陈颖峰, 董晓莲, 陈剑杰. 浙江省德清县5例人感染H7N9禽流感病例流行特征分析[J]. 疾病监测, 2015, 30(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2015.07.012
引用本文: 陈颖峰, 董晓莲, 陈剑杰. 浙江省德清县5例人感染H7N9禽流感病例流行特征分析[J]. 疾病监测, 2015, 30(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2015.07.012
CHEN Ying-feng, DONG Xiao-lian, CHEN Jian-jie. Epidemiological characteristics of 5 cases of human infection with avian influenza A (H7N9) virus in Deqing, Zhejiang[J]. Disease Surveillance, 2015, 30(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2015.07.012
Citation: CHEN Ying-feng, DONG Xiao-lian, CHEN Jian-jie. Epidemiological characteristics of 5 cases of human infection with avian influenza A (H7N9) virus in Deqing, Zhejiang[J]. Disease Surveillance, 2015, 30(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2015.07.012

浙江省德清县5例人感染H7N9禽流感病例流行特征分析

Epidemiological characteristics of 5 cases of human infection with avian influenza A (H7N9) virus in Deqing, Zhejiang

  • 摘要: 目的 对浙江省德清县2014年报告的5例人感染H7N9禽流感病例进行流行特征分析,为进一步科学防控人禽流感提供依据。方法 对确诊病例和病例的密切接触者进行个案调查,对病例的呼吸道标本进行人感染H7N9禽流感病毒核酸检测。结果 德清县共确诊人感染H7N9禽流感病例5例,无死亡病例。重症病例主要表现为重症肺炎;分布在2个乡镇;年龄中位数为62岁(39~62岁);2/5的病例有慢性基础性疾病;5例病例发病与活禽交易市场暴露有关,所有病例的密切接触者均无流感样症状,未发现人传人的证据。结论 早期发现和救治是提高患者预后的关键,对病例采取隔离治疗、密切接触者进行医学观察、疫点终末消毒、停止活禽交易等综合措施后,疫情得到有效控制。

     

    Abstract: Objective To understand the epidemiological characteristics of 5 cases of human infection with avian influenza A (H7N9) virus reported in Deqing, Zhejiang province, in January 2014,and provide evidence for the prevention and control of human infection with H7N9 virus. Methods All the confirmed cases and their close contacts were surveyed, and respiratory tract specimens were taken from the confirmed cases to detect the nucleic acid of H7N9 virus with real-time PCR. Results A total of 5 cases of human infection with H7N9 virus were confirmed in Deqing, no death cases were reported. Severe pneumonia developed in severe cases. The cases were distributed in 2 townships and the median age of the cases was 62 years (39-62 years). All the cases had exposures to alive poultry and 2 had chronic disease. All of their close contacts showed no influenza like symptoms, and no evidence of human to human transmission was found. Conclusion Early detection and treatment of the infection with H7N9 virus are essential for the improvement of patients' prognosis. By prompt isolation and treatment, strict medical observation for close contacts, terminal disinfection and closure of alive poultry markets, the epidemic was under control effectively.

     

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