2014年济南市市中区手足口病流行病学和病原学特征分析

Analysis of epidemiology and etiology characteristics on hand,food and mouth disease in Shizhong District,City of Jinan

目的 了解济南市市中区手足口病流行病学特征和病原学特点,为下一步的工作提供科学参考。方法 应用描述流行病学方法对2014年济南市市中区手足口病疫情和病原学信息进行分析。结果 2014年市中区手足口病确诊病例数1 652例,发病率为228.2/10万,男女比例为1.33：1,分析差异有统计学意义（χ^2=22.914,P=0.000）。发病儿童以≤5岁儿童为主1 494例（90.44%）,以散居儿童934例（56.54%）和托幼儿童634例（38.38%）为主。病例的多发社区主要集中在城乡结合处（47.27%）。发病高峰集中在5~9月份。病原体以Cox A16（42例,47.2%）为主。结论 济南市市中区手足口病疫情比较严重,在以后的工作中需要加大宣传教育力度,尽早控制和处置聚集性疫情是预防和控制手足口病疫情的重要举措。

Objective To analysis epidemiology and etiology characteristics of hand, foot, and mouth disease （HFMD） in Shizhong and to provide a scientific reference for the further HFMD prevention work. Methods Descriptive epidemiology was applied to analysis epidemiology and etiology characteristics on HFMD in 2014 in Shizhong. Results In total, 1 652 cases were reported in Shizhong in 2014. The incidence was 228.2/100 000. The ratio of male and female cases was 1.33：1 and the incidence among male was significantly higher than that among female, （ χ^2=22.914, P=0.000）. There were 1494 cases involving children under 5 years old, accounting for 90.44% of all cases. Most of the cases involved 934 children （56.54%） residing separately from parents and 634 （38.38%） children in kindergarten. 47.27% of all the cases were occurred in urban-rural fringe area. May to September was the peak period. CoxA16 （42 cases, 47.20%） was the predominant virus. Conclusion There were serious outbreaks of HFMD in Shizhong. Continued education, earlier control and treatment on outbreak of clustering are imoortant in further work of HFMD control.