CAJ | 학술논문

目的调查手足口病再感染率和病原分布情况,分析其地理流行病学特征.方法利用中国疾病预防控制信息系统中2008 - 2010年河南省手足口病个案资料,采用地理流行病学的方法,分析再感染率和病原的分布特征.结果河南省2008 -2010年手足口病再感染率约为7.74‰；其分布集中在豫中部(郑州市、平顶山市、许昌市等)和豫北地区(鹤壁市、焦作市等)；手足口病发病率高的地区,再感染发生率亦高；在EV71流行期伴随着CoxA16或其他肠道病毒同时流行的地区再感染率较高.结论手足口病再感染存在地域差异,病原在不同地区存在变化,手足口病流行期间肠道病毒血清型种类多的地区再感染发生率高,提示手足口病的预防控制工作要因地制宜.
목적 조사수족구병재감염솔화병원분포정황,분석기지리류행병학특정.방법 이용중국질병예방공제신식계통중2008 - 2010년하남성수족구병개안자료,채용지리류행병학적방법,분석재감염솔화병원적분포특정.결과 하남성2008 -2010년수족구병재감염솔약위7.74‰；기분포집중재예중부(정주시、평정산시、허창시등)화예북지구(학벽시、초작시등)；수족구병발병솔고적지구,재감염발생솔역고；재EV71류행기반수착CoxA16혹기타장도병독동시류행적지구재감염솔교고.결론 수족구병재감염존재지역차이,병원재불동지구존재변화,수족구병류행기간장도병독혈청형충류다적지구재감염발생솔고,제시수족구병적예방공제공작요인지제의.
Objective To investigate the reinfection rate and pathogen distribution,analyze geographic epidemiological characteristics of hand-foot-mouth disease(HFMD).Methods The data of HFMD cases in Henan during 2008-2010 were collected from China Information System for Diseases Control and Prevention and was analyzed by descriptive epidemiological methods and the thematic map of the disease distribution was created with GIS software.Results The reinfection rate of HFMD was 7.74‰ during 2008 and 2010 in Henan.The thematic map showed that most of the reinfection HFMD occurred in the central region of Henan,especially in Zhengzhou,Pingdingshan,Xuchang et al.And in the northern area of Hennan,especially in Hebi,Jiaozuo et al.There were higher reinfection rates,in the area of EV71 epidemic along with CoxA16 or other enteroviruses.Conclusion There was regional difference of HFMD reinfection and pathogen distribution.The prevention and control of reinfection should be strengthened especially in the regions of HFMD epidemic with many kinds of enterovirus serotypes.