龙江, 李勤, 凌华, 冯燕, 肖达勇, 王豫林, 肖帮忠. 重庆市甲型H1N1流感血清流行病学调查及影响因素分析[J]. 疾病监测, 2010, 25(10): 777-780.
引用本文: 龙江, 李勤, 凌华, 冯燕, 肖达勇, 王豫林, 肖帮忠. 重庆市甲型H1N1流感血清流行病学调查及影响因素分析[J]. 疾病监测, 2010, 25(10): 777-780.
LONG Jiang, LI Qin, LING Hua, FENG Yan, XIAO Da-yong, WANG Yu-lin, XIAO Bang-zhong. Seroepidemiology of 2009 pandemic influenza A (H1N1) and related factor in Chongqing city[J]. Disease Surveillance, 2010, 25(10): 777-780.
Citation: LONG Jiang, LI Qin, LING Hua, FENG Yan, XIAO Da-yong, WANG Yu-lin, XIAO Bang-zhong. Seroepidemiology of 2009 pandemic influenza A (H1N1) and related factor in Chongqing city[J]. Disease Surveillance, 2010, 25(10): 777-780.

重庆市甲型H1N1流感血清流行病学调查及影响因素分析

Seroepidemiology of 2009 pandemic influenza A (H1N1) and related factor in Chongqing city

  • 摘要: 目的 了解重庆市医疗机构就诊病例及健康人群甲型H1N1流感抗体水平,分析和预测流感的流行趋势,为制定针对性的防治措施提供依据。 方法 对238名门诊病例和171名健康人群进行流行病学调查并采集不同年龄组血清进行甲型H1N1流感血凝抑制试验。 结果 HI总体阳性率为15.4%(95%CI:12.1%~9.4%),抗体几何平均滴度(GMT)高滴度者(1 ∶ 160)占阳性数的6.4%(95%CI:0.4%~19.5%);性别之间、2周前是否出现过流感样症状之间、5~岁年龄组与其余3个年龄组间和是否接种甲型H1N1流感疫苗之间阳性几何平均倒数滴度(GMRT)的差异有统计学意义(P0.05);抗体阳性率、滴度分布和logistic回归分析结果均显示2周前出现过流感样症状者为主要影响因素,但性别、年龄间差异无统计学意义。 结论 重庆市甲型H1N1流感免疫水平较低,易发生流行。

     

    Abstract: Objective To investigate the antibody level to 2009 pandemic influenza A (H1N1) virus in out-patients and healthy people in Chongqing, analyze/predict the epidemic trend and provide evidence for the prevention and control of the disease. Methods Seroepidemiological survey was conducted among 238 out-patients and 171 healthy people by taken blood samples from them to detect 2009 pandemic influenza A (H1N1) virus with hemagglutination inhibition (HI) test. Results The total positive rate of HI test was 15.4% (95% CI: 12.1%-9.4%), and the people with GMT 1 ∶ 160 accounted for 6.4% of the total (95% CI: 0.4%-19.5%). The differences on GMRT between males and females, the people with or without influenza like symptom 2 weeks ago, age group of5 years and the other 3 age groups as well as the people receiving the vaccination or not had statistical significance (P0.05). The HI positivity rate, titer distribution and logistic regression indicated that the influenza like symptom 2 weeks ago was the related factors, but the differences between males and females, and among age groups had no statistical significance. Conclusion The antibody level to 2009 pandemic influenza A (H1N1) virus was low in Chongqing, and the epidemic of 2009 pandemic influenza A(H1N1) might occur.

     

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