调整我国手足口病等两种法定传染病报告模式初探

Preliminary Study on Adjustment of Reporting Model of Two Notifiable Infectious Diseases: Hand,Foot,and Mouth Disease(HFMD) and Infectious Diarrhea

目的探讨我国手足口病和其他感染性腹泻病两种法定传染病报告的工作程序、报告内容和报告方式中存在的不足,提出改进的措施与建议,以更好地指导和服务于疾病预防控制工作实际,提高我国疾病防治工作科学决策水平。方法通过电子邮件发送调查问卷的方式,在部分省级、市级和县级疾病预防控制机构选择长期从事传染病监测工作的专业人员进行调查,在知情同意前提下独立完成调查并在一周内反馈调查问卷。结果共收集调查问卷39份。参与调查人员均认为手足口病病例定义过于宽泛,建议只报告重症、死亡和聚集性病例,病原监测以哨点医院为基础,报告实验室诊断病例。对于其他感染性腹泻建议开展哨点病原学监测,只对其中病情较为严重,预后较差的其他感染性腹泻进行网络报告。结论建议进一步明确调整手足口病、其他感染性腹泻的病例定义,加强哨点监测。

Objective To standardize the working mechanism of reporting system of notifiable infectious diseases,including hand,foot,and mouth disease（HFMD） and infectious diarrhea so as to improve the level of infectious diseases prevention and control. Methods The senior professional staff who selected from provincial,municipal,and county CDCs were surveyed via e-mail questionnaires,and the informed consent for the investigation was obtained from the participants. Results There were totally 39 participants.Most participants agreed that case definition of HFMD should definite more clearly.They suggested that only severe,death and cluster cases should be reported,pathological surveillance should base on the sentinel hospitals,and reporting should focus on severe cases. Conclusions The results suggest that the case definitions of HFMD and infectious diarrhea should further adjust and clarify,and sentinel surveillance should be strengthened.