福州市2014年手足口病流行特征及重症病例危险因素分析

Epidemiology characteristics and risk factors of the serious cases of HFMD in Fuzhou City(2014)

目的探讨福州市手足口病流行病学特征及重症病例影响因素,为完善防控措施提供依据。方法用描述流行病学分析方法,分析福州市2014年手足口病流行特征,用logistic回归分析探讨重症病例的影响因素。结果2014年福州市手足口病发病率316.27/10万,男性发病率（378.69/10万）高于女性（251.59/10万）;发病以散居儿童为主（78.6%）,≤5岁儿童好发（91.4%）;发病主要在4~6月和9~10月;感染主要为EV71型（31.8%）、CoxA16型（27.6%）和CoxA6型（24.8%）;发病率前3位是仓山区、永泰县和晋安区。重症病例的危险因素是男性、延迟就医和EV71型感染。结论建议加强肠道病毒监测;加强社区、托幼机构和小学的手足口病健康教育和促进工作,进一步完善防控措施。

Objective To explore the epidemiological characteristics and risk factors of serious cases of HFMD in Fuzhou for the disease control and prevention.Methods The epidemiological characteristics of HFMD（2014） were analyzed by descriptive epidemiological method and the risk factors of severe cases were selected and analyzed by logistic regression analysis.Results The incidence rate of HMFD was 316.27/10^5 in Fuzhou.The HFMD incidence of male（378.69/10^5）was higher than that of female（251.59/10^5）.Most cases of HFMD were in children（78.6%）.The largest number of cases was under five years old（91.4%）.The cases concentrated mainly from April to June and form September to October.The main virus types were EV71（31.8%）,CoxA16（27.6%）and CoxA6（24.8%）.The incidences of the top three areas was Cangshan District,Yongtai County and Jinan District.The risk factors of serious case were male,seeing the doctor delay and type EV71 infection.Conclusion The surveillance of enteric viruses,HFMD health education and promotion in community,kindergartens and primary school should be strengthen for the disease in the future.