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目的对南宁市首例人感染高致病性禽流感病例进行流行病学调查分析,为进一步科学防控人禽流感提供依据。方法采用现场流行病学调查方法对病例和密切接触者进行个案调查,采用RT-PCR方法对病例呼吸道标本进行人感染高致病性禽流感病毒(H5N1)检测。结果确诊南宁市首例人感染高致病性禽流感病例,该病例经抢救无效死亡,病例有明确病死禽接触史。在采取病例隔离治疗、医护人员个人防护、密切接触者医学观察、消毒等综合控制措施后,疫情得到有效控制,密切接触者中未出现异常情况,未出现二代病例。结论需加强人禽流感疫情监测,加强医务人员培训,预防疫情发生。
Objective To investigate the epidemiological analysis of the first case of human highly pathogenic avian influenza in Nanning City and provide evidence for further scientific prevention and control of human bird flu. Methods A case-by-case epidemiological investigation was conducted to investigate the case and close contacts. RT-PCR was used to detect the H5N1 human respiratory tract infection. The results confirmed the first case of human infection of high-pathogenic avian influenza in Nanning City, the case died of ineffective rescue, the case of a clear history of dead poultry exposure. The epidemic was effectively controlled after isolation and treatment of cases, personal protection of medical staff, comprehensive medical measures such as medical observation and disinfection of close contacts, and no abnormalities were observed in close contacts. Cases of second-generation cases did not occur. Conclusion It is necessary to strengthen the monitoring of the epidemic situation of human bird flu, strengthen the training of medical personnel and prevent the outbreak from happening.