2011-2013年滦县手足口病病原学检测结果分析

Pathogen Detection of Hand-foot-mouth Disease in Luanxian County,2011-2013

目的分析2011-2013年滦县手足口病流行病学特征及病原学检测结果,查找影响流行的主要因素及病原学检测与疾病临床特征之间关系,为降低疾病发病率、减少重症病例提供科学依据。方法提取滦县疾病预防控制中心2011-2013年《中国疾病监测信息报告系统》中手足口病报告病例资料及病原检测资料,采用描述流行病学、分析流行病学方法进行统计分析。结果 2011-2013年滦县疾病预防控制中心共接报手足口病病例1 067例,年均发病率分别为69.57/10万、93.78/10万和33.09/10万。不同病例类型病例病原检测存在统计学差异,重症病例中,EV71感染为主要病毒型。结论 2011-2013年滦县手足口病例病原学检测结果存在统计学差异,EV71病毒感染易导致重症病例,是防治手足口病重症病例的关键因素,在综合防治手足口病同时应加强病原学检测。

Objective To analyze the epidemiological characteristics of hand - foot - mouth disease （HFMD） and the pathogen detection results in Luanxian county in 2011 -2013 and identify the associated factors to pathogen and clinical features. Thus, to provide references for lowering the incidence and reduce the number of severe cases. Methods The report data of HFMD cases and pathogen detection data in Chinese Disease Sur- veillance Information Reporting System within 2011 -2013 were collected and were statistically analyzed with descriptive epidemiological method and analytic epidemiology method. Results Altogether 1067 HFMD cases were reported during 2011 -2013 in Luanxina county, with the annual incidence of 69.57/10^5 , 93.78/10^5 and 33.09/10^5, respectively. Statistical differences of pathogen proportion were found in different types of HFMD cases. EV71 infection more likely cause severe cases. Conclusion During the period in Luanxian county, the pathogen detection results exhibited statistical differences and EV71 are more likely to cause severe cases, which thus is the key factor in HFMD prevention and control. More strengthened pathogen detection isexpected as an auxiliary mean in comprehensive prevention and control measures against HFMD.