2015-2017年金华市输入性疟疾流行特征分析
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摘要
2015-2017年金华市共报告输入性疟疾病例179例,其中恶性疟149例、间日疟13例、卵形疟11例、三日疟3例、混合感染3例,均为境外输入性病例,感染来源地以撒哈拉以南非洲国家为主。9个县(市、区)均有病例报告,其中义乌市最多,为105例(占58.7%)。病例以青壮年男性为主,职业以商业服务和境外务工人员为主。约50%病例在国外期间曾罹患疟疾,但仅1/3接受过规范治疗。临床分型以普通病例为主,重症病例仅10例,经规范治疗均痊愈。病例初诊误诊率为32.4%(58/179),乡镇卫生院/社区卫生服务中心、个体门诊/村医务室误诊率较高,分别为61.5%(8/13)、 97.1%(34/35)。病例发病鄄初诊、初诊鄄确诊、发病鄄确诊、确诊鄄服药等时间间隔中位数为1、 1、 3和0 d。
A total of 179 imported malaria cases were reported in Jinhua City during 2015-2017,comprising 149 falciparum malaria cases, 13 vivax malaria cases, 11 ovale malaria cases, 3 quartan malaria cases and 3 mixed infections. The place of infection source was predominated by Sub-Saharan African countries. Cases distributed in all the 9 counties/districts of the city, of which Yiwu ranked top in the number of cases(105,58.7%). The cases were mostly young males, working mainly in commercial services and as migrant workers. About half of the cases had been infected by malaria during their stay abroad, but only one third of them received standard treatments. Clinically, most of the cases were stable, only 10 showed severe conditions. All recovered after standard treatment. The initial misdiagnosis rate was 32.40%(58/179), which was higher in township health centers(61.5%, 8/13) and private clinics(97.1%, 34/35). The median intervals from onset to primary diagnosis, primary diagnosis to confirmation, onset to confirmation, and confirmation to medication were 1, 1, 3 and 0 days, respectively.
A total of 179 imported malaria cases were reported in Jinhua City during 2015-2017,comprising 149 falciparum malaria cases, 13 vivax malaria cases, 11 ovale malaria cases, 3 quartan malaria cases and 3 mixed infections. The place of infection source was predominated by Sub-Saharan African countries. Cases distributed in all the 9 counties/districts of the city, of which Yiwu ranked top in the number of cases(105,58.7%). The cases were mostly young males, working mainly in commercial services and as migrant workers. About half of the cases had been infected by malaria during their stay abroad, but only one third of them received standard treatments. Clinically, most of the cases were stable, only 10 showed severe conditions. All recovered after standard treatment. The initial misdiagnosis rate was 32.40%(58/179), which was higher in township health centers(61.5%, 8/13) and private clinics(97.1%, 34/35). The median intervals from onset to primary diagnosis, primary diagnosis to confirmation, onset to confirmation, and confirmation to medication were 1, 1, 3 and 0 days, respectively.
引文
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[5]李黎,刘阳,许国君,等.四川省2015年输入性疟疾流行病学特征分析[J].中国寄生虫学与寄生虫病杂志,2017,35(1):75-79.
[6]蒋旭华,黄玉仙,凌云,等.上海市输入性疟疾临床流行病学特征分析[J].中国寄生虫学与寄生虫病杂志,2017,35(2):150-155.
[7]安兴贵,马元芹,张林林.泰安市岱岳区2008-2016年输入性疟疾流行病学分析[J].中国寄生虫学与寄生虫病杂志,2017,35(4):415-416.
[8]余大为,冯宇,李凡,等.甘肃省2013-2015年输入性疟疾疫情分析[J].中国寄生虫学与寄生虫病杂志,2017,35(2):156-159.
[9]曹彦强,庞志钊,李云,等.2012-2015年石家庄市境外输入性疟疾疫情分析及防控对策探讨[J].中国血吸虫病防治杂志,2017,29(4):486-489.
[10]徐玉慧,高扬,左引萍,等.2012-2013年扬州市输入性疟疾防治管理效果评估[J].中国血吸虫病防治杂志,2015,27(6):625-627.
[11]雷蕾,夏志贵,李志宏,等.2012-2015年江西省输入性疟疾病例诊断和报告情况分析[J].中国寄生虫学与寄生虫病杂志,2017,35(1):80-84.
[12]朱鑫,张芸芸,杨治国,等.2012-2016年洛阳市输入性疟疾病例早期发现的影响因素分析[J].中国寄生虫学与寄生虫病杂志,2017,35(6):603-606.
[13]庞志峰,楼挺,吴晓虹,等.金华市2004-2014年输入性登革热病例流行特征研究[J].中国预防医学杂志,2016,17(4):285-287.