曹桂华, 张起文, 叶伟雄, 董建, 钟欣扬, 陈嘉慧, 王文玲, 张廷禄, 邓立权. 深圳市某鞋厂H3亚型流行性感冒暴发流行病学调查[J]. 疾病监测, 2008, 23(11): 693-695. DOI: 10.3784/j.issn.1003-9961.2008.11.693
引用本文: 曹桂华, 张起文, 叶伟雄, 董建, 钟欣扬, 陈嘉慧, 王文玲, 张廷禄, 邓立权. 深圳市某鞋厂H3亚型流行性感冒暴发流行病学调查[J]. 疾病监测, 2008, 23(11): 693-695. DOI: 10.3784/j.issn.1003-9961.2008.11.693
CAO Gui-hua*, ZHANG Qi-wen, YE Wei-xiong, DONG Jian, ZHONG Xin-yang, CHEN Jia-hui, WANG Wen-ling, ZHANG Ting-lu, DENG Li-quan. Epidemiological survey of H3 influenza outbreak in a shoe factory in Shenzhen[J]. Disease Surveillance, 2008, 23(11): 693-695. DOI: 10.3784/j.issn.1003-9961.2008.11.693
Citation: CAO Gui-hua*, ZHANG Qi-wen, YE Wei-xiong, DONG Jian, ZHONG Xin-yang, CHEN Jia-hui, WANG Wen-ling, ZHANG Ting-lu, DENG Li-quan. Epidemiological survey of H3 influenza outbreak in a shoe factory in Shenzhen[J]. Disease Surveillance, 2008, 23(11): 693-695. DOI: 10.3784/j.issn.1003-9961.2008.11.693

深圳市某鞋厂H3亚型流行性感冒暴发流行病学调查

Epidemiological survey of H3 influenza outbreak in a shoe factory in Shenzhen

  • 摘要: 目的 调查分析深圳市某大型企业流行性感冒(流感)暴发的原因和特点以及流感实验室监测的结果,为流感暴发疫情的监测和控制提供科学依据。 方法 对流感样病例(ILI)进行流行病学调查,采集患者咽拭子进行进行胶体金法初筛试验和荧光定量RT-PCR检测、流感病毒分离和鉴定。病毒分离采用鸡胚法和犬肾传代细胞(MDCK)法,病毒鉴定采用常量半加敏抑制试验(HI),抗体测定采用微量半加敏抑制试验。结果 ILI总罹患率为1.05%,以二分厂罹患率较高,女性罹患率远高于男性,发病年龄以15~岁组居多。从15份咽拭子样品中经荧光定量RT-PCR方法检出15份A型流感病毒核酸阳性,1份H3亚型流感病毒核酸阳性。培养分离鉴定出2株H3N2亚型流感病毒。经血凝抑制试验检测H3亚型流感抗体,9份急性期和恢复期血清(均来自同一患者)抗体滴度呈4倍以上增长。结论 该起暴发疫情由H3N2亚型流感病毒引起,加强暴发疫情的病原学监测对控制疫情有重要意义。

     

    Abstract: Objective The study was conducted to investigate the cause and characteristics of a influenza outbreak in a large-scale shoe factory in Shenzhen, and analyze the laboratory findings, provide the evidence for the surveillance and management of influenza outbreak. Methods Epidemiological survey was conducted for the influenza-like cases, and the throat swabs were taken from the patients for colloidal gold screening tests and quantitative fluorescent RT-PCR detection, and the isolation and identification of influenza virus. Virus was isolated by embryonated egg techniques and MDCK cells and identified by macro hemagglutination inhibition test, the antibody was detected by micro hemagglutination inhibition test. Results The overall attack rate of influenza-like cases was 1.05% with much higher rate in women than in men. Higher attack rates were seen in two branches. Most cases were the people aged 15 years or above. All the 15 throat swab samples were nucleic acid-positive of A influenza viruses and one was nucleic acid-positive of H3 influenza virus. Two strains of H3N2 influenza viruses were isolated. As for the H3 influenza antibody detection, four-fold increasing of the antibody titers were observed in 9 serum samples of acute and convalescent phases (from the same patient). Conclusion The outbreak was caused by H3N2 influenza virus. Intensified pathogenic surveillance is vital to control the epidemic.

     

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