福建省1998～2001年麻疹实验室监测结果分析

Analysis of Laboratory Surveillance Results of Measles in 1998～2001 in Fujian Province.

福建省 1998～ 2 0 0 1年共报告麻疹疑似病例 2 95 1例 ,采集血清标本 5 16例 ,标本采集率 17 4 9% ,标本合格率、及时送达率、结果及时反馈率分别为 4 0 89%、5 0 39%、6 8 0 2 %。麻疹监测系统以监测麻疹爆发病例为主 ,1998～ 2 0 0 1年共监测麻疹爆发 2 8起 ,370例疑似麻疹病例。病例年龄 5～ 15岁 ,分布在人口流动性大的沿海地区 ,3～ 5月为发病高峰。 2 8起爆发中 ,有 10起经实验室确诊为麻疹爆发 ,5起为风疹爆发 ,6起为麻疹、风疹同时爆发 ,7起未确诊。 5 16例标本检测结果表明 ,出疹后 8～ 14d采集的标本 ,阳性检出率最高。结果提示 :要进一步健全麻疹监测系统 ,加强流行病学医师与实验室技术人员的合作 ,加强实验室质量控制及其它出疹性疾病的监测。

In 1998～2001 in Fujian Province,a total of 2951 suspected measles cases were reported and 516 serum samples were collected,the collecting rate was 17.4%.The qualified rate and the timely delivered rate of serum samples were 40.89% and 50.39% respectively,the timely feed-bach rate of laboratory results was 68.02%.During 1998～2001,28 measles outbreaks had occurred,370 suspected measles cases were included.Their age was between 5～15 years old,distributing in coastal area where floating population stisted. The disease peak was from March.to May.10 of the 28 measles outbreaks were confirmed as measles,5 of the 28 were rubella,6 of the 28 were both measles and rubella,and the other 7 outbreaks were unidentified. Testing of 516 serum samples indicated that the highest measles positive detection rate was from the serum samples collected at 8-14 days after rash appearance.Through analysis,we suggest several points that should be given attention to.That are to perfect the measles surveillance,to improve the cooperation between doctors and laboratory technical workers,to strengthen the laboratory quality control and to monitor the other rash illness.