2010—2013年淮安市手足口病重症病例流行病学分析

Epidemiological analysis on severe cases of hand,foot and mouth disease in Huaian City from 2010-2013

目的了解淮安市手足口病重症病例流行病学特征,为减少重症病例的发生提供依据。方法根据《传染病报告信息管理系统》2010—2013年报告的手足口病重症病例个案资料,采用描述流行病学方法进行分析。结果 2010—2013年淮安市共报告手足口病重症病例319例,死亡6例;重症病例中≤3岁儿童占94.67%,男性发病率为24.63%,女性为12.90%;散居儿童占87.15%。在时间分布上形成5—7和9—10月2个高峰。78.06%的重症病例发生在盱眙县;EV71感染的重症病例占73.95%。结论该市手足口病重症病例主要集中在≤3岁儿童,男性多于女性,以散居儿童为主,地区差异明显手足口病的防制应观注重症病例,以降低病死率。

[Objective] To explore the epidemiological features on severe cases of hand, foot and mouth disease （HFMD） in Huaian City, provide the basis for reducing the severe cases. [Methods] The data of severe HFMD cases reported by the Infectious disease report management information system from 2010-2013 were analyzed by the descriptive epidemiological method. [Results] Totally 319 server cases of HFMD were reported in Huaian City from 2010-2013, and 6 cases were dead. 94.67% of server cases were children under three years old. The incidence rate in males and females was 24.63% and 12.90% respectively. Scattered children accounted for 87.15%. The peak seasons appeared May to July and September to October. 78.06% of server cases were reported in Xuyi County. Most of patients were infected by EV71, accounting for 73.95%.[ Conclusion] The server cases of HFMD are mainly children under three years old. The male patients are more than females, and most of cases are scattered children. There is significant regional difference. The prevention and control HFMD should pay more attention to severe cases to reduce the fatality rate.