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目的评价中国(未包括香港、澳门特别行政区和台湾地区,下同)急性弛缓性麻痹病例监测信息报告管理系统(Acute Flaccid Paralysis Surveillance Information Report Management System,AFPSIRMS)2013年运转质量,分析AFP病例监测中存在的薄弱环节,提出维持AFPSIRMS高质量运转的建议。方法采用描述流行病学方法分析通过AFPSIRMS收集的2013年AFP病例数据。结果中国2013年AFPSIRMS共收到报告6701例,其中AFP病例5623例,非AFP病例1078例。5623例AFP病例中,5621例排除脊髓灰质炎(脊灰),1例为临床符合脊灰,1例为疫苗衍生脊灰病毒病例。<15岁儿童非脊灰AFP病例报告发病率为2.51/10万,合格粪便标本采集率为92%。病例的报告、流行病学调查及采集粪便标本等环节仍需改进和加强。结论中国2013年AFPSIRMS保持较高质量运转,各项监测指标均达到维持无脊灰的要求。需要加强对各级AFP病例监测信息报告和管理的培训,并及时开展有针对性的现场调研和督导。
Objective To evaluate the quality of life of China (excluding Acute Flaccid Paralysis Surveillance Information Reporting Management System, AFPSIRMS) in 2013 in China (excluding Hong Kong SAR, Macao SAR and Taiwan) The weak links that exist, put forward the suggestion that maintains the high quality operation of AFPSIRMS. Methods Descriptive epidemiological methods were used to analyze 2013 AFP case data collected by AFPSIRMS. Results A total of 6,701 AFPSIRMS cases were reported in China in 2013, including 5623 AFP cases and 1078 non-AFP cases. Of the 5623 AFP cases, 5621 were poliomyelitis-exterminated (polio), one was clinically poliovirus-positive, and one was a vaccine-derived poliovirus. The incidence of non-polio AFP cases in children <15 years old was 2.51 / 100,000, and the sampling rate of qualified stool samples was 92%. Case reports, epidemiological surveys and collection of stool specimens and other links still need to be improved and strengthened. Conclusion China’s AFPSIRMS maintained high quality operation in 2013, and all the monitoring indicators reached the goal of maintaining polio-free. Need to strengthen the AFP case monitoring information reporting and management training at all levels, and promptly carry out targeted on-site research and supervision.