2014年哈尔滨地区小儿轮状病毒腹泻流行特征探析

Epidemiological characteristics of infantile rotavirus diarrhea in Harbin in 2014

目的了解哈尔滨地区小儿轮状病毒(rotavivus,RV)腹泻流行病学特征。方法收集2014年全年于哈尔滨医科大学附属第一医院群力院区门诊诊治的5岁以下腹泻患儿粪便标本,进行RV检测。结果 678例腹泻患儿中男女患儿阳性检出率无明显差异。各年龄段之间RV感染患病率有所差异,不同月份发病率亦有所不同。有抗生素使用史的患儿其发热峰值、热程、腹泻次数、腹泻天数均较未使用者有所增加。结论哈尔滨地区有着特殊的RV流行趋势,应早期进行RV检测,并关注其变异规律。

Objective To explore the epidemiological characteristics of infantile rotavirus（ RV） diarrhea in Harbin. Methods The fecal specimen of the infants aged below 5 years old with diarrhea in 2014 were collected and RV detection was conducted. Results Among the678 cases,there was no difference in the positive rate. There were some differences in RV morbidity rate among different ages and the morbidity varied according to different months. Compared with those who had not taken any antibiotics,the fever peak,fever duration,highest diarrhea frequency,and diarrhea days of the sick infants who had taken antibiotics were all higher. Conclusion There are some specific months when RV is epidemic in Harbin,and RV detection should be conducted at an early stage and its variation patterns should be observed.