金青青, 姚瑛. 2008-2014年浙江省某医院腹泻患者轮状病毒感染情况分析[J]. 疾病监测, 2016, 31(4): 293-297. DOI: 10.3784/j.issn.1003-9961.2016.04.008
引用本文: 金青青, 姚瑛. 2008-2014年浙江省某医院腹泻患者轮状病毒感染情况分析[J]. 疾病监测, 2016, 31(4): 293-297. DOI: 10.3784/j.issn.1003-9961.2016.04.008
JIN Qing-qing, YAO Ying. Rotavirus infection status in diarrhea patients in a hospital in Yuhang, Zhejiang, 2008-2014[J]. Disease Surveillance, 2016, 31(4): 293-297. DOI: 10.3784/j.issn.1003-9961.2016.04.008
Citation: JIN Qing-qing, YAO Ying. Rotavirus infection status in diarrhea patients in a hospital in Yuhang, Zhejiang, 2008-2014[J]. Disease Surveillance, 2016, 31(4): 293-297. DOI: 10.3784/j.issn.1003-9961.2016.04.008

2008-2014年浙江省某医院腹泻患者轮状病毒感染情况分析

Rotavirus infection status in diarrhea patients in a hospital in Yuhang, Zhejiang, 2008-2014

  • 摘要: 目的 了解浙江省杭州市余杭区某医院A群轮状病毒的感染情况, 为该院轮状病毒性腹泻防控提供科学依据。方法 采用A群轮状病毒试剂盒(乳胶法)对2008-2014年余杭区某医院42 736例腹泻患者粪便标本进行轮状病毒抗原检测, 并用统计学软件对检测结果进行分析。结果 2008-2014年余杭区某医院A群轮状病毒的总体阳性检出率为11.89%(5080/42 736), 2009-2013年间轮状病毒阳性检出率呈逐年递增趋势, 其中2011年与2012年间增幅最大(5.01%)。女性比男性更易感染A群轮状病毒(2=10.45, P0.01), 两者阳性检出率分别为12.48%(2231/17 871)和11.46%(2849/24 865)。A群轮状病毒检出高峰集中在每年10月至次年1月, 占全部阳性检出例数的72.07%(3661/5080), 各年检出最高峰在11月和12月之间转换。各年龄组均检出轮状病毒, 5岁以下儿童的轮状病毒阳性检出率(12.32%)是5岁及以上人群(3.58%)的近4倍, 且1~2岁年龄组阳性检出率最高(23.48%)。门诊和住院腹泻患者中的A群轮状病毒阳性检出率分别为12.30%和9.93%, 门诊高于住院患者(2=32.99, P0.01)。结论 余杭区某医院A群轮状病毒感染率低于杭州市及浙江省内其他地区水平。5岁以下儿童是医院防治轮状病毒性腹泻的重点人群, 同时应加强成人轮状病毒的监测。门诊腹泻患者是医院轮状病毒腹泻管理的重点对象, 应着重加强该类人群的隔离治疗和健康宣教。

     

    Abstract: Objective To investigate the infection status of group A Rotavirus in a hospital in Yuhang, Zhejiang province, and provide scientific evidence for the prevention and control of Rotavirus diarrhea. Methods Rotavirus detection was conducted by using the stool samples collected from 42 736 diarrhea patients in a hospital in Yuhang from 2008 to 2014. Group A Rotavirus detection kit (latex method) was used. Results The overall detection rate of group A Rotavirus was 11.89% (5080/42 736), and the detection rate increased year by year from 2009 to 2013, the increasing rate between 2011 and 2012 was highest (5.01%). The detection rate of Rotavirus was 11.46% in males(2849/24 865) and 12.48% in females (2231/17 871), the difference was significant (2=10.45, P0.01). The positive detections of Rotavirus were mainly observed during October-January, accounting for 72.07% of the total (3661/5080). The annual detection peak was either in November or in December. Rotavirus was detected in all age groups. The positive detection rate in age group5 years (12.32%) was approximately 4 times higher than that in age group5 years(3.58%), and the positive rate was highest in age group 1-2 years (23.48%). The detection rate was significantly higher in out patients (12.30%) than in hospitalized patients (9.93%). Conclusion The infection rate of group A Rotavirus in a hospital in Yuhang was lower than that in Hangzhou and other parts of Zhejiang. Infants aged5 years are key population for prevention and treatment of Rotavirus diarrhea in hospitals, and the surveillance for adult Rotavirus infection should be strengthened. Diarrhea patients seeking medical care in out patient department is the key population for the management of Rotavirus diarrhea in hospitals, and the isolation and treatment of these patients should be strengthened.

     

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