感染性腹泻病的流行病学监测与病原学检测的初步研究

EPIDEMIC SURVEILLANCE OF INFECTIOUS DIARRHEA DISEASE AND ITS PATHOGENIC DETECTION

本文报道了1992年6月～1993年8月期间与第一军医大学“八五”攻关课题成都片区协作研究结果。按照统一方法对驻川某部进行了定点人群流行病学监测与病原学检测,其发病率为26.28％,人均腹泻为0.27次/(人·年)。为确保监测结果可靠配合采用10d、15d法进行补充调查,其发病率为32.64％。监测点各单位发病分布相差不显著(P≥0.05);干部战士发病率分别为12.27％和29.54％,战士高于干部(P≤0.05)。此间对154例腹泻病进行粪便检测,检出致病菌株12株,阳性率为7.92％,其中志贺氏菌群11株,致病性大肠菌1株,其它病原菌尚未检出。经施予干预性措施,创建卫生营院,加强卫生宣传教育,养成良好卫生习惯,有效地降低了腹泻病的发病率。

The epidemic surveillance of infectious diarrhea disease (IDD) and its pathogenic detection had been carried cut in an army unit form June, 1S92 to August, 1993. It was found that the incidence of IDD was 26. 28% and the average diarrhea ratt was 0. 27% times/person a year. Furthermore, 10 days method and 15 days method had aiso been adopted to verify and complement the results. As a result, it was determined that the incidence of IDD in this .unit was 32. 64%. The incidences among all eight surveillance sites were not significantly different from one another(P>0. 05). The incidences of officers and soldiers were 12. 27% and 29. 54%, respectively. 154 fecal samples were tested and 12 strains of pathogenic bacteria were detected( 7. 92%). 11 strains of 12 ones belonged to Shigella and the other one was pathogenic colibacillus. No arty other bacteria was found. After the preventive programs were used, the incidence of this dieases decreased greatly.