2010年吉林省手足口病重症病例流行病学分析

目的了解吉林省手足口病重症病例流行特征,为进一步制定防控策略提供科学依据。方法采用卡方检验对2010年本省手足口病重症病例进行流行病学分析。结果资料显示,2010年手足口病重症病例为309例。对231例进行实验室检测,其中EV71感染161例,CoxA16感染34例,其他肠道病毒36例。96.44%的重症病例在5岁以下;男性高于女性为1.89∶1;散居儿童重症构成比为77.67%,高于其他人群。结论 EV71感染导致重症病例的远高于CoxA16和其他肠道病毒。因此,应该特别关注EV71感染的病例,从而有效防控手足口病。应针对小年龄组儿童家长,有针对性地开展宣传教育工作,以降低手足口病重症率。

Epidemiology of severe cases of hand foot and mouth disease in Jilin province 2010

Objective To understand the epidemiology of severe cases of hand foot and mouth disease(HFMD) in Jilin province and provide scientific evidence for the prevention and control of HFMD.Methods Analysis was conducted on the data of severe HFMD cases in Jilin province in 2010.Chi-square test was used in the statistical analysis.Results In the 309 severe HFMD cases,231 were diagnosed in laboratory.Among them,161 were infected with EV71,34 with CoxA16,and 36 with other enterovirus.Up to 96.44% of severe HFMD cases were children under 5 years old.The male to female ratio was 1.89∶1.77.67% of severe cases were children outside child care settings.Conclusion The severe hand foot and mouth disease cases which infected by EV71 are obviously more than those by CoxA16 and other enterovirus.In order to prevent and control HFMD prevalence and outbreak,EV71 infection cases must be paid more attention in the future.Health education is necessary for the parents whose children are under 5 years old.