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2015-2016年菏泽市流行性乙型脑炎病例监测

Encephalitis B cases in Heze City From 2015 to 2016
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摘要 目的对2015—2016年菏泽市流行性乙型脑炎(简称乙脑)疫情监测情况进行分析研究,初步评价该市乙脑诊治和防控工作进展,为乙脑诊治和防控工作提供科学依据。方法根据2015—2016年菏泽市乙脑专病管理系统资料、流行病学个案调查资料和实验室诊断资料进行分析研究。结果2015—2016年菏泽市共报告乙脑诊断病例15例,发病率分别为0.021/10万、0.138/10万,2016年比2015年发病明显上升。15例乙脑病例分布在7县区15个乡镇(办事处)的15个行政村(社区),高度散发。病例及时调查率和及时随访率皆为100.00%;标本总采集率为93.33%,标本IgM总阳性率为100.00%,其中脑脊液标本采集率为73.33%,阳性率为100.00%,血清标本采集率为93.33%,阳性率为100.00%;病例实验室确诊率为93.33%。结论该市乙脑诊治和防控工作仍有不足之处。建议仍应加强乙脑监测和乙脑疫苗接种工作,乙脑诊治和防控工作仍需努力。 Objective To analysis the surveillance situation of epidemic encephalitis B from 2015 to 2016 in Heze city. Preliminary evaluating the work progress of treatment and control of epidemic encephalitis B of Heze city. Providing scientific basis for treatment and control of Epidemic encephalitis B. Methods The date for analysis was based on epidemic encephalitis B management system in Heze city during 2015 to 2016, epidemiological case study and laboratory diagnosis. Results Total of 15 epidemic encephalitis B cases was reported to 2016. The incidence of epidemic encephalitis B from 2015 to 2016 was 0. 021/10^5, 0. 138/10^5 during 2015 respectively and showed creasing trend. 15 epidemic encephalitis B cases were distributed in 15 administrative villages of 15 towns among 7 counties in Heze city, and was highly distributed state. The case timely investigation rate and timely follow-up rate were both 100% ; The collected rate of eerebrospinal fluid specimens and IgM positive rate of eerebrospinal fluid was 73.33%, 100. 00% positively; the collected rate of serum samples and IgM positive rate of serum was 93.33 %, 100. 00% positively ; laboratory diagnosis rate was 93.33 %. Conclusion Work of treatment and control of epidemic encephalitis B of Heze city still has shortcomings. Vaccination and monitoring of epidemic encephalitis B still should be strengthened and efforts are still needed for treatment and control of epidemic encephalitis B.
作者 张复臣 马翠荣 韩芳 ZHANG Fuchen 1, MA Cuirong 2, HAN Fang 1(1 Heze City Center for Disease Control and Prevention, Heze 274010, Shandong Province, China.; 2 Heze Second People's Hospital, Heze 274000, Shandong Province, China.)
出处 《预防医学情报杂志》 CAS 2018年第5期626-630,共5页 Journal of Preventive Medicine Information
关键词 流行性乙型脑炎 监测 诊治 防控 epidemic encephalitis B surveillance treatment prevention and control
作者简介 张复臣(1967-),男,本科,副主任医师,免疫规划
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