摘要
目的:研究北京市发热门诊呼吸道症状监测情况,探讨发热门诊对呼吸道传染病暴发和流行的预警作用。方法:采用典型调查的流行病学研究方法,收集来自北京市海淀区和朝阳区两所三级综合性医院发热门诊在2009年4月1日至2010年3月31日就诊的患者病历数据,并对其进行流行病学特征和统计分析。结果:急性发热呼吸道感染病例和流行性感冒(流感)样病例与发热门诊的就诊患者的时间趋势一致,实验室确诊流感的时间趋势却有一定的滞后性;发热门诊每日就诊人数与急性发热呼吸道感染病例每日就诊人数、流感样病例每日就诊人数和实验室确诊的流感每日就诊人数呈高度正相关(r=0.99、0.99和0.48,P均<0.001)。结论:发热门诊的症状监测对呼吸道传染病预警具有一定价值,发热门诊为呼吸道传染病早发现、早诊断和早治疗提供了重要平台。
Objective:To describe findings from syndromic surveillance of Fever Clinic visits and to determine the utility of monitoring Fever Clinic admissions as an indictor of respiratory infectious disease activity in Beijing.Methods:A census on outpatients in Fever Clinics was conducted in two grade 3 general hospitals in Beijing from April 1,2009 to March 31,2010 based on a typical survey,the epidemiological characteristics of outpatients were analyzed and correlation among Fever Clinic visits,acute febrile respiratory illness(ARI) visits,influenza-like illness(ILI) visits and influenza visits determined.Results:The seasonal patterns for Fever Clinic visits,ARI visits and ILI visits were quite similar,but that for influenza visits peaked later than those for ARI and ILI visits.There were high positive relationships between ARI visits,ILI visits or influenza visits and Fever Clinic visits,with a pearson's correlation coefficient of 0.99,0.99 and 0.48,respectively(P〈0.001).Conclusion:Syndromic surveillance of Fever Clinic visits is valuable for early warning of respiratory infectious disease outbreaks.The Fever Clinic provides a platform for early diagnosis and treatment of respiratory infectious disease.
出处
《北京大学学报(医学版)》
CAS
CSCD
北大核心
2011年第3期375-378,共4页
Journal of Peking University:Health Sciences
基金
国家高技术研究发展计划(863计划
2008AA02Z416)资助~~
关键词
发热
呼吸道疾病
传染病
人群监测
Fever; Respiratory tract diseases; Communicable diseases; Population surveillance