国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2014年
1期
6-9,46
,共5页
何战英%王小梅%李旭%任海林%王全意%黎新宇
何戰英%王小梅%李旭%任海林%王全意%黎新宇
하전영%왕소매%리욱%임해림%왕전의%려신우
输入性疟疾%恶性疟%流行病学特征
輸入性瘧疾%噁性瘧%流行病學特徵
수입성학질%악성학%류행병학특정
Imported malaria%P.falciparum%Epidemiological characteristics
目的 了解北京市输入性疟疾病例的流行病学特征. 方法 收集北京市2011-2012年上报的疟疾病例流行病学调查资料,采集病例血液标本进行实验室检测,采用Microsoft Excel 2003进行统计学分析. 结果 2011-2012年北京市共报告疟疾病例142例,其中恶性疟92例,间日疟20例,间日疟和恶性疟混合感染5例,卵形疟、三日疟各1例,未分型23例.全部为境外输入性病例,其中非洲输入病例占92.96％.本市常住居民患病人数为67例,其他为外籍或外省病例.重症病例占50.70％,84.51％的病例在发病后10d内确诊.142例病例中首诊误诊率为35.21％.5例死亡病例首诊时,1例诊断为疟疾,3例诊断为上呼吸道感染,1例缺乏首诊信息.2012年2例病例合并登革热病毒感染. 结论 2011-2012年北京市上报疟疾病例均为境外输入病例,输入地多为非洲,以恶性疟为主.部分医生诊断意识较差,存在一定程度的误诊率.
目的 瞭解北京市輸入性瘧疾病例的流行病學特徵. 方法 收集北京市2011-2012年上報的瘧疾病例流行病學調查資料,採集病例血液標本進行實驗室檢測,採用Microsoft Excel 2003進行統計學分析. 結果 2011-2012年北京市共報告瘧疾病例142例,其中噁性瘧92例,間日瘧20例,間日瘧和噁性瘧混閤感染5例,卵形瘧、三日瘧各1例,未分型23例.全部為境外輸入性病例,其中非洲輸入病例佔92.96％.本市常住居民患病人數為67例,其他為外籍或外省病例.重癥病例佔50.70％,84.51％的病例在髮病後10d內確診.142例病例中首診誤診率為35.21％.5例死亡病例首診時,1例診斷為瘧疾,3例診斷為上呼吸道感染,1例缺乏首診信息.2012年2例病例閤併登革熱病毒感染. 結論 2011-2012年北京市上報瘧疾病例均為境外輸入病例,輸入地多為非洲,以噁性瘧為主.部分醫生診斷意識較差,存在一定程度的誤診率.
목적 료해북경시수입성학질병례적류행병학특정. 방법 수집북경시2011-2012년상보적학질병례류행병학조사자료,채집병례혈액표본진행실험실검측,채용Microsoft Excel 2003진행통계학분석. 결과 2011-2012년북경시공보고학질병례142례,기중악성학92례,간일학20례,간일학화악성학혼합감염5례,란형학、삼일학각1례,미분형23례.전부위경외수입성병례,기중비주수입병례점92.96％.본시상주거민환병인수위67례,기타위외적혹외성병례.중증병례점50.70％,84.51％적병례재발병후10d내학진.142례병례중수진오진솔위35.21％.5례사망병례수진시,1례진단위학질,3례진단위상호흡도감염,1례결핍수진신식.2012년2례병례합병등혁열병독감염. 결론 2011-2012년북경시상보학질병례균위경외수입병례,수입지다위비주,이악성학위주.부분의생진단의식교차,존재일정정도적오진솔.
Objective To analyze the epidemiological characteristics of imported malaria cases in Beijing.Methods The epidemiological data of malaria cases reported in Beijing during 2011-2012 were collected and analyzed.Blood samples of the cases were collected and tested in laboratory.All data were statistically analyzed with Microsoft Excel 2003.Results A total of 142 malaria cases were reported in Beijing during 2011-2012,including 92 cases of P.falciparum,20 cases ofP.vivax,1 case ofP.malariae and P.ovale respectively,23 case with undecided type.All of them were imported abroad.Imported cases from Afirca accounted for 92.96％.There were 67 cases of residents in Beijing,the others coming from foreign countries or other provinces.The proportion of severe cases was 50.70％ and the cases which were diagnosed as malaria within 10 d accounted for 84.51％.The misdiagnosis rate of first visit to hospital was 35.21％.Among 5 deaths,there was 1 case who was diagnosed as malaria at his first visit to hospital,3 cases were diagnosed as influenza and the information of 1 case was missing.There were 2 cases co-infected with Dengue virus in 2012.Conclusion All the malaria cases reported in Beijing during 2011-2012 were imported abroad,mainly coming from Africa.Most of the cases were infected with P.falciparum.There was a certain degree of misdiagnosis due to the doctors' poor awareness to malaria.
