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
4期
208-212
,共5页
高世同%李晓恒%谢旭%梅树江
高世同%李曉恆%謝旭%梅樹江
고세동%리효항%사욱%매수강
输入性疟疾%流行病学特征分析%深圳市
輸入性瘧疾%流行病學特徵分析%深圳市
수입성학질%류행병학특정분석%심수시
Malaria%Epidemiological study%Shenzhen
目的 了解深圳市输入性疟疾流行病学特点,为制订防制策略提供科学依据. 方法 回顾性分析2009-2013年深圳市输入性疟疾疫情资料,采用描述流行病学研究方法分析输入性疟疾病例在时间、地区和人群中的分布特点. 结果 2009-2013年报告输入性疟疾病例128例,其中恶性疟77例(60.2％)、间日疟44例(34.3％)、未分型7例(5.5％),年度输入性疟疾病例及其占疟疾病例总数的构成比呈上升趋势;按输入来源地统计,非洲90例(70.3％),东南亚25例(19.5％),国内其他省份12例(9.4％),南美洲1例(0.8％);深圳各区均有输入性疟疾的报告,龙岗、南山、宝安、福田、罗湖和盐田依次为42、37、24、18、6、1例;1-12月份均有输入性疟疾病例报告,无明显季节性变化;患者以男性为主,男女比例为7.5∶1,主要集中在20～50岁年龄组,占输入性病例总数的88.3％ (113/128);前往非洲、东南亚等疟疾高发地区从事劳务输出的工人和商务人员是输入性疟疾的高危人群.128例输入性疟疾病例中,实验室诊断115例(89.8％),临床诊断病例13例(10.2％);患者从发病到医生确诊的时间中位数为5d;住院接受治疗的患者122例,占95.3％,其中,1例患者因延误诊治而死于恶性疟. 结论 输入性疟疾的管理是深圳市疟疾消除阶段的工作重点,应加强疫情监测和往返疟疾流行区人员的健康干预,同时须提高医务人员的诊治水平.
目的 瞭解深圳市輸入性瘧疾流行病學特點,為製訂防製策略提供科學依據. 方法 迴顧性分析2009-2013年深圳市輸入性瘧疾疫情資料,採用描述流行病學研究方法分析輸入性瘧疾病例在時間、地區和人群中的分佈特點. 結果 2009-2013年報告輸入性瘧疾病例128例,其中噁性瘧77例(60.2％)、間日瘧44例(34.3％)、未分型7例(5.5％),年度輸入性瘧疾病例及其佔瘧疾病例總數的構成比呈上升趨勢;按輸入來源地統計,非洲90例(70.3％),東南亞25例(19.5％),國內其他省份12例(9.4％),南美洲1例(0.8％);深圳各區均有輸入性瘧疾的報告,龍崗、南山、寶安、福田、囉湖和鹽田依次為42、37、24、18、6、1例;1-12月份均有輸入性瘧疾病例報告,無明顯季節性變化;患者以男性為主,男女比例為7.5∶1,主要集中在20～50歲年齡組,佔輸入性病例總數的88.3％ (113/128);前往非洲、東南亞等瘧疾高髮地區從事勞務輸齣的工人和商務人員是輸入性瘧疾的高危人群.128例輸入性瘧疾病例中,實驗室診斷115例(89.8％),臨床診斷病例13例(10.2％);患者從髮病到醫生確診的時間中位數為5d;住院接受治療的患者122例,佔95.3％,其中,1例患者因延誤診治而死于噁性瘧. 結論 輸入性瘧疾的管理是深圳市瘧疾消除階段的工作重點,應加彊疫情鑑測和往返瘧疾流行區人員的健康榦預,同時鬚提高醫務人員的診治水平.
목적 료해심수시수입성학질류행병학특점,위제정방제책략제공과학의거. 방법 회고성분석2009-2013년심수시수입성학질역정자료,채용묘술류행병학연구방법분석수입성학질병례재시간、지구화인군중적분포특점. 결과 2009-2013년보고수입성학질병례128례,기중악성학77례(60.2％)、간일학44례(34.3％)、미분형7례(5.5％),년도수입성학질병례급기점학질병례총수적구성비정상승추세;안수입래원지통계,비주90례(70.3％),동남아25례(19.5％),국내기타성빈12례(9.4％),남미주1례(0.8％);심수각구균유수입성학질적보고,룡강、남산、보안、복전、라호화염전의차위42、37、24、18、6、1례;1-12월빈균유수입성학질병례보고,무명현계절성변화;환자이남성위주,남녀비례위7.5∶1,주요집중재20～50세년령조,점수입성병례총수적88.3％ (113/128);전왕비주、동남아등학질고발지구종사노무수출적공인화상무인원시수입성학질적고위인군.128례수입성학질병례중,실험실진단115례(89.8％),림상진단병례13례(10.2％);환자종발병도의생학진적시간중위수위5d;주원접수치료적환자122례,점95.3％,기중,1례환자인연오진치이사우악성학. 결론 수입성학질적관리시심수시학질소제계단적공작중점,응가강역정감측화왕반학질류행구인원적건강간예,동시수제고의무인원적진치수평.
Objective To analyze the epidemiological characteristics of imported malaria in Shenzhen so as to provide the scientific basis for developing control strategies.Methods A retrospective study was conducted with the data on surveillance and incidence of imported malaria in Shenzhen during 2009-2013.The imported malaria cases were analyzed using descriptive epidemiological methods to indicate their distribution characteristics among different population groups,regions,and seasons.Results The number of imported malaria cases were 128 from 2009 to 2013,of which 77 cases (60.2％) infected with Plasmodiumfolciparum,44 cases(34.3％) with Plasmodium vivax,and 7 case(5.5％) with Plasmodium spp.not identified.Annual incidence of imported malaria and its proportion to total malaria cases were increasing in recent five years.Among the imported malaria cases,90 cases (70.3％) were imported from Africa,25 cases (19.5％) from Southeast Asia,12 cases(9.4％) from other provinces of China,and 1 case(0.8％) from South America.Imported malaria cases were reported in every district around Shenzhen areas,ranking from top to lowest,42,37,24,18,6 and 1 cases reported in Longgang,Nanshan,Baoan,Futian,Luohu and Yantian district respectively.The cases were occurred from January to December,and no seasonal incidence peak was observed during 2009-2013.The majority of malaria cases was male,the ratio of male to female was 7.5 ∶ 1,and about 88.3％(113/128) of the total cases were concentrated in 20～50 age groups.The exported labor workers and travelers for business from malaria endemic areas,such as Africa and South-east Asia,were of high risk to malaria.Totally 115 (89.8％) cases were laboratory confirmed while 13 (10.2％) clinically diagnosed,and the medium time from malaria onset to diagnosed by doctors was 5 d.About 95.3％ (122/128) patients received complete treatment with anti-malaria drugs in hospitals,however one patient died of P.falciparum malaria because of delayed diagnosis.Conclusion The management of imported malaria is very important in the elimination of malaria in Shenzhen.Imported malaria surveillance and health intervention should be conducted among travelers to malaria endemic area,meanwhile clinical medical staffs should receive more professional training to improve diagnosis and treatment of malaria cases.
