新生儿破伤风流行动态分析

目的:为了解龙岗区新生儿破伤风流行病学特征,掌握其流行动态,为政府相关部门制定干预措施提供依据,降低新生儿破伤风的发病率。方法:利用深圳市法定传染病报告系统和新生儿破伤风监测系统获得新生儿破伤风资料并进行统计分析。结果:龙岗区新生儿破伤风发病率和病死率呈逐年下降趋势;病例全部为流动人口;分娩方式均为院外分娩;94.74%的病例发病年龄在生后2周内;只有13.16%的母亲在孕期到医院进行过产前检查(次数≥1),85.09%的母亲未接种过破伤风类毒素疫苗。结论:结合新生儿破伤风的发病机制及流行病学特点,加强流动人口孕产妇管理,普及住院分娩、新法接生、开展育龄妇女破伤风类毒素接种是预防新生儿破伤风的有效措施。

Epidemiology trend of neonatal tetanus in Longgang district of Shenzhen city in 2000～ 2004

Objective:To describe the epidemiology trend of neonatal tetanus in Longgang district,Shenzhen during 2000~2004,and provide scientific references for the various government departments prevention and cut down the incidence of neonatal tetanus.Methods:The data obtained from the work of neonatal tetanus surveillance system and the National Diseases Reporting System were analyzed.Results:The incidence and mortality rate of neonatal tetanus were reduced slowly by years,all the cases were belonged to mobile population,and the neonates were not born in hospital,94.74% of cases' age was within 2 weeks,only 13.16% of the pregnant woman was checked before delivery(number of times≥1),85.09% of the mothers had been not vaccinated with tetanus toxoid.Conclusion:Integrated prevention with the process and epidemiology character of neonatal tetanus should be taken to enhance the health care for the mobile population,the incidence of neonatal tetanus could be reduced by popularizing vaccinating,scientific delivering,and laboring in hospital.