微生物学免疫学进展
微生物學免疫學進展
미생물학면역학진전
PROGRESS IN MICROBIOLOGY AND IMMUNOLOGY
2015年
4期
40-43
,共4页
刘刚%卢紫燕%林应和%叶兆嘉
劉剛%盧紫燕%林應和%葉兆嘉
류강%로자연%림응화%협조가
百日咳%流行病学特征%抗体水平%分析
百日咳%流行病學特徵%抗體水平%分析
백일해%류행병학특정%항체수평%분석
Pertussis%Epidemiological character%Antibody level%Analysis
目的:通过对深圳市2010—2013年百日咳流行病学特征及健康人群百日咳抗体水平进行分析,为预防控制百日咳提供依据。方法采用描述性流行病学方法对深圳市2010—2013年法定传染病报告系统中的百日咳病例个案数据及2013年深圳市健康人群百日咳抗体水平进行分析。结果深圳市2010—2013年共报告百日咳病例176例,报告年均发病率为0.54/10万,其中2011年最高(0.72/10万)。报告病例中<18月龄的占94.89%,有春夏季高发的现象,病例报告单位以深圳市儿童医院为主(92.05%)。2013年640份健康人群血清百日咳IgG抗体阳性率为46.25%,其中≥20岁组的最高(70.67%),4~5岁组的最低(25.45%)。各年龄组健康人群百日咳抗体水平阳性率差别有统计学意义(χ2=19.01,P<0.001)。结论深圳市近几年百日咳报告病例以18月龄以下儿童为主,除20岁以上成人外,其他年龄组人群百日咳抗体水平普遍不高,应针对适龄儿童制定针对性的百日咳防控策略。
目的:通過對深圳市2010—2013年百日咳流行病學特徵及健康人群百日咳抗體水平進行分析,為預防控製百日咳提供依據。方法採用描述性流行病學方法對深圳市2010—2013年法定傳染病報告繫統中的百日咳病例箇案數據及2013年深圳市健康人群百日咳抗體水平進行分析。結果深圳市2010—2013年共報告百日咳病例176例,報告年均髮病率為0.54/10萬,其中2011年最高(0.72/10萬)。報告病例中<18月齡的佔94.89%,有春夏季高髮的現象,病例報告單位以深圳市兒童醫院為主(92.05%)。2013年640份健康人群血清百日咳IgG抗體暘性率為46.25%,其中≥20歲組的最高(70.67%),4~5歲組的最低(25.45%)。各年齡組健康人群百日咳抗體水平暘性率差彆有統計學意義(χ2=19.01,P<0.001)。結論深圳市近幾年百日咳報告病例以18月齡以下兒童為主,除20歲以上成人外,其他年齡組人群百日咳抗體水平普遍不高,應針對適齡兒童製定針對性的百日咳防控策略。
목적:통과대심수시2010—2013년백일해류행병학특정급건강인군백일해항체수평진행분석,위예방공제백일해제공의거。방법채용묘술성류행병학방법대심수시2010—2013년법정전염병보고계통중적백일해병례개안수거급2013년심수시건강인군백일해항체수평진행분석。결과심수시2010—2013년공보고백일해병례176례,보고년균발병솔위0.54/10만,기중2011년최고(0.72/10만)。보고병례중<18월령적점94.89%,유춘하계고발적현상,병례보고단위이심수시인동의원위주(92.05%)。2013년640빈건강인군혈청백일해IgG항체양성솔위46.25%,기중≥20세조적최고(70.67%),4~5세조적최저(25.45%)。각년령조건강인군백일해항체수평양성솔차별유통계학의의(χ2=19.01,P<0.001)。결론심수시근궤년백일해보고병례이18월령이하인동위주,제20세이상성인외,기타년령조인군백일해항체수평보편불고,응침대괄령인동제정침대성적백일해방공책략。
Objective To analyze the antibody level and epidemiological character of pertussis in Shenzhen from 2010 to 2013, and to provide basis for pertussis prevention and control.Methods The individual data of pertussis cases from na-tional notifiable disease reporting system from 2010 to 2013 and antibody level in 2013 in Shenzhen were analyzed by de-scriptive epidemiology, Bordetella pertussis gene analysis was carried out with duplex PCR and ELISA was used to detect specific pertussis toxin(PT)-IgG antibody.Results The average incidence of pertussis from 2010 to 2013 was 0.2 case per 105, the highest incidence was in 2011(0.72 case per 105).94.89% cases were children less than 18 months old, most cases occurred in spring and summer season.The positive rate of the healthy population antibody against pertussis was 46.3%, the highest positive rate ( 70.67%) occurred in the group of 20 years old above, the lowest positive rate (25.45%) occurred in the group at the age of 4-5 years.The difference was statistically significant among age group(χ2=19.01,P<0.001).Conclusion The children less than 18 months accounted for the most of the pertussis cases in Shenz-hen in recent years.In addition to adults over the age of 20 years, the pertussis antibody level in other age groups is not high.It is very necessary to make targeted preventive and control strategy to school-age children.