张振, 李媛, 路滟, 江敏, 张海龙, 梅树江, 谢旭. 2010-2015年广东省深圳市其他感染性腹泻监测分析[J]. 疾病监测, 2017, 32(10/11): 836-841. DOI: 10.3784/j.issn.1003-9961.2017.10/11.013
引用本文: 张振, 李媛, 路滟, 江敏, 张海龙, 梅树江, 谢旭. 2010-2015年广东省深圳市其他感染性腹泻监测分析[J]. 疾病监测, 2017, 32(10/11): 836-841. DOI: 10.3784/j.issn.1003-9961.2017.10/11.013
ZHANG Zhen, LI Yuan, LU Yan, JIANG Min, ZHANG Hai-long, MEI Shu-jiang, XIE Xu. Surveillance for other infectious diarrheal diseases in Shenzhen, Guangdong, 2010-2015[J]. Disease Surveillance, 2017, 32(10/11): 836-841. DOI: 10.3784/j.issn.1003-9961.2017.10/11.013
Citation: ZHANG Zhen, LI Yuan, LU Yan, JIANG Min, ZHANG Hai-long, MEI Shu-jiang, XIE Xu. Surveillance for other infectious diarrheal diseases in Shenzhen, Guangdong, 2010-2015[J]. Disease Surveillance, 2017, 32(10/11): 836-841. DOI: 10.3784/j.issn.1003-9961.2017.10/11.013

2010-2015年广东省深圳市其他感染性腹泻监测分析

Surveillance for other infectious diarrheal diseases in Shenzhen, Guangdong, 2010-2015

  • 摘要: 目的 分析广东省深圳市2010-2015年其他感染性腹泻监测数据,探讨下一步监测思路。方法 通过中国疾病预防控制信息系统的传染病报告信息系统和突发公共卫生事件管理信息系统分别收集2010-2015年深圳市其他感染性腹泻病例信息和突发公共卫生事件相关信息资料,通过深圳市疾病控制信息管理系统收集同期聚集性疫情和病原谱哨点监测数据,运用描述性流行病学方法进行分析。结果 深圳市2010-2015年其他感染性腹泻年报告发病率波动在250.00/10万左右,但2013年高达383.44/10万。其他感染性腹泻监测病例以轮状病毒腹泻为主,占69.16%,细菌性腹泻占14.22%,未标注病原类型占16.44%。细菌性腹泻在6-9月高发,病毒性腹泻一般10月至次年2月为高峰。感染性腹泻病例均以 5岁儿童为主,占87.43%。病原谱哨点监测显示,病毒性腹泻以诺如病毒和轮状病毒为主,细菌性腹泻以沙门菌、副溶血性弧菌和大肠埃希菌为主,阳性检出率与疫情月份分布情况基本一致。诺如病毒是导致感染性腹泻暴发疫情的主要病原体,每年10月至次年3月为高峰,托幼机构和中小学占90.76%。结论 深圳市现有的其他感染性腹泻监测体系可充分掌握就诊病例及暴发疫情的流行病学和病原学特征。但在社区非就诊病例监测和疾病负担评估等方面仍需进一步改进。

     

    Abstract: Objective To understand the epidemiological characteristics of other infectious diarrheal diseases in Shenzhen, Guangdong province, during 2010-2015 and provide evidence for the further surveillance. Methods Epidemiological data of reported cases of other infectious diarrheal diseases and related public health emergencies during this period were collected from National Disease Reporting Information System and Public Health Emergency Information System. The disease cluster data and etiological surveillance data were collected from Shenzhen Communicable Disease Information System. Descriptive statistical analysis was performed. Results The reported annual incidence of other infectious diarrheal diseases was about 250.00/100 000 in Shenzhen during 2010-2015, but in 2013 the incidence was 383.44/100 000. The cases were mainly caused by rotavirus, accounting for 69.16%. Bacterial diarrhea cases accounted for 14.22% and the cases caused by unknown pathogens accounted for 16.44%. The incidence peak of bacterial diarrhea was during June-September, and the incidence peak of viral diarrhea was during October-February. The cases were mainly children aged 5 years, accounting for 87.43%. The etiological surveillance indicated that vital diarrhea was mainly caused by rotavirus, and bacterial diarrhea was mainly caused by Salmonella, Vibrio parahaernolyticus and Escherichia coli. The positive detection rate was nearly consistent with the monthly incidence. Norovirus was the major pathogen causing outbreaks with the incidence peak during October-March, and 90.76% of the outbreaks occurred in child care settings and primary schools. Conclusion The current surveillance system of other infectious diarrheal diseases is based on hospitals in Shenzhen, which can provide timely epidemiological and etiological information of visiting diarrhea patients and outbreaks, but the surveillance and disease burden evaluation in communities needs to be further improved.

     

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