某市中小学生胃肠道症状监测与感染性腹泻发病的相关性
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摘要
目的了解陕西省某市学生胃肠道症状监测结果与感染性腹泻发病的相互关系,为学校胃肠道传染病疫情的早期预警提供参考依据。方法于某市学校症状监测系统中收集2015-2016学年和2016-2017学年因胃肠道症状缺勤的全部学生个案信息,采用Spearman相关分析法探讨中小学生因胃肠道症状缺勤与感染性腹泻发病间的相关性。结果70所中小学校共报告因胃肠道症状缺勤2 858人次,其中小学生占72. 71%(2 078/2 858)。小学生缺勤症状以腹泻为主,占45. 48%(945/2 078);初中生和高中生缺勤症状均以腹痛为主,分别占61. 23%(338/552)和50. 00%(114/228)。2015-2017年4个学期中小学生因胃肠道症状缺勤与其适龄人群感染性腹泻发病在"本周"的相关系数rs=-0. 556、-0. 131、-0. 569、0. 607,相应P <0. 05、> 0. 05、<0. 05、<0. 05;与中小学生适龄人群感染性腹泻发病在"本周"的相关系数rs=0. 105、-0. 428、-0. 608、0. 510,相应P> 0. 05、> 0. 05、<0. 05、<0. 05。结论小学生胃肠道症状的发生可以预测预警其适龄人群及中小学生适龄人群感染性腹泻发病的波动,但具体的预测预警效能仍需进一步探索。
Objective To get an insight into the relationship between the results of school-based gastrointestinal symptoms surveillance and the incidence of infectious diarrhea in a city in Shaanxi Province,and to provide a reference for early warning of gastrointestinal infectious diseases outbreaks in schools. Methods Surveillance information of all the students who were absent for gastrointestinal symptoms was collected from the school symptom monitoring information system in the 2015-2016 school year and the 2016-2017 school year. Spearman correlation analysis was used to investigate the correlation between gastrointestinal symptoms and diarrhea in primary and secondary school students. Results A total of 2 858 cases of absence due to gastrointestinal symptoms were reported in 70 primary and secondary schools,among which 72. 71%(2 078/2 858) were pupils. Diarrhea was the main symptom led to primary school absence,accounting for 45. 48%(945/2 078). The main symptoms of the absent junior high school students and high school students were abdominal pain,accounting for 61. 23%(338/552) and 50. 00%(114/228) respectively. The incidence of infectious diarrhea in the school-age population had the correlation with the absence due to gastrointestinal symptoms in primary and secondary school students in the four semesters from 2015 to 2017 during "this week"(rs=-0. 556,-0. 131,-0. 569,0. 607,corresponding P < 0. 05, > 0. 05, < 0. 05,and < 0. 05). The correlation coefficients rs= 0. 105,-0. 428,-0. 608,0. 510 respectively for the incidence of infectious diarrhea in the school-age population of primary and secondary school students during"this week"(corresponding P > 0. 05, > 0. 05, < 0. 05,and < 0. 05). Conclusion The occurrence of gastrointestinal symptoms in primary school students can be used to predict among the age-appropriate population and the fluctuation of infectious diarrhea in the age-appropriate population of primary and secondary school students. What's more,the specific predictive and early warning efficacy still needs further exploration.
Objective To get an insight into the relationship between the results of school-based gastrointestinal symptoms surveillance and the incidence of infectious diarrhea in a city in Shaanxi Province,and to provide a reference for early warning of gastrointestinal infectious diseases outbreaks in schools. Methods Surveillance information of all the students who were absent for gastrointestinal symptoms was collected from the school symptom monitoring information system in the 2015-2016 school year and the 2016-2017 school year. Spearman correlation analysis was used to investigate the correlation between gastrointestinal symptoms and diarrhea in primary and secondary school students. Results A total of 2 858 cases of absence due to gastrointestinal symptoms were reported in 70 primary and secondary schools,among which 72. 71%(2 078/2 858) were pupils. Diarrhea was the main symptom led to primary school absence,accounting for 45. 48%(945/2 078). The main symptoms of the absent junior high school students and high school students were abdominal pain,accounting for 61. 23%(338/552) and 50. 00%(114/228) respectively. The incidence of infectious diarrhea in the school-age population had the correlation with the absence due to gastrointestinal symptoms in primary and secondary school students in the four semesters from 2015 to 2017 during "this week"(rs=-0. 556,-0. 131,-0. 569,0. 607,corresponding P < 0. 05, > 0. 05, < 0. 05,and < 0. 05). The correlation coefficients rs= 0. 105,-0. 428,-0. 608,0. 510 respectively for the incidence of infectious diarrhea in the school-age population of primary and secondary school students during"this week"(corresponding P > 0. 05, > 0. 05, < 0. 05,and < 0. 05). Conclusion The occurrence of gastrointestinal symptoms in primary school students can be used to predict among the age-appropriate population and the fluctuation of infectious diarrhea in the age-appropriate population of primary and secondary school students. What's more,the specific predictive and early warning efficacy still needs further exploration.
