吴金贵, 朱宏斌, 方大春. 一起感染性腹泻暴发疫情调查与控制分析[J]. 疾病监测, 2006, 21(6): 304-307. DOI: 10.3784/j.issn.1003-9961.2006.6.304
引用本文: 吴金贵, 朱宏斌, 方大春. 一起感染性腹泻暴发疫情调查与控制分析[J]. 疾病监测, 2006, 21(6): 304-307. DOI: 10.3784/j.issn.1003-9961.2006.6.304
WU Jin-gui, ZHU Hong-bin, FANG Da-chun. Analysis on the investigation and control of an epidemic outbreak of infectious diarrhea[J]. Disease Surveillance, 2006, 21(6): 304-307. DOI: 10.3784/j.issn.1003-9961.2006.6.304
Citation: WU Jin-gui, ZHU Hong-bin, FANG Da-chun. Analysis on the investigation and control of an epidemic outbreak of infectious diarrhea[J]. Disease Surveillance, 2006, 21(6): 304-307. DOI: 10.3784/j.issn.1003-9961.2006.6.304

一起感染性腹泻暴发疫情调查与控制分析

Analysis on the investigation and control of an epidemic outbreak of infectious diarrhea

  • 摘要: 目的探讨感染性腹泻暴发的原因,分析感染性腹泻暴发的控制措施。方法调查某镇和附近8个村2003年6月30至7月30日发生的腹泻病例593例和部分对照人群,同时采取水、环境和患者生物学样本进行细菌学和游离余氯测定。结果本次腹泻的罹患率为4055.5/10万,腹泻暴发的原因是暴雨导致饮用水源持续受粪便污染和当地自来水厂水缺乏净化消毒措施,同时伴随食物污染。病原体可能是气单胞菌和/或产毒大肠杆菌。采取污染源控制、饮水消毒、规范自来水厂净化消毒以及宣传教育等综合防治措施,疫情得到控制。结论夏季农村地区以自然沟塘水作为生活饮用水源,应注意保护,防止粪便污染。农村简易水厂应加强水质监测。

     

    Abstract: Objective This study was conducted to get an insight into the cause of the outbreak of infectious diarrhea and evaluate the measures for the control of the outbreak of the epidemic.Methods Five hundred and ninety-three cases of diarrhea occurring from Jun.30 to Jul.30. 2003 in a town and 8 villages nearby were investigated with some normal individuals as control population.At the same time biological samples from wamr,the environment and patients were detected for bacteriological indices and free chloride.Results It was found that the incidence of diarrhea in the period was 4055.5/lakh and the diarrhea outbreaks were caused by constant fecal contamination of drinking water sources,lack of measures for purification and disinfection in the tap-water factories in the local areas and contamination of foodstuffs.Aeromonas/enterotoxigenic Escherichia coli were the causative factors.The epidemics were controlled through comprehensive preventive and therapeutic measures such as the control of the contamination sources,disinfecfion of drinking water,standardization of the purification and disinfection in the tap-water factories and promotion and educafton.Conclusion Pond-ditch water that iS used as a source of drinking water in summer in rural areas should be protected against fecal contamination.Water quality surveillance should be reinforced in the simply equipped water factories.

     

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