2012-2022年广东省深圳市腺病毒暴发疫情监测结果分析

Surveillance results of adenovirus outbreaks in Shenzhen, Guangdong, 2012−2022

  • 摘要:
    目的 分析2012—2022年广东省深圳市腺病毒暴发疫情监测结果及流行特点,为呼吸道病毒防控提供科学参考。
    方法 收集深圳市2012—2022年腺病毒暴发疫情监测的流行病学资料和实验室检测结果,用描述性统计学方法分析腺病毒疫情监测数据。
    结果 2012—2022年深圳市经实验室检测共确定了39起腺病毒暴发疫情,共采集了241份咽拭子样本,经核酸检测共167份呼吸道病毒阳性,阳性率为69.29%,其中腺病毒阳性147份,其他呼吸道病毒阳性23份(有3份样本腺病毒和鼻病毒均为阳性)。 39起腺病毒疫情中有33起由腺病毒单独引起,有6起疫情由腺病毒和其他呼吸道病毒混合感染引起。 2019年疫情数最多为15起,其次是2014年6起,39起腺病毒疫情的发病数为369例,平均罹患率为18.70%。 69.23%的腺病毒疫情发生在中小学校,其他发生在幼儿园。 腺病毒疫情报告最多在10月(10起),其次是9月和4月(均6起)。
    结论  深圳市2012—2022年每年均报告了腺病毒疫情,2019年报告数较多,高发季节是秋季和春季,应在开学季及时进行监测预警,防止疫情扩散。

     

    Abstract:
    Objective To understand the epidemiological characteristics of adenovirus outbreaks in Shenzhen during 2012-2022 and provide evidence for the prevention and control of respiratory diseases.
    Methods Data of adenovirus outbreaks surveillance in Shenzhen from 2012 to 2022 were collected for descriptive statistical analyses.
    Result A total of 39 adenovirus outbreaks were identified by laboratory detection in Shenzhen during 2012−2022. A total of 241 swabs were collected, in which 167 were positive for respiratory viruses (69.29%). In the respiratory virus positive samples, 147 were positive for adenovirus, 23 were positive for other respiratory viruses (3 were positive for both adenovirus and rhinovirus). In 39 adenovirus outbreaks, 33 were caused by adenovirus alone, 6 were caused by adenovirus and other respiratory viruses. A total of 369 cases were identified from 39 adenovirus outbreaks, the average attack rate was 18.70%. A total of 15 outbreaks were reported in 2019, which was the highest, followed by 4 outbreaks in 2014. Up to 69.23% of adenovirus outbreaks were identified in primary schools or middle schools, while others occurred in child care settings. October had highest outbreak count (10, 25.64%), followed by September and April (6, 15.38%).
    Conclusion During 2012−2022, adenovirus outbreaks were reported in all years in Shenzhen. More adenovirus outbreaks occurred in 2019 compared with other years and adenovirus outbreaks mainly occurred in autumn and spring.Monitoring and early warning should be carried out during the school season timely to prevent the spread of the epidemic.

     

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