厦门市手足口病重型病例地区差异原因分析

Analysis on regional differences of severe cases of hand-foot-mouth disease in Xiamen city

目的分析2010年厦门市手足口病重症和死亡病例(重型病例)地区差异原因。方法对36例手足口病重型病例进行流行病学调查,并收集同期厦门市各医疗机构报告的2 396例手足口病病例资料,进行对比分析,探讨影响本市手足口病重型病例地区差异原因。结果重型病例的"发病―诊断"间隔天数长于普通病例;重型病例较多的地区,患者初诊多为市级以下的医疗机构。结论影响厦门市手足口病重型病例地区差异的原因,值得引起注意和深入研究。

ObjectiveTo analyze the reason of regional differences of severe or death hand-foot-mouth disease（HFMD） cases in Xiamen city in 2010.MethodsTotally 36 severe or death HFMD cases were investigated by epidemiological method and compared to 2 396 HFMD cases reported from medical institutions for exploring the reason of HFMD regional differences.ResultsThe interval from onset to diagnosis by hospitals of severe or death HFMD cases was longer than that of common cases.The cases in the area with more severe or death HFMD cases were more likely to go the hospitals at lower-level.ConclusionThe reason influencing regional differences of severe or death HFMD cases should be studied and concerned about in the feature.