综合性医院2010—2014年法定传染病报告疫情分析

Epidemiologic analysis of notifiable infectious diseases in a general hospital from 2010 to 2014

目的分析某三级综合性医院法定传染病疫情报告情况,为制定医院传染病防治策略提供依据。方法对某三级综合性医院2010—2014年法定传染病报告资料进行统计分析。结果2010—2014年,该院法定传染病报告率为222.83/10万,不同年份间传染病报告率差异有统计学意义(P<0.01)。报告病例中,男性多于女性,<14岁年龄组报告病例比率最高(52.78%);散居儿童和农民是发病的重点人群;全院各科室均有报告,儿科居首位(42.11%)。传染病传播途径以肠道传染病(56.01%)为主,其次为血液及性传播疾病(33.16%);发病居前6位的传染病是手足口病、梅毒、感染性腹泻、肺结核、病毒性肝炎和淋病。结论肠道传染病和血液及性传播疾病是传染病防治工作和医院感染预防控制的重点,需要加强对散居儿童、幼托儿童和农民等重点人群的传染病防控工作。

Objective To analyze the reporting situation of notifiable infectious diseases in a general hospital and provide the basis for taking the measures to prevent infectious diseases. Methods Epidemic data of notifiable infectious diseases reported by a general hospital from the year 2010 to 2014 were analyzed. Results The rate of notifiable infectious diseases reported from the year 2010 to 2014 was 222. 83/100,000, which was statistically different among the different years （P〈0. 01）. In the reported cases, male cases were more than female,and the largest proportion of the reported cases was children under the age of 14 years old（52. 78%）. Scattered children and farmers were the major populations infected. Among all departments of hospital, the most cases（42. 11%） were reported from the department of pediatrics. The main routes of infection were intestinal infection（56.01%） and blood and sex（33. 16%）. The top 6 infectious diseases were hand-foot-mouth disease, syphilis, infectious diarrhea, tuberculosis, viral hepatitis and gonorrhea Conclusion Intestinal infectious diseases, blood home diseases and sexually＇transmitted diseases are the key points in the prevention and control of the infectious diseases. More attention should be paid to the.scattered children, preschool children and farmers in taking the measures to prevent infectious diseases.