CAJ | 학술논문

目的分析北京市住院严重急性呼吸道感染(Severe Acute Respiratory Infection,SARI)病例的流行病学特征和流感病毒感染情况,探讨流感重症发生和死亡的影响因素,为流感预防控制策略和措施的调整提供依据.方法对北京大学附属人民医院报告的住院SARI病例进行临床流行病学调查与流感病原学检测,并对结果进行现况分析.结果监测病例报告在2009年第48周至2010年第34周期间内共监测到99例SARI病例,占入院总病例数的0.89％.其中重症监护病房、呼吸内科病房及急诊监护病房三个科室报告病例数占总病例数的60.61％.入院后发病患者占病例总数的40.40％,流感病毒核酸检测阳性率为42.42％,且以乙型流感为主.结论 SARI病例报告以冬春季为主,慢性基础病患者是高危人群,今后应增加SARI病例病原的多病原检测及加强院内感染控制.
목적 분석북경시주원엄중급성호흡도감염(Severe Acute Respiratory Infection,SARI)병례적류행병학특정화류감병독감염정황,탐토류감중증발생화사망적영향인소,위류감예방공제책략화조시적조정제공의거.방법 대북경대학부속인민의원보고적주원SARI병례진행림상류행병학조사여류감병원학검측,병대결과진행현황분석.결과 감측병례보고재2009년제48주지2010년제34주기간내공감측도99례SARI병례,점입원총병례수적0.89％.기중중증감호병방、호흡내과병방급급진감호병방삼개과실보고병례수점총병례수적60.61％.입원후발병환자점병례총수적40.40％,류감병독핵산검측양성솔위42.42％,차이을형류감위주.결론 SARI병례보고이동춘계위주,만성기출병환자시고위인군,금후응증가SARI병례병원적다병원검측급가강원내감염공제.
Objective To analyze epidemiological characteristics and the infection status of influenza viruses of Severe Acute Respiratory Infection eases.To explore factors which relate to the incidence and death of severe flu patients and provide basis to adjust the prevention strategies and measures.Methods Epidemiological investigations and influenza pathogen detections were done to SARI cases in Peking University People's Hospital.Results 99 SARI cases (0.89％ of hospitalized cases) were monitored,they were mainly reported in the last week of 2009 and the first 12 weeks of 2010.Cases from ICU,breathing medical ward and emergency care ward accounted for 60.61％ of all cases.The percent of patients who fell ill after hospitalization were 40.40％,and influenza virus nucleic acid tests were positive for 42.42％ of them.Most of the virus were influenza B.Conclusion SARI cases were reported mainly in winter and.spring,patients with chronic diseases were high risk groups.We should increase multi-pathogen detections in SARI cases and strengthen the control of hospital infection.