广西传染性非典型肺炎发热门诊设立及监测结果分析

目的了解2003年传染性非典型肺炎流行期间，广西设立的发热门诊中就诊的发热病人传染性非典型肺炎的疑似病例和临床确诊病例的筛查情况。方法各地按照《广西发热病人门诊工作及监测规程》的要求设立发热门诊，对发热病人进行登记、诊断、汇总和上报，建立Excel数据库进行统计。结果2003年4～6月期间，广西各地区共设立发热门诊l671个，就诊发热病人587046人，筛查出疑似重点发热病人2706例(占O．46％)、重点发热病人2115例(占O．36％)、疑似病例7例，临床确诊病例3例。3例确诊病例均为输入性病例，均有疫区非典疑似病人接触史，返乡后到发热门诊就诊时被发现。结论设立发热门诊提高了广西监测传染性非典型肺炎病例的敏感性．在非典防制中发挥了重要的作用；应将发热门诊监测工作常抓不懈，并将多发和危险严重的、以发热为主的急性法定传染病纳入监测的范畴，规范管理，充分提高发热门诊监测的效能。

Establishment of clinics for screening feverish SARS patients and analysis of monitoring results in Guangxi

Objective To study the facts of screening for suspected and probable cases of SARS among patients with fever presented at the fever screening clinics established during the outbreaks of SARS in 2003. Methods According to the document of Guangxi Practice and Regulations of surveillance at Fever Screening Clinics,fever screening clinics have been set up across guangxi and the feverish patients were registered,diagnosed and the information were collected and reported as well.The data has been entered into the database and analyzed statistically. Results Totally 1 671 fever screening clinics have been established in different areas in Guangxi from April to June,2003.Among 587 046 patients presented with fever,2 706 cases (0.46%) were screened as suspected important patients with fever,2 115 cases (0.36%) were considered as important patients with fever,7 were suspected cases of SARS and 3 were probable cases.All of the 3 probable patients were imported cases with histories of contacting suspected SARS cases,and were found at fever screening clinics of their hometowns. Conclusion The sensitivity of surveillance system increases due to the establishment of fever screening clinics in Guangxi,which have played an important role in combating SARS.It is expected to make the surveillance system at fever screening clinics more effective,which should be conducted perennialy,by including frequently occurred legal reported severe infectious diseases.