153例儿童麻疹流行病学分析

EPIDEMIOLOGICAL ANALYSIS OF 153 CASES OF MEASLES IN CHILDREN

目的探讨中山市儿童麻疹的流行病学特点,为制定防治对策提供科学依据。方法通过国家法定传染病大疫情报告系统收集麻疹疫情资料,回顾性分析中山市妇幼保健院2013年收治的153例儿童麻疹的流行病学和临床资料,对发病时间、地区分布、疫苗接种情况、接触史、临床特点进行统计学分析。结果麻疹夏季病例明显增多,无免疫史、免疫史不详和不到接种年龄发病占总病例89.55%,发病前7~21天去过医院的患儿占总病例56.9%,麻疹患儿在性别上男孩显著多于女孩。结论人群免疫空白、不典型病例增多导致传染源控制难度增大是儿童麻疹高发的主要原因。

Objective To explore the epidemiological characteristics of children measles in Zhongshan city,provide the scientific basis for making the strategy to prevent and treat measle. Methods The measles case data were collected from the National notifiable disease reporting system,retrospectively analyzed the epidemiological characteristics and clinical characteristics of 153 case of children measles in MCH Hospital of Zhongshan City in 2013. Statistically analyze the time of diseas occurrence,district contribution,bacterin inoculation status,contact history and clinical characteristics. Results The incidence of measles obviously increased in the summer,while the cases without immunization history within inoculation age or with unknown immunization history accounted for 89. 55%,the cases 7 ~21 days before the onset have been to the hospital accounted for 56. 9% of the total cases,boys were significantly more than girls. Conclusion The main cause of high incidence rate of child measles in these years is the lack of adequate immunization for appropriate age groups in the area and atypical clinical manifestations of measles cases increased.