输入性麻疹死亡病例的流行病学调查

Epidemiological Investigation on a Case of Imported Measles

目的通过对1例输入性麻疹的流行病学调查和分析,为今后麻疹防控措施的制定提供依据。方法病例核实和现场流行病学调查。结果该患儿长期随父母外出、发病后返家,采集病例血清标本麻疹Ig M阳性,咽拭子标本麻疹病毒核酸阳性,该麻疹患者未接种疹疫苗,患病后诊治、报告不及时,死于"肺炎伴呼吸衰竭"。疾控中心对当地采取了麻疹查漏补种等综合性防治措施,未发生二代病例。结论根据流行病学和实验室诊断,该病例为输入性麻疹死亡病例。

Objective To analyze a case of imported measles and to provide references for prevention and control measures.Methods Epidemiological survey and case verification method were both employed to analyze this case.Results The child patient had been away from home with parents before onset of the disease.The serum specimen collected from the patient was Ig M positive and the throat swab specimen was positive in measles virus nucleic acid.This patient had no vaccination history and the reporting and treatment was not timely,and ultimately died of pneumonia with respiratory failure.Comprehensive measures,including leak finding and re-vaccination,were adopted in local place.No secondary cases were found.Conclusion According to the epidemiological and lab diagnosis,this death case is caused by imported measles.