蚌埠地区流行性脑脊髓膜炎47例流行病学分析

Analysis of 47 cases of epidemic cerebrospinal meningitis in Bengbu

目的:总结蚌埠地区流行性脑脊髓膜炎(流脑)流行病学特征,为流脑预防控制提供临床依据。方法:回顾性分析47例流脑患者临床特征,对其中30例患者进行流行病学调查。结果:1～4月份流脑发病占总病例数的72.34%,11～20岁占总病例数的65.96%,病例主要集中在凤阳县和蚌埠市,流行菌群以C群为主,暴发型流脑发生比例为31.91%。结论:蚌埠地区有C群流脑流行,季节性明显,发病年龄高移,应加强易感人群A+C群流脑多糖疫苗接种。

Objective：To summarize the epidemiologic features of epidemic cerebrospinal meningitis （ECM） in Bengbu area and to provide clinical basis for the prevention and control of ECM. Methods： The clinical features of 47 patients with ECM were analyzed retrospectively and epidemiological investigation was made in 30 of them. Results： The ECM from January to April accounted for 72.34% of all the cases,and 65.96% of the patients were aged between 11 and 20;the majority of the patients came from Fengyang county and Bengbu city;the main epidemic strains for ECM were group C meningococcus;the incidence of ECM of fuhninating type accounted for 31.91%. Conclusions：There exists group C meningococcus in Bengbu area,with an obvious onset of seasonality;the age of the patients tends to be higher than before; susceptible population should be immunized with group A ＋ C meningococcus polysaccharide vaccine.