祁琳, 李越, 张海洋, 宋文静, 李青凤, 胡雪倩, 王玉玲. 2022年河北省张家口市1起呼吸道病毒混合感染疫情的流行特征分析[J]. 疾病监测, 2023, 38(10): 1268-1272. DOI: 10.3784/jbjc.202301020557
引用本文: 祁琳, 李越, 张海洋, 宋文静, 李青凤, 胡雪倩, 王玉玲. 2022年河北省张家口市1起呼吸道病毒混合感染疫情的流行特征分析[J]. 疾病监测, 2023, 38(10): 1268-1272. DOI: 10.3784/jbjc.202301020557
Qi Lin, Li Yue, Zhang Haiyang, Song Wenjing, Li Qingfeng, Hu Xueqian, Wang Yuling. Epidemiological characteristics of an outbreak of mixed infections of respiratory viruses in Zhangjiakou of Heibei, in 2022[J]. Disease Surveillance, 2023, 38(10): 1268-1272. DOI: 10.3784/jbjc.202301020557
Citation: Qi Lin, Li Yue, Zhang Haiyang, Song Wenjing, Li Qingfeng, Hu Xueqian, Wang Yuling. Epidemiological characteristics of an outbreak of mixed infections of respiratory viruses in Zhangjiakou of Heibei, in 2022[J]. Disease Surveillance, 2023, 38(10): 1268-1272. DOI: 10.3784/jbjc.202301020557

2022年河北省张家口市1起呼吸道病毒混合感染疫情的流行特征分析

Epidemiological characteristics of an outbreak of mixed infections of respiratory viruses in Zhangjiakou of Heibei, in 2022

  • 摘要:
      目的  探讨2022年河北省张家口市某工厂一起由腺病毒55型、乙型流感病毒、甲型流感病毒、副流感病毒3型混合感染暴发疫情的流行病学特征,探究流行的危险因素,为疫情早期预警和防控提供科学依据。
      方法  对该厂区可能受疫情影响的所有人员进行现场流行病学调查,采集咽拭子进行病原体核酸筛查,并定期开展多轮病原筛查,持续监测病原结果。
      结果  经实验室检测确认该起疫情由腺病毒55型(感染273例)、乙型流感病毒(感染225例)、副流感病毒3型(感染40例)、甲型流感病毒(感染9例)混合感染引起,共导致547人感染。 疫情主要流行于青年男性工人群体,吸烟者感染率高于非吸烟者。 乙型流感病毒感染者的症状最为明显,发热和全身症状比例较高。
      结论  人群密集的工厂内吸烟的青年工人群体为4类呼吸道病毒的主要感染对象。 应重点关注人群密集场所的健康教育、症状监测和病原筛查,控制呼吸道传染病流行。

     

    Abstract:
      Objective  To understand the epidemiological characteristics of an outbreak of mixed infections of human adenovirus type 55, influenza B virus, influenza A virus and parainfluenza virus type 3 in a factory in Zhangjiakou, Hebei province, in 2022, identify the risk factors and provide scientific evidence for the early warning, surveillance and control of epidemic.
      Methods  Field epidemiological survey was conducted in all the people who might be affected by the outbreak in the factory. Throat swabs were collected from them for pathogen nucleic acid screening and multi-round regular pathogen screening were conducted for dynamic etiological surveillance.
      Results  A total of 547 cases of infections of respiratory viruses were reported in this outbreak, in which laboratory test confirmed 273 cases of human adenovirus 55 infection, 225 cases of influenza B virus infection, 40 cases of parainfluenza virus type 3 infection and 9 cases of influenza A virus infection. The cases mainly occurred in young male workers and the infection rate was higher in smokers than in non-smokers. The symptoms of influenza B virus infection were most obvious with higher proportions of fever and systemic symptoms.
      Conclusion  Young workers who smoked in this factory were the main population affected by the infections of the four respiratory viruses. Attention should be paid to health education, symptom monitoring and pathogen screening in the places with mass people to control the epidemic of respiratory diseases.

     

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