CAJ | 학술논문

目的了解浙江省宁海县的手足口病在家庭内感染与传播情况,为今后手足口病患者居家管理提供参考.方法收集2012年1-12月国家疾病监测信息报告管理系统手足口病个案资料,采用描述性流行病学方法进行分析.结果 2012年全县累计发现家庭聚集性疫情123起,共发病252人.每月均有病例报告,在5-6月和9-10月分别出现两次高峰,5-6月主高峰与Cox A16感染相关,9-10月次高峰主要由其他肠道病毒感染引起.1岁以下发病最多,占发病总数的28.17％(71/252).以散居儿童(63.49％)与幼托儿童(27.78％)为主.共同暴露(29.27％)和“幼托儿童-散居儿童”(22.76％)是家庭聚集性疫情主要传播模式.结论做好手足口病居家治疗病例管理,对于防止手足口病在家庭、社区内蔓延具有重要的公共卫生意义.
목적 료해절강성저해현적수족구병재가정내감염여전파정황,위금후수족구병환자거가관리제공삼고.방법 수집2012년1-12월국가질병감측신식보고관리계통수족구병개안자료,채용묘술성류행병학방법진행분석.결과 2012년전현루계발현가정취집성역정123기,공발병252인.매월균유병례보고,재5-6월화9-10월분별출현량차고봉,5-6월주고봉여Cox A16감염상관,9-10월차고봉주요유기타장도병독감염인기.1세이하발병최다,점발병총수적28.17％(71/252).이산거인동(63.49％)여유탁인동(27.78％)위주.공동폭로(29.27％)화“유탁인동-산거인동”(22.76％)시가정취집성역정주요전파모식.결론 주호수족구병거가치료병례관리,대우방지수족구병재가정、사구내만연구유중요적공공위생의의.
Objective To find out the way of hand,foot and mouth disease (HFMD) infection and transmission within given families,in an attempt to provide reference for HFMD management at home.Methods The data of HFMD during January to December 2012 were collected from the national disease monitoring system and were analyzed by descriptive epidemiological methods.Results There were 123 HFMD family clustering in Ninghai county in 2012,irivolving 252 cases.There were cases reported in every month with 2 peaks in number from May to June and from September to October.The outbreak of HFMD during May to June was caused by virus Cox A16 and that during September to October was caused by other enteroviruses.HFMD mainly occurred in children under age of 1 year,accounting for 28.17％ (71/252) of the cases.The major cases were scattered children (63.49％) and children in daycare centers (27.78％).The main transmission pattern were co-exposure (29.27％) and from children in daycare centers to scattered children (22.76％).Conclusions Strengthening prevention of HFMD spreading among family members is of great importance in terms of HFMD outbreak control and public health management.