中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2010年
3期
304-307
,共4页
细菌性痢疾%志贺菌属%监测
細菌性痢疾%誌賀菌屬%鑑測
세균성이질%지하균속%감측
Dysentery%Shigella%Surveillance
目的 分析"国家疾病报告管理信息系统"及细菌性痢疾(菌痢)国家级监测点上报的监测数据,提出完善国家菌痢监测方案的建议.方法 利用"国家疾病报告管理信息系统"的数据进行描述流行病学分析,并与国家级监测点上报的监测数据比较,分析监测中存在的问题.结果国家菌痢监测点婴儿菌痢病例的检出率为1%,低于其他各年龄组检出率;以3～9岁儿童的阳性分离率最高.依据菌痢监测病例定义进行的临床诊断,菌痢漏诊率为23.38%,而0岁组婴儿病例的菌痢诊断漏诊率为50%.病原菌型监测显示,福氏志贺菌和宋内志贺菌分别占57.21%和42.41%.监测点实验室确诊病例中有43.39%的病例未能与"疾病监测信息报告管理系统"病例匹配.结论 菌痢诊断标准中的病例定义不能有效发现婴儿菌痢病例,建立以临床和实验室相结合的菌痢主动监测体系是"疾病监测信息报告管理系统"的必要补充,尤其是对婴幼儿菌痢.
目的 分析"國傢疾病報告管理信息繫統"及細菌性痢疾(菌痢)國傢級鑑測點上報的鑑測數據,提齣完善國傢菌痢鑑測方案的建議.方法 利用"國傢疾病報告管理信息繫統"的數據進行描述流行病學分析,併與國傢級鑑測點上報的鑑測數據比較,分析鑑測中存在的問題.結果國傢菌痢鑑測點嬰兒菌痢病例的檢齣率為1%,低于其他各年齡組檢齣率;以3～9歲兒童的暘性分離率最高.依據菌痢鑑測病例定義進行的臨床診斷,菌痢漏診率為23.38%,而0歲組嬰兒病例的菌痢診斷漏診率為50%.病原菌型鑑測顯示,福氏誌賀菌和宋內誌賀菌分彆佔57.21%和42.41%.鑑測點實驗室確診病例中有43.39%的病例未能與"疾病鑑測信息報告管理繫統"病例匹配.結論 菌痢診斷標準中的病例定義不能有效髮現嬰兒菌痢病例,建立以臨床和實驗室相結閤的菌痢主動鑑測體繫是"疾病鑑測信息報告管理繫統"的必要補充,尤其是對嬰幼兒菌痢.
목적 분석"국가질병보고관리신식계통"급세균성이질(균리)국가급감측점상보적감측수거,제출완선국가균리감측방안적건의.방법 이용"국가질병보고관리신식계통"적수거진행묘술류행병학분석,병여국가급감측점상보적감측수거비교,분석감측중존재적문제.결과국가균리감측점영인균리병례적검출솔위1%,저우기타각년령조검출솔;이3～9세인동적양성분리솔최고.의거균리감측병례정의진행적림상진단,균리루진솔위23.38%,이0세조영인병례적균리진단루진솔위50%.병원균형감측현시,복씨지하균화송내지하균분별점57.21%화42.41%.감측점실험실학진병례중유43.39%적병례미능여"질병감측신식보고관리계통"병례필배.결론 균리진단표준중적병례정의불능유효발현영인균리병례,건립이림상화실험실상결합적균리주동감측체계시"질병감측신식보고관리계통"적필요보충,우기시대영유인균리.
Objective To improve the national surveillance plan on bacillary dysentery and to increase the sensitivity of the surveillance system on the disease. Methods Data was collected through China Disease Reporting Information System (CDRIS) and National Sentinel Surveillance Sites on bacillary dysentery. Data from the CDRIS was compared with the data from the National Sentinel Surveillance to identify the exiting problems. Results Data from the monitoring sites showed that the detection rate of infant cases of bacillary dysentery infection was 1%,less than that of other age groups. The highest rates were seen in children aged 3 through 9 years. Rate on misdiagnosis in all age group was 23.38%,when using the surveillance case definition of clinical cases and suspect case. The rate of misdiagnosis on infant cases of bacillary dysentery infection by clinical diagnosis was 50%. It showed that Shigella flexneri and Shigella sonnei were dominant with the positive rates as 57.21% and 42.41%,respectively. From the national sentinel surveillance sites,the confirmed cases taking up 43.39% which did not match the figure from the CDRIS. Conclusion The diagnostic criterion for bacillary dysentery fit well on other age groups in surveillance system except on infants. Active surveillance on bacillary dysentery that combining both clinical and laboratory diagnosis seems quite necessary on CDRIS,especially for infants.
