中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2009年
10期
852-855
,共1页
袁俊%李美霞%刘于飞%狄飚%肖晓玲%毛新武%伍业健%谢华萍%谢朝军%张豪%刘建平%李海麟%沈纪川%杨智聪%王鸣
袁俊%李美霞%劉于飛%狄飚%肖曉玲%毛新武%伍業健%謝華萍%謝朝軍%張豪%劉建平%李海麟%瀋紀川%楊智聰%王鳴
원준%리미하%류우비%적표%초효령%모신무%오업건%사화평%사조군%장호%류건평%리해린%침기천%양지총%왕명
流感病毒A型%H1N1亚型%流感%人%疾病暴发流行%综合预防
流感病毒A型%H1N1亞型%流感%人%疾病暴髮流行%綜閤預防
류감병독A형%H1N1아형%류감%인%질병폭발류행%종합예방
A virus%H1N1 subtype%Influenza%human%Disease outbreaks%Universal precautions
目的 及时总结经验,为季节性流行性感冒(简称流感)暴发时期开展甲型H1N1流感防控提供参考.方法 2009年5月25至31日,我国内地发生首起甲型H1N1流感输入性患者引起社区续发患者(1例输入性患者,2例社区续发患者).在患者的密切接触者中,出现发热(体温≥37.5℃)或咳嗽、咽痛等呼吸道症状,经实验室检测排除甲型H1N1流感病毒感染,而本人或本人的密切接触者中检测季节性流感阳性结果的患者14例.以疾病预防控制专业人员面对面访谈和电话调查相结合的方式,收集患者个案信息.了解62名相关密切接触者的基本情况.对14例患者咽拭子进行甲型H1N1流感检测,采集其中7例患者进行季节性流感排查.结果 14例发热患者,发病率在各年龄组[15～岁组19.2%(5/26),25～岁组25.0%(9/36),x~2=0.287,P=0.592]、性别[男性24.0%(6/25),女性21.6%(8/37),x~2=0.048,P=0.826]、部门[化妆及设计部、摄影部、门市部及其他、影楼客户分别为42.1%(8/19)、27.3%(3/11)、12.5%(2/16)、6.3%(1/16),x~2=7.653,P=0.054]和是否居住集体宿舍[集体宿舍33.3%(4/12)、非集体宿舍29.4%(10/34),x~2=0.699,P=0.403]等方面差异均无统计学意义.14例患者以低热为主(37.5～37.9℃),未发现有腹泻症状的患者,本次暴发中3例甲型H1N1流感患者中1例出现腹泻的症状.14例患者咽拭子检测甲型H1N1流感核酸阴性,7例患者咽拭子检测6例呈甲型季节性流感阳性反应.结论 本起事件为我国内地首起社区甲型H1N1流感暴发患者密切接触者中发生季节性流感暴发.提示调查甲型H1N1流感患者时,必要时需排查季节性流感和继续加强季节性流感的防控工作.
目的 及時總結經驗,為季節性流行性感冒(簡稱流感)暴髮時期開展甲型H1N1流感防控提供參攷.方法 2009年5月25至31日,我國內地髮生首起甲型H1N1流感輸入性患者引起社區續髮患者(1例輸入性患者,2例社區續髮患者).在患者的密切接觸者中,齣現髮熱(體溫≥37.5℃)或咳嗽、嚥痛等呼吸道癥狀,經實驗室檢測排除甲型H1N1流感病毒感染,而本人或本人的密切接觸者中檢測季節性流感暘性結果的患者14例.以疾病預防控製專業人員麵對麵訪談和電話調查相結閤的方式,收集患者箇案信息.瞭解62名相關密切接觸者的基本情況.對14例患者嚥拭子進行甲型H1N1流感檢測,採集其中7例患者進行季節性流感排查.結果 14例髮熱患者,髮病率在各年齡組[15～歲組19.2%(5/26),25～歲組25.0%(9/36),x~2=0.287,P=0.592]、性彆[男性24.0%(6/25),女性21.6%(8/37),x~2=0.048,P=0.826]、部門[化妝及設計部、攝影部、門市部及其他、影樓客戶分彆為42.1%(8/19)、27.3%(3/11)、12.5%(2/16)、6.3%(1/16),x~2=7.653,P=0.054]和是否居住集體宿捨[集體宿捨33.3%(4/12)、非集體宿捨29.4%(10/34),x~2=0.699,P=0.403]等方麵差異均無統計學意義.14例患者以低熱為主(37.5～37.9℃),未髮現有腹瀉癥狀的患者,本次暴髮中3例甲型H1N1流感患者中1例齣現腹瀉的癥狀.14例患者嚥拭子檢測甲型H1N1流感覈痠陰性,7例患者嚥拭子檢測6例呈甲型季節性流感暘性反應.結論 本起事件為我國內地首起社區甲型H1N1流感暴髮患者密切接觸者中髮生季節性流感暴髮.提示調查甲型H1N1流感患者時,必要時需排查季節性流感和繼續加彊季節性流感的防控工作.
