山西省传染性非典型肺炎的输入与扩散原因分析

Analysis of the Reasons for the Importation and Spread of Severe Acute Respiratory Syndrome (SARS) in Shanxi Province

[目的 ]分析 2 0 0 3年山西省传染性非典型肺炎 (SARS)输入与扩散原因 ,为今后的SARS防控提出对策。 [方法 ]对山西省 2 0 0 3年 44 8例SARS病人及其中诊断为原代SARS临床病例的有关流行病学调查资料进行分析。 [结果 ]报告的 44 8例临床诊断病例中 ,原代输入病例 3 0例 ,续发病例 72例 ,本地病例 3 46例 ;第 1例病人由广东省输入 ,北京市是输入的重要来源 ,内蒙古自治区是大同市、忻州市病例输入的主要来源 ;山西省人民医院的严重院内感染使该院成为SARS在山西省内传播的源泉。 [结论 ]山西省SARS疫情主要从北京市、广东省输入 ,在山西省人民医院形成扩散 。

MEI Zhi qiang,CHENG Tao an,SANG Zhi hong ( Shanxi Center for Disease Control and Prevention, Taiyuan 030012 China)Asbtract:Objective]To put forward the strategy for SARS prevention and control in future, the reasons for Severe Acute Respiratory Syndrome (SARS) importation and spread were analyzed in Shanxi province in 2003 [Methods]The epidemiological materials on 448 SARS cases and those diagnosed clinically as primary SARS were analyzed in Shanxi province [Results]Of 448 SARS probable cases reported, 30 cases were primary imported cases, 72 cases were secondary and 346 cases were local cases The first case was imported from Guangdong province Beijing Municipality was the important source of the imported cases The Inner Mongolia Autonomous Region was the main source of the imported cases in Datong City and Xinzhou City The severe nosocomial infection of Shanxi Provincial People's Hospital made this hospital become the source of cases spreading within Shanxi province [Conclusions]The SARS cases in Shanxi province were imported from Beijing and Guangdong and spread in Shanxi Provincial People's Hospital Some measures should be taken to decrease or avoid nosocomial infection