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目的了解山东省淄博市手足口病流行特征。方法利用国家疾病监测信息管理系统开展手足口病监测,并对部分病例进行个案调查和病原学检测。结果 2009年现住址为淄博市的手足口病病例共报告5463例,其中重症病例10例,无死亡病例报告。年发病率为126.78/10万,不同区(县)发病率的差异有统计学意义(P<0.01)。以<5岁儿童发病为主,男童高于女童,男女性之间差异有统计学意义(P<0.01)。发病高峰为4-8月。对40份标本进行病原学检测,检出EV71型阳性13份,其他肠道病毒阳性14份。结论手足口病发病有明显的季节性和年龄、性别差异,是淄博市的重点防控传染病,应加强疫情监测和分析,防止其暴发流行。
Objective To understand the epidemic characteristics of hand-foot-mouth disease in Zibo City, Shandong Province. Methods The national disease monitoring information management system was used to carry out hand foot and mouth disease surveillance, and some cases were investigated by case and pathogen detection. Results A total of 5463 HFMD cases were reported in Zibo City in 2009, including 10 critically ill cases and no deaths. The annual incidence was 126.78 / 100 000, the incidence of different districts (counties) was significantly different (P <0.01). The incidence of children aged less than 5 years, boys than girls, the difference between men and women was statistically significant (P <0.01). Peak incidence for the April-August. Forty specimens were tested for etiology, 13 positive for EV71 and 14 for other enteroviruses were detected. Conclusion The incidence of hand, foot and mouth disease is obviously seasonal and age difference. It is the key infectious disease in Zibo City. Monitoring and analysis of epidemic situation should be strengthened to prevent its outbreak.