沈阳市麻疹监测系统的运转情况分析

Analysis on the performance of measles Surveillance System in Shenyang

目的分析沈阳市2015年—2016年麻疹监测系统运转情况,为提高麻疹监测质量、消除麻疹提供科学依据。方法利用描述流行病学方法对沈阳市麻疹监测指标进行统计分析。结果沈阳市2015年—2016年累计报告麻疹、风疹疑似病例1 304例,确诊麻疹163例,确诊风疹390例,排除病例751例;排除麻疹风疹病例报告发病率分别为3.22/10万、5.40/10万;病例48 h内完整调查率分别是99.59%和98.89%;监测病例血标本采集率分别是93.47%和85.38%。血标本采集后3 d内送达率分别是95.13%和95.62%;实验室收到标本后麻疹风疹Ig M检测结果 4 d内报告率分别是99.78%和99.41%。结论应继续提高麻疹监测系统的特异性和监测质量,以适应消除麻疹的需要。

Objective To strengthen the surveillance on measles and provide the basis for measles elimination, we evaluated the running status of Measles Surveillance System （MSS） of Shenyang from 2015 to 2016.Methods The descriptive epidemiological method was used to analysis the operation condition of MSS in Shenyang.Results Totally 1304 suspected measles and rubella cases were reported through MSS in 2015-2016,of which 163 were classified as measles cases,390 were classified as rubella cases,751 were discarded cases.In 2015-2016,reported incidence of discarded measles and rubella case were 3.22/100000 and 5.40/100000;Proportions of suspected cases investigated within 48 hours of report were 99.59% and 98.89%, Proportions of suspected cases with adequate serum specimen were 93.47% and 85.38% ,Percentages of serum specimen witch delivered to laboratory within 3 days were 95.13% and 95.62% ;Percentages of serum specimen with laboratory results repoted within 4 days were 99.78% and 99.41%. Conclusions We should increase the specificity and quality of MSS so as to support measles elimination.