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目的分析桂平市脑炎和/或脑膜炎的发病率、流行特征和病原谱特点,为制定有效的预防控制对策提供依据。方法对桂平市辖区医疗机构2007年4月至2008年3月发现的符合筛选标准的脑炎和/或脑膜炎病例进行临床诊断、病原学检测、流行病学调查和分析,并探索建立脑炎和/或脑膜炎疫情应急处置体系。结果2007年4月至2008年3月,辖区内报告符合筛选标准的脑炎和/或脑膜炎疑似病例233例,临床诊断病例156例,发病率为10.65/10万,病原学确诊91例,其中细菌性32例,病毒性47例,真菌性11例,寄生虫性1例。发病高峰出现在6月份,占发病总数的35.26%;发病年龄以15岁以下儿童居多,占发病总数的79.49%。结论桂平市为脑炎和/或脑膜炎病例高发地区,建立相应的疫情应急体系可有效地降低脑炎和/或脑膜炎疫情造成的危害。
Objective To analyze the incidence, epidemic characteristics and etiological characteristics of encephalitis and / or meningitis in Guiping City and provide the basis for effective prevention and control measures. Methods The clinical diagnosis, etiological