常州市金坛区托幼机构手足口病影响因素的流行病学调查

An epidemiological investigation on the influencing factors of hand-foot-and-mouth disease in nurseries and kindergartens in Jintan District,Changzhou City

目的探讨儿童手足口病发生的影响因素,为有效预防和控制儿童手足口病的发生提供科学依据。方法根据《中国疾病预防控制信息系统》,选取辖区2015年全年托幼机构临床诊断为手足口病的病例作为病例组,同时根据病例组选取托幼机构年龄相差1岁以内、无手足口病症状和体征的幼儿作为对照组,进行1∶1配对,对手足口病患病影响因素进行单因素与多因素条件Logistic回归分析。结果单因素分析显示,早产儿、家庭去年人均年收入、看护人受教育水平、家庭住房面积、接受过手足口病防治知识相关健康教育、7天内孩子接触过手足口病患者、孩子经常吮吸手指、发病前7天因其他疾病就诊、幼儿园对教室进行消毒、幼儿园对厕所进行消毒、幼儿园教室通风状况、幼儿园儿童午休室通风状况为手足口病发病的影响因素(均有P<0.05)。结论手足口病患者的隔离,良好的居住环境、个人良好的卫生习惯对于控制手足口病的传播意义重大。

Objective To probe into the influencing factors of children hand-foot-and-mouth disease （HFMD） and provide scientific proofs to the prevention and control.Methods We selected HFMD cases from the nurseries and kindergartens in the precinct through the year of 2015 and chose healthy subjects with age difference less than one year for 1 ∶ 1 match as control group based on China information system for disease control and prevention.Regression analyze was performed to analyze the influencing factors.Results Single-factor analysis showed that 12 items were associated with HFMD including the premature infants,the household annual per capita income of last year,the education background of children keeper,house area,whether having any knowledge of HFMD prevention,whether the children have contact with the HFMD patients seven days ago,whether the kids tend to suck the fingers,whether the patients go to the hospital due to other diseases seven days prior to the HFMD,whether the classroom is sterilized,whether the toilet is sterilized,the ventilation condition of classroom,the ventilation condition of children nap room （all P 〈 0.05）.Conclusions HFMD patients＇ isolation,good living surroundings and personal decent hygiene are all significant to prevent and control HFMD spreading.