2012-2016年洛阳市输入性疟疾病例早期发现的影响因素分析

Analysis of factors for early reporting of imported malaria cases

2012-2016年洛阳市共报告输入性疟疾159例,以恶性疟居多,占76.1%(121/159)。输入性疟疾病例从发病到确诊时间平均为(4.07±6.74)d,首次就诊单位为各级医疗机构的占38.4%(61/159),病例确诊单位为疾控中心的占66.7%(106/159),出现临床症状后自行前往医疗卫生机构就诊的患者占64.8%(103/159)。单因素分析显示,出国方式、有无疟史、输入地、首次就诊单位、病例发现方式和本次发病性质是输入性病例早发现的影响因素;多因素分析显示,输入地、首次就诊单位和病例发现方式是输入性病例早发现的影响因素。

From 2012 to 2016, a total of 159 imported malaria cases were reported, predominated by falciparum malaria （76.1%, 121/159）. The average time interval from disease onset to diagnosis was 4.07±6.74 days. Sixty-one cases （38.4%） first visited medical units, while 66.7% （106/159） were diagnosed in CDCs, and 64.8% （103/159） visited hospitals after disease onset. Univariate analysis identified the way of going abroad, a history of malaria, the origin of imported malaria, medical unit of first visit, the way of case-finding, and malaria onset typeas factors for early reporting of malaria. Multivariate analysis identified the place origin of imported malaria, medical unit of first visit, the way of case-finding as factors for early reporting of malaria.