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目的分析十堰市手足病流行特征,探讨防治对策。方法数据来源于国家疾病监测信息系统,对病例进行个案调查,部分病例并开展病原学检测。结果 2010年共报告病例4308例,报告年发病率为124.51/10万,报告7例重症病例,死亡1例。不同地区发病率差异有统计学意义(P﹤0.01)。发病以4岁以下儿童为主,男童多于女童。发病高峰在5～7月。实验室诊断病例164例,其中84例为EV71型、54例为CoxA16型、其他肠道病毒感染26例。结论手足口病发病有明显的季节性及年龄、性别差异,EV71和CoxA16是引起十堰市手足口病的主要病原体。早期发现重症,减少死亡是防治重点。预防手足口病需要采取综合性的措施。
Objective To analyze the epidemiological characteristics of hand-foot-and-mouth disease in Shiyan and to discuss the prevention and treatment measures. Methods Data were collected from the National Disease Surveillance Information System. Case studies were conducted on individual cases and etiological tests were performed. Results A total of 4308 cases were reported in 2010, with an annual incidence rate of 124.51 / 100000. Seven severe cases and 1 death were reported. The incidence of different regions was statistically significant (P <0.01). Incidence of children under the age of 4 dominated, more boys than girls. Peak incidence in 5 to 7 months. 164 cases were laboratory diagnosed, of which 84 were EV71, 54 were CoxA16 and 26 were other enterovirus infections. Conclusion The incidence of hand, foot and mouth disease was significantly seasonal and age, gender differences, EV71 and CoxA16 are the main pathogens causing hand-foot-mouth disease in Shiyan City. Early detection of severe disease, reduce mortality is the focus of prevention and treatment. Prevention of hand, foot and mouth disease need to take comprehensive measures.