蔡伟, 应华清, 邢彦, 华伟玉, 刘方遥, 王磊, 侯威远, 赵振, 刘锋, 张海凤. 2016年北京市海淀区诺如病毒感染聚集、暴发疫情特征分析[J]. 疾病监测, 2017, 32(8): 656-659. DOI: 10.3784/j.issn.1003-9961.2017.08.011
引用本文: 蔡伟, 应华清, 邢彦, 华伟玉, 刘方遥, 王磊, 侯威远, 赵振, 刘锋, 张海凤. 2016年北京市海淀区诺如病毒感染聚集、暴发疫情特征分析[J]. 疾病监测, 2017, 32(8): 656-659. DOI: 10.3784/j.issn.1003-9961.2017.08.011
CAI Wei, YING Hua-qing, XING Yan, HUA Wei-yu, LIU Fang-yao, WANG Lei, HOU Wei-yuan, ZHAO Zhen, LIU Feng, ZHANG Hai-feng. Epidemiological characteristics of clusters or outbreaks of Norovirus infection in Haidian district, Beijing,2016[J]. Disease Surveillance, 2017, 32(8): 656-659. DOI: 10.3784/j.issn.1003-9961.2017.08.011
Citation: CAI Wei, YING Hua-qing, XING Yan, HUA Wei-yu, LIU Fang-yao, WANG Lei, HOU Wei-yuan, ZHAO Zhen, LIU Feng, ZHANG Hai-feng. Epidemiological characteristics of clusters or outbreaks of Norovirus infection in Haidian district, Beijing,2016[J]. Disease Surveillance, 2017, 32(8): 656-659. DOI: 10.3784/j.issn.1003-9961.2017.08.011

2016年北京市海淀区诺如病毒感染聚集、暴发疫情特征分析

Epidemiological characteristics of clusters or outbreaks of Norovirus infection in Haidian district, Beijing,2016

  • 摘要: 目的 分析北京市海淀区2016年14起诺如病毒感染聚集、暴发疫情发生规律及流行病学特征。方法 采用现场流行病学调查方法对资料进行描述性分析和2检验。结果 14起诺如病毒感染聚集、暴发疫情中3起为GⅠ感染疫情,11起为GⅡ感染疫情;共报告病例422例,罹患率在8.67%~66.67%之间;疫情集中在4-6月和10-12月,全年形成两个高峰;粪便标本阳性率59.88%(100/167);呕吐物标本阳性率12.50%(1/8);病例中不同年龄组的罹患率及5种症状(呕吐、腹泻、发热、恶心、腹痛)的发生情况差异均有统计学意义。结论 2016年海淀区诺如病毒感染聚集、暴发疫情主要集中在托幼机构、中小学校和人员密集的集体单位;以感染诺如病毒GⅡ型为主;各年龄段普遍易感,学龄前儿童罹患率最高;以人-人接触和(或)气溶胶吸入方式传播;多发生在春季和秋冬季;主要症状为呕吐和腹泻。

     

    Abstract: Objective To understand the incidence pattern and epidemiological characteristics of 14 clusters or outbreaks of Norovirus infection in Haidian district of Beijing in 2016. Methods Field epidemiological survey was conducted and the data were described and analyzed with 2 test. Results Among the 14 clusters or outbreaks of Norovirus infection, 3 were caused by GⅠ virus and 11 were caused by GⅡ virus. A total of 422 cases were reported, and the attack rate ranged from 8.67% to 66.67%. Two incidence peaks occurred, one was during April-June and another during October-December. The positive rate of stool samples was 59.88% (100/167) and the positive rate of vomiting samples was 12.50% (1/8). The differences in attack rate and incidence of 5 symptoms (vomiting, diarrhea, fever, nausea and abdominal pain) among different age groups were significant. Conclusion The clusters or outbreaks of Norovirus infection mainly occurred in child care settings, primary and secondary schools and other institutions with mass staff in Haidian in 2016. The infections were mainly caused by GⅡ virus. All the age groups were affected and the preschool aged children had the highest incidence rate. Norovirus infection mainly occurred in spring, autumn and winter. The main symptoms were vomiting and diarrhea.

     

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