引文
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[11]朱冬梅,蒋文,方新立. 2015年周口市中心城区托幼机构及中小学校传染病管理工作状况调查[J].预防医学论坛,2017,23(7):502-504.
[12]王春娟,张辉,刘继锋,等.某市突发公共卫生事件流行病学特征及应急处置效果分析[J].现代预防医学,2017,44(14):2632-2635.
[13]尤诚成,徐超,缪国忠,等.江苏省江阴市2015-2016学年学生因病缺课情况分析[J].医学动物防制,2018,34(5):445-447,451.
[14]杨绍基,李兰娟,任红,等.传染病学[M]. 8版.北京:人民卫生出版社,2015:48,182.
[15]徐红梅,王静,朱渭萍,等.上海市浦东新区中小学校传染病防治现状及影响因素分析[J].中华疾病控制杂志,2017,21(9):874-878.
[16]何懿,冯玮,陈涛,等.学校缺勤缺课监测对于水痘监测的作用[J].中国预防医学杂志,2011,12(11):973-976.
[2]周珂,丁以标,柏品清,等. 2014学年浦东新区中小学因病缺课监测情况分析[J].实用预防医学,2017,24(5):605-609.
[3]冯圆圆,徐金水,王蓓,等.无锡新区缺课与传染病监测系统学生水痘病例报告比较[J].中国学校卫生,2018,39(6):860-862,866.
[4]童继春.学生因病缺课症状监测系统在传染病防控中的应用[J].浙江医学教育,2017,16(1):60-63.
[5] BUEHLER JW,HOPKINS RS,OVERHAGE JM,et al. Framework for evaluating public health surveillance systems for early detection of outbreaks:recommendations from the CDC Working Group[J]. MMWR Recomm Rep,2004,53(RR-5):1-11
[6]张松杰,李骏,马倩倩,等.西安市2015年学生传染病症状监测结果分析[J].中国学校卫生,2017,38(3):465-468.
[7]田靓,朱仁义,袁政安,等.上海托幼机构幼儿症状监测结果与传染病发病的相关性[J].中国学校卫生,2015,36(4):563-566.
[8]池红,郑霞,刘辉.南京市白下区中小学生因病缺课及学校突发公共卫生事件分析[J].中国学校卫生,2009,30(11):1034-1035.
[9]沈亮,方芳芳,王洁.农村地区学校传染病症状监测结果分析[J].中国农村卫生事业管理,2017,37(8):935-937.
[10]王静,王远萍,叶楚楚,等.上海市浦东新区幼托机构缺课缺勤症状监测系统预警效果评价[J].疾病监测,2017,32(12):966-969.
[11]朱冬梅,蒋文,方新立. 2015年周口市中心城区托幼机构及中小学校传染病管理工作状况调查[J].预防医学论坛,2017,23(7):502-504.
[12]王春娟,张辉,刘继锋,等.某市突发公共卫生事件流行病学特征及应急处置效果分析[J].现代预防医学,2017,44(14):2632-2635.
[13]尤诚成,徐超,缪国忠,等.江苏省江阴市2015-2016学年学生因病缺课情况分析[J].医学动物防制,2018,34(5):445-447,451.
[14]杨绍基,李兰娟,任红,等.传染病学[M]. 8版.北京:人民卫生出版社,2015:48,182.
[15]徐红梅,王静,朱渭萍,等.上海市浦东新区中小学校传染病防治现状及影响因素分析[J].中华疾病控制杂志,2017,21(9):874-878.
[16]何懿,冯玮,陈涛,等.学校缺勤缺课监测对于水痘监测的作用[J].中国预防医学杂志,2011,12(11):973-976.