国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2008年
5期
309-312
,共4页
传染病%症状监测%爆发
傳染病%癥狀鑑測%爆髮
전염병%증상감측%폭발
Infectious diseases%Syndromic surveillance%Outbreak
目的 评价症状监测系统在传染病监测中的效果.方法 数据收集通过临时安置点医务室医生使用的"接诊登记表",数据日分析、解释、分发由当地CDC受指派医务人员执行,监测到的数据按症候群分成4类,包括呼吸道症候群(咳嗽、咽痛、流涕),消化道症候群(每日腹泻次数、恶心、呕吐),发热症候群(体温≥37.3℃)和其他症候群(头昏、头痛、乏力及其他症状),疑似病例进行实验室确诊.结果 总计人群中有7566(73%)就诊人次,共识别了44%呼吸道症候群,9%消化道症候群,1%发热症候群,46%其他症候群.21%(1578/7566)的就诊者是60岁及以上的老年人.男女性别比为0.76:1.呼吸道、消化道、发热症候群总计4380组,就诊高峰发生在2006年3月30日和4月3日.报告一例疑似麻疹病例,经血样检测后排除麻疹,避免了大面积接种麻疹疫苗.共发现71例发热患者,其中高热患者8例(体温≥39℃).报告一起疑似急性出血性结膜炎爆发,全部21例病例进行了流行病学调查后证实是硫化氢引起的急性眼刺激征.结论 症状监测有助于监测传染病病例,能迅速显示症候群消长趋势,实施成本低廉,在突发事件中实施有效可行,对类似的事件有实际应用价值.
目的 評價癥狀鑑測繫統在傳染病鑑測中的效果.方法 數據收集通過臨時安置點醫務室醫生使用的"接診登記錶",數據日分析、解釋、分髮由噹地CDC受指派醫務人員執行,鑑測到的數據按癥候群分成4類,包括呼吸道癥候群(咳嗽、嚥痛、流涕),消化道癥候群(每日腹瀉次數、噁心、嘔吐),髮熱癥候群(體溫≥37.3℃)和其他癥候群(頭昏、頭痛、乏力及其他癥狀),疑似病例進行實驗室確診.結果 總計人群中有7566(73%)就診人次,共識彆瞭44%呼吸道癥候群,9%消化道癥候群,1%髮熱癥候群,46%其他癥候群.21%(1578/7566)的就診者是60歲及以上的老年人.男女性彆比為0.76:1.呼吸道、消化道、髮熱癥候群總計4380組,就診高峰髮生在2006年3月30日和4月3日.報告一例疑似痳疹病例,經血樣檢測後排除痳疹,避免瞭大麵積接種痳疹疫苗.共髮現71例髮熱患者,其中高熱患者8例(體溫≥39℃).報告一起疑似急性齣血性結膜炎爆髮,全部21例病例進行瞭流行病學調查後證實是硫化氫引起的急性眼刺激徵.結論 癥狀鑑測有助于鑑測傳染病病例,能迅速顯示癥候群消長趨勢,實施成本低廉,在突髮事件中實施有效可行,對類似的事件有實際應用價值.
목적 평개증상감측계통재전염병감측중적효과.방법 수거수집통과림시안치점의무실의생사용적"접진등기표",수거일분석、해석、분발유당지CDC수지파의무인원집행,감측도적수거안증후군분성4류,포괄호흡도증후군(해수、인통、류체),소화도증후군(매일복사차수、악심、구토),발열증후군(체온≥37.3℃)화기타증후군(두혼、두통、핍력급기타증상),의사병례진행실험실학진.결과 총계인군중유7566(73%)취진인차,공식별료44%호흡도증후군,9%소화도증후군,1%발열증후군,46%기타증후군.21%(1578/7566)적취진자시60세급이상적노년인.남녀성별비위0.76:1.호흡도、소화도、발열증후군총계4380조,취진고봉발생재2006년3월30일화4월3일.보고일례의사마진병례,경혈양검측후배제마진,피면료대면적접충마진역묘.공발현71례발열환자,기중고열환자8례(체온≥39℃).보고일기의사급성출혈성결막염폭발,전부21례병례진행료류행병학조사후증실시류화경인기적급성안자격정.결론 증상감측유조우감측전염병병례,능신속현시증후군소장추세,실시성본저렴,재돌발사건중실시유효가행,대유사적사건유실제응용개치.
Objective To evaluate syndromic surveillance effect in the emergency events, nethod We collected data from doctors using outpatient registers in the temporary settlements. Analysis, interpretation and dissemination of data were implemented daily by designated medical personnel of local CDC. symptoms were categorized in 4 clusters including respiratory symptoms(cough, angina, sniveling), gastrointestinal symptoms(diarrhea, nausea, vomiting), fever symptoms(T≥37.3 ℃ ) and miscellaneous symptoms( dizziness, headache, nerveless and other symptoms ). Specimens of suspect case were collected for laboratory confirmation. Results Overall, 73% outpatients were identified, included 44% respiratory symptoms, 9% gastrointestinal symptoms, 1% fever symptoms, 46% miscellaneous symptoms, 21% outpatients were 60 years old and above. The sex ratio is 0.76:1. Remove miscellaneous symptoms, respiratoryend gas trointesfinalend fever symptoms were totally 4380 capita and the peak of prevalence rate occurred at 30th March and 3rd April. One suspect measles case was reported on 29th, blood specimen were tested, and confirmed nettle rash and avoided inoculation of measles. 71 fever (T≥37.3 ℃ )patients were detected including 8 high fever patient(T≥39 ℃ ). An outbreak of suspicious acute hemorrhagic conjunctivitis(AHC)was detected and all of 21 cases were investigated, and confirmed acute eye irritation caused by hydrogen sulfide. Conclusions Syndromic surveillance enables us to show the trend quickly and it can be carried out with smaller costs. Syndromic surveillance is effective in the emergency events. It should be considered to apply at similar events.