목적 급시총결경험,위계절성류행성감모(간칭류감)폭발시기개전갑형H1N1류감방공제공삼고.방법 2009년5월25지31일,아국내지발생수기갑형H1N1류감수입성환자인기사구속발환자(1례수입성환자,2례사구속발환자).재환자적밀절접촉자중,출현발열(체온≥37.5℃)혹해수、인통등호흡도증상,경실험실검측배제갑형H1N1류감병독감염,이본인혹본인적밀절접촉자중검측계절성류감양성결과적환자14례.이질병예방공제전업인원면대면방담화전화조사상결합적방식,수집환자개안신식.료해62명상관밀절접촉자적기본정황.대14례환자인식자진행갑형H1N1류감검측,채집기중7례환자진행계절성류감배사.결과 14례발열환자,발병솔재각년령조[15～세조19.2%(5/26),25～세조25.0%(9/36),x~2=0.287,P=0.592]、성별[남성24.0%(6/25),녀성21.6%(8/37),x~2=0.048,P=0.826]、부문[화장급설계부、섭영부、문시부급기타、영루객호분별위42.1%(8/19)、27.3%(3/11)、12.5%(2/16)、6.3%(1/16),x~2=7.653,P=0.054]화시부거주집체숙사[집체숙사33.3%(4/12)、비집체숙사29.4%(10/34),x~2=0.699,P=0.403]등방면차이균무통계학의의.14례환자이저열위주(37.5～37.9℃),미발현유복사증상적환자,본차폭발중3례갑형H1N1류감환자중1례출현복사적증상.14례환자인식자검측갑형H1N1류감핵산음성,7례환자인식자검측6례정갑형계절성류감양성반응.결론 본기사건위아국내지수기사구갑형H1N1류감폭발환자밀절접촉자중발생계절성류감폭발.제시조사갑형H1N1류감환자시,필요시수배사계절성류감화계속가강계절성류감적방공공작.
Objective To timely summarize past experience and to provide more pertinent reference for control and prevention in A/H1N1 cases in influenza season. Methods During May 25 to 31,2009,2 secondary community cases caused by a influenza A/H1N1 imported case. In the close contacts of 3 A/ H1N1 cases, 14 had some aspiratory symptoms onset, such as fever(≥ 37.5℃), cough, sore throat and etc. Laboratory tests excluded the infection of A/H1N1 influenza. For throat swab test for the 14 cases,7 were tested for seasonal influenza virus. A face-to-face or telephone interview was conducted by CDC staff to collect information of 62 close contacts. Results Of 14 fever cases,there was no significant by differences by age [15-age group: 19. 2% (5/26), over 25-age group: 25.0% (9/36); x~2=0. 287, P=0. 592]; by sex group [24. 0% (6/25) for male and 21.6% (8/37) for female; x~2=0. 048, P=0. 826], by working units [dressing and design, photograph, saleroom and others, consumer group: 42. 1% (8/19), 27. 3% (3/11), 12. 5% (2/16) and 6. 3% (1/16); x~2=7. 653, P=0. 054], by dormitory style [dormitory style=33.3% (4/12),non-dormitory style=29.4%(10/34); x~2=0. 699,P=0. 403]. All the cases had fever (37.5-37.9℃),no case had diarrhea. One in 3 A/H1N1 cases had diarrhea. All the 14 cases were negative result for A/H1N1 RNA. Six from 7 cases were positive for seasonal influenza test. Conclusion This was a seasonal influenza outbreak happened in the close contacts of first confirmed A/H1N1 cases in community in mainland China. It showed that we should exclude the seasonal influenza in the investigation of A/H1N1 cases in the seasonal influenza period in some time. It is necessary to take effective measure to strengthen the control and prevention of seasonal influenza.
