CAJ | 학술논문

[目的]调查疫情，控制暴发，评价应急接种效果.[方法]开展暴发调查，核实诊断；对全校无流行性腮腺炎(流腮)病史的学生应急接种流腮疫苗，并测定抗体效价.[结果]疫情持续约4个月，罹患率全校学生为27.47％，寄宿生高于走读生(P＜0.01);检测病人23例，抗体滴度≥1:64的占65.22％;应急接种后，接种者的抗体阳转率和GMRT分别为48.57％(17/35)和2.8，抗体滴度≥1:64者占11.76％;应急接种后17d暴发终止.[结论]这是一起由于传染源输入、延误防制措施、居住拥挤和密切接触引起的山区学校流腮暴发，应急接种流腮疫苗有较好的效果.
[목적]조사역정，공제폭발，평개응급접충효과.[방법]개전폭발조사，핵실진단；대전교무류행성시선염(류시)병사적학생응급접충류시역묘，병측정항체효개.[결과]역정지속약4개월，리환솔전교학생위27.47％，기숙생고우주독생(P＜0.01);검측병인23례，항체적도≥1:64적점65.22％;응급접충후，접충자적항체양전솔화GMRT분별위48.57％(17/35)화2.8，항체적도≥1:64자점11.76％;응급접충후17d폭발종지.[결론]저시일기유우전염원수입、연오방제조시、거주옹제화밀절접촉인기적산구학교류시폭발，응급접충류시역묘유교호적효과.
[Objective]To survey epidemic situation,control outbreak and evaluate emergent vaccination effect. [Methods]Outbreak survey and verified diagnosis were carried out. All students without mumps history were emergently inoculated with mumps vaccine. Mumps antibody was measured by haemagglutination inhibition test. [Results］Epidemic situation lasted about four months. The attack rate of mumps in all students was 27.47%. The rate in the resident students was significantly higher than that in the non-resident students(P＜0.01). Sera from 23 patients were detected. The percentage of HI antibody titers≥1:64 was 65.22%. HI antibody positive seroconversion rate and GMRT of the vaccinees after emergent vaccination were 48.57% (17/35) and 2.8 respectively. Proportion of HI antibody titer ≥1:64 accounted for 11.76%. The outbreak was stopped within 17 days after emergent immunization. [Conclusions]This mumps outbreak at a school of a mountain village is due to import of infection source,delay of control measure, crowded living condition and close contact. The emergent vaccination with mumps vaccine is efficient.