张莹, 张静. 云南省伤寒、副伤寒高发地区流行特征分析[J]. 疾病监测, 2010, 25(7): 538-541. DOI: 10.3784/j.issn.1003-9961.2010.07.010
引用本文: 张莹, 张静. 云南省伤寒、副伤寒高发地区流行特征分析[J]. 疾病监测, 2010, 25(7): 538-541. DOI: 10.3784/j.issn.1003-9961.2010.07.010
ZHANG Ying, ZHANG Jing. Epidemiology of enteric fever in area with high incidence in Yunnan province[J]. Disease Surveillance, 2010, 25(7): 538-541. DOI: 10.3784/j.issn.1003-9961.2010.07.010
Citation: ZHANG Ying, ZHANG Jing. Epidemiology of enteric fever in area with high incidence in Yunnan province[J]. Disease Surveillance, 2010, 25(7): 538-541. DOI: 10.3784/j.issn.1003-9961.2010.07.010

云南省伤寒、副伤寒高发地区流行特征分析

Epidemiology of enteric fever in area with high incidence in Yunnan province

  • 摘要: 目的 分析2005 - 2008年云南省伤寒、副伤寒高发地区玉溪市红塔区的甲型副伤寒流行趋势,探讨其流行特征和影响因素。 方法 采用描述流行病学方法,对云南省玉溪市红塔区2005 - 2008年伤寒、副伤寒病例资料进行统计分析,并与云南省和玉溪市伤寒、副伤寒发病情况进行比较分析。 结果 云南省玉溪市红塔区城区发病率(374.59/10万)显著高于农村(96.51/10万);发病高峰呈双峰,持续时间较长。15岁小年龄段发病率及构成均分别低于云南省、玉溪市;农民、散居和幼托儿童比例较低,而大中专学生、工人和干部职员等人群构成较高。2008年红塔区实验室确诊病例全部为甲型副伤寒病例,其分子分型(PFGE)检测结果主要集中在3种带型,表明传染来源具有较高同源性。 结论 红塔区甲型副伤寒占绝对优势,当地伤寒、副伤寒的流行特征与云南省和玉溪市有明显差异,应根据红塔区伤寒、副伤寒流行病学特征和可能的危险因素制定有针对性的干预策略。

     

    Abstract: Objective To analyze the epidemiological characteristics of enteric fever in Hongta district of Yuxi municipality in Yunnan from 2005 to 2008 and discuss the epidemic pattern and related risk factors of enteric fever. Methods Descriptive epidemiological analysis was conducted on the data of enteric fever epidemic in Hongta during this period and the results were compared with those in other areas in Yunnan. Results The incidence of enteric fever in urban area in Hongta district was 374.59/lakh, which was significantly higher than that in rural area (96.51/lakh). The epidemic lasted for long time with two incidence peaks. The incidence and case proportion of children less than 15 years old were lower than those in Yuxi or in Yunnan. The proportions of the cases of farmers, preschoolers, elementary and secondary students were low, whereas the proportions of the cases of college students, workers and clerks were high. All laboratory confirmed cases in 2008 were S. paratyphoid A infections with the isolated strains in subtypes of three predominant groups by PFGE, which probably indicated that these strains belonged to closely related clones. Conclusion The epidemiological characteristics of enteric fever in Hongta district were different with surrounding areas in Yunnan. It is necessary to develop targeted intervention measures to prevent and control typhoid and paratyphoid based the epidemiological characteristics and risk factors.

     

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