);97例确诊病例中有典型临床症状的病例较少;分离的志贺菌对环丙沙星,庆大霉素及头孢噻肟高度敏感。结论]福建省菌痢发病率有些地区仍较高,患者症状较轻,易造成误诊漏诊,流行菌型不断变迁,耐药日渐严重,菌痢防治工作有一定难度。

Surveillance and Analysis of Bacillary Dysentery from 2005 to 2009 in Fujian, China

Objective] To analyze the epidemiological rules of bacillary dysentery for the disease control and prevention.Methods] The data from notifiable disease and surveillance sites of bacillary dysentery were analyzed retrospectively.Results] The incidences of bacillary dysentery from 2005 to 2009 were 4.31/100 000-9.28/100 000,and the annual rate was 6.58/100 000.The disease occurred with seasonal characteristics.The highest incidence was in aged 0-5（41.20/10 0000）.The incidence order was as follows：scattered children,farmers,nursery children and students.The total positive rate was 2.5% and S.flexneri and S.sonnei were found only for the 5 years.The fewer cases with the typical clinical symptoms and signs were found in total 97 cases.The isolated Shigella strains were high sensitive to ciprofloxacin,gentamicin and cefotaxime.Conclusion] The incidence of bacillary dysentery is still at high level in some areas of Fujian.The clinical symptoms are lighter and misdiagnosed easily.And with bacteria type variety and drug resistance increased,the disease prevention should be strengthened in the future.