摘要
目的分析连云港市2015-2017年急性弛缓性麻痹(acute flaccid paralysis,AFP)病例流行特征和监测质量,为继续维护无脊髓灰质炎状态制定科学防控措施。方法应用Excel软件对AFP监测信息系统数据进行流行病学分析。结果2015-2017年连云港市累计报告AFP病例51例,均为脊髓灰质炎排除病例,全市平均报告发病率为1.64/10万。AFP病例全年散发,无明显时间聚集性。4岁及以下病例居多,构成比为54.90%。AFP病例的48 h内流调率、合格粪便标本采集率分别为100.00%和92.16%;60 d内及时随访率、75 d内随访信息及时报告率均为100.00%。经过治疗仍有25.49%的病例残留麻痹。市、县、乡级医疗机构首诊报告率为64.00%。结论连云港市AFP监测系统运转质量良好,但其敏感性、首诊报告率、合格粪便标本采集率仍需巩固提高。部分儿童仍存在残留麻痹,需进行长期监测。
Objective To analyze the epidemiological characteristics and surveillance quality of acute flaccid paralysis(AFP)cases in Lianyungang City from 2015 to 2017,and to establish scientific prevention and control measures for the maintenance of polio free status.Methods The Excel software was used to carry on epidemiology analysis to AFP surveillance information system data.Results From 2015 to 2017,a total of 51 AFP cases were reported in Lianyungang City,all of which were excluded as polio cases.The average reported incidence rate in the city was 1.64/100000.AFP cases occured throughout the year and no obvious seasonal peak was found.Most cases were 4 years old and younger,with a composition ratio of 54.90%.For AFP cases,the investigation rate within 48 h and the rate of qualified fecal specimen collection were 100.00%and 92.16%,respectively.The timely follow-up rate within 60 days and the timely report rate of follow-up information within 75 days were both 100.00%.After treatment,there were still residual paralysis in 25.49%of AFP cases.The total rate of first diagnosis reporting in medical institutions of city,county,and township was 64.00%.Conclusion The AFP surveillance system in Lianyungang has good operation quality,but the sensitivity of AFP surveillance system,the first diagnosis reporting rate and the rate of qualified fecal specimen collection still need to be consolidated and improved.Some children still have residual paralysis and need long-term surveillance.
作者
谷利妞
江宏宝
张嘉陵
潘佑记
赵兴
许雷
GU Liniu;JIANG Hongbao;ZHANG Jialing;PAN Youji;ZHAO Xing;XU Lei(Lianyungang Center for Disease Control and Prevention,Jiangsu222003,China)
出处
《医学动物防制》
2020年第3期234-236,共3页
Journal of Medical Pest Control
基金
江苏省卫生计生委科研课题(Y2018046).
关键词
急性弛缓性麻痹
监测
流行特征
Acute flaccid paralysis
Surveillance
Epidemic Characteristics
