王超, 胡岚, 黄光伟, 杜琨, 李世荣, 王俊英, 阴赪宏, 王红, 张淑文. 初步探讨发热门诊在监控甲型H1N1 流感中的作用[J]. 疾病监测, 2010, 25(7): 514-517. DOI: 10.3784/j.issn.1003-9961.2010.07.003
引用本文: 王超, 胡岚, 黄光伟, 杜琨, 李世荣, 王俊英, 阴赪宏, 王红, 张淑文. 初步探讨发热门诊在监控甲型H1N1 流感中的作用[J]. 疾病监测, 2010, 25(7): 514-517. DOI: 10.3784/j.issn.1003-9961.2010.07.003
WANG Chao, HU Lan, HUANG Guang-wei, DU Kun, LI Shi-rong, WANG Jun-ying, YIN Cheng-hong, WANG Hong, ZHANG Shu-wen. Role of fever clinics in influenza H1N1/A monitoring[J]. Disease Surveillance, 2010, 25(7): 514-517. DOI: 10.3784/j.issn.1003-9961.2010.07.003
Citation: WANG Chao, HU Lan, HUANG Guang-wei, DU Kun, LI Shi-rong, WANG Jun-ying, YIN Cheng-hong, WANG Hong, ZHANG Shu-wen. Role of fever clinics in influenza H1N1/A monitoring[J]. Disease Surveillance, 2010, 25(7): 514-517. DOI: 10.3784/j.issn.1003-9961.2010.07.003

初步探讨发热门诊在监控甲型H1N1 流感中的作用

Role of fever clinics in influenza H1N1/A monitoring

  • 摘要: 目的 探讨发热门诊在监控甲型H1N1流感中的作用。 方法 收集2004 - 2009年友谊医院发热门诊日常工作中发热患者就诊数据及2009年友谊医院发热门诊甲型H1N1流感确诊例数,并进行分析。 结果 2004 - 2009年期间,2009年因发热就诊的人次最多,共有25 882人次就诊。每年的1月和8月为发热患者就诊的高峰月,平均为2180人次和2001人次,而2009年的就诊高峰为11月,有6175人次就诊。在2009年5-12月的流感流行期间,发热患者就诊人次、流感样病例数、流感样病例数与发热就诊人次的百分比与发热甲型H1N1流感确诊人数密切相关,Pearson 相关系数分别为0.788(P=0.020),0.834(P=0.010),0.965(P=0.000)。将甲型H1N1流感高峰时2009年11月第1周的数据与2008年11月第1周的数据比较, 学生占就诊人群的百分比,2009年为45.3%,显著高于2008年同期的36.5%(2=12.613,P=0.006)。 结论 北京友谊医院服务所辐射的地区范围内,正常情况下,发热患者的就诊高峰分别在1月、8月。单个哨点医院发热门诊的监测数据,如就诊人次、流感样病例数、以及二者的比值,可以反映出此地区的流感流行态势。

     

    Abstract: Objective To explore the role of fever clinics in monitoring and controlling influenza H1N1/A. Methods Daily visits to the fever clinic of Beijing Friendship Hospital from 2004 to 2009 and confirmed influenza H1N1/A cases in 2009 were analyzed. Results The most clinic visits,25 882, were in 2009 during the five years from 2004 through 2009. The number usually peaked in January and August each year, averaging 2180 and 2001, respectively. In 2009, this peak was in November, when there were 6175 clinic visits. During the influenza epidemic period from May to December,2009, the number of clinic visits, influenza cases, influenza-like cases and the proportion of fever clinic visits were closely related to the number of confirmed influenza H1N1/A cases, with the Pearson correlation coefficients of 0.788 (P=0.020),0.834 (P=0.010), and 0.965 (P=0.000), respectively. Comparing with the influenza epidemic data in the first week of November,2008, the proportion of students increased to 45.3% in the corresponding period in 2009 from 36.5% in 2008 (2=12.613, P=0.006). Conclusion In Beijing Friendship Hospital, the peak of fever clinic visits is usually seen in January and August. Monitoring data on such aspects as clinic visits, influenza cases and the proportion of the two in a sentinel hospitals fever clinic may reflect the prevalence trends of influenza in the respective area.

     

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