2012～2017年中缅边境某综合医院传染病报告分析
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摘要
目的分析中缅边境保山市某综合医院传染病报告现状及流行病学特征,以期为边境传染病的防治提供依据。方法采用描述性流行病学方法分析,分析保山市中缅边境某综合医院报告的传染病病例资料。结果 2012～2017年中缅边境保山市某二级综合医院共报告法定传染病29种,共7 581例,其中乙类传染病16种(4 087例、53.91%),丙类传染病8种(2 581例、34.05%)。患者年龄以0～岁组最多(2 777例、占36.63%);职业以农民最多(4 000例、占52.76%)。保山市病例最多(6 977例、占92.03%),其次为外籍(228例、占3.01%)。5、6月报告最多(1 593例、占21.01%)。传播途径以肠道传染病为主(3 300例、占43.53%),其次为血源性传染病(2 842例、占37.49%)。病例报告数居前5位病种分别为手足口病(2 438例、32.16%)、丙肝(1 208例、15.93%)、肺结核(733例、9.67%)、梅毒(579例、7.64%)、水痘(572例、7.55%)。结论手足口病、丙肝和肺结核为保山市中缅边境的主要传染病,外籍病例99.56%来自缅甸。
Objective To analyze the current status and epidemiological characteristics of infectious diseases reporting in a general hospital on the China-Myanmar border,so as to provide scientific evidences for the prevention and treatment of infectious diseases in border area. Methods Descriptive epidemiological method was used to analyze the data of infectious disease cases reported by a general hospital near the China-Myanmar border in Baoshan city. Results A total of 29 notifiable infectious diseases with 7 581 cases were reported during 2012-2017,including 16 Class B infectious diseases(4 087 cases,53.91%) and 8 Class C infectious diseases(2 581 cases,34.05%).The cases concentrated in the age group of 0-1 year old(2 777 cases,36.63%),and 52.76%(4 000 cases)were farmers.The highest number of cases were from Baoshan city(92.03%,6 977 cases),followed by foreign nationality(3.01%,228 cases).The peak of case reporting was May-June(1 593 cases,21.01%).Intestinal infectious diseases had the highest number of cases(3 300 cases,43.53%),followed by blood sources and sexually transmitted infectious diseases(2 842 cases,37.49%).The top 5 infectious diseases were hand,foot and mouth disease(2 438 cases,34.16%),hepatitis C(1 208 cases,15.93%),tuberculosis(733 cases,9.67%),syphilis(579 cases,7.64%),and varicella(572 cases,7.55%). Conclusion Hand,foot and mouth disease,hepatitis C and tuberculosis are the major infectious diseases in Baoshan city near the China-Myanmar border,and 99.56% of foreign cases are from Myanmar.
Objective To analyze the current status and epidemiological characteristics of infectious diseases reporting in a general hospital on the China-Myanmar border,so as to provide scientific evidences for the prevention and treatment of infectious diseases in border area. Methods Descriptive epidemiological method was used to analyze the data of infectious disease cases reported by a general hospital near the China-Myanmar border in Baoshan city. Results A total of 29 notifiable infectious diseases with 7 581 cases were reported during 2012-2017,including 16 Class B infectious diseases(4 087 cases,53.91%) and 8 Class C infectious diseases(2 581 cases,34.05%).The cases concentrated in the age group of 0-1 year old(2 777 cases,36.63%),and 52.76%(4 000 cases)were farmers.The highest number of cases were from Baoshan city(92.03%,6 977 cases),followed by foreign nationality(3.01%,228 cases).The peak of case reporting was May-June(1 593 cases,21.01%).Intestinal infectious diseases had the highest number of cases(3 300 cases,43.53%),followed by blood sources and sexually transmitted infectious diseases(2 842 cases,37.49%).The top 5 infectious diseases were hand,foot and mouth disease(2 438 cases,34.16%),hepatitis C(1 208 cases,15.93%),tuberculosis(733 cases,9.67%),syphilis(579 cases,7.64%),and varicella(572 cases,7.55%). Conclusion Hand,foot and mouth disease,hepatitis C and tuberculosis are the major infectious diseases in Baoshan city near the China-Myanmar border,and 99.56% of foreign cases are from Myanmar.
引文
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[3] 黄东升,郑维斌,杨家芳,等.1997～2011年云南省保山市缅籍艾滋病病毒/艾滋病疫情流行特征分析[J].疾病监测,2013,28(3):202-205.
[4] 林燕,卢冉,李真晖,等.2016～2017年云南省部分法定传染病诊断质量调查分析[J].疾病监测,2019,34(2):1-6.
[5] 桂超,周春莲.某综合医院法定传染病报告分析[J].预防医学,2017,29(2):191-193.
[6] 薛冬梅.2013年郑州市某综合医院法定传染病报告病例分析[J].河南预防医学杂志,2015,26(2):153-154,166.
[7] 何恺,黄东升,安丽,等.2008～2016年保山市手足口病流行特征分析[J].预防医学论坛,2018,24(3):188-192.
[8] 黄东升,杨明强,何恺,等.2008～2014年云南省保山市手足口病的流行与病原特征分析[J].疾病监测,2016,31(3):215-219.
[2] 王荣华,刘志涛,郝林会,等.2008年云南省传染病网络直报质量分析[J].疾病监测,2009,24(12):964-966.
[3] 黄东升,郑维斌,杨家芳,等.1997～2011年云南省保山市缅籍艾滋病病毒/艾滋病疫情流行特征分析[J].疾病监测,2013,28(3):202-205.
[4] 林燕,卢冉,李真晖,等.2016～2017年云南省部分法定传染病诊断质量调查分析[J].疾病监测,2019,34(2):1-6.
[5] 桂超,周春莲.某综合医院法定传染病报告分析[J].预防医学,2017,29(2):191-193.
[6] 薛冬梅.2013年郑州市某综合医院法定传染病报告病例分析[J].河南预防医学杂志,2015,26(2):153-154,166.
[7] 何恺,黄东升,安丽,等.2008～2016年保山市手足口病流行特征分析[J].预防医学论坛,2018,24(3):188-192.
[8] 黄东升,杨明强,何恺,等.2008～2014年云南省保山市手足口病的流行与病原特征分析[J].疾病监测,2016,31(3):215-219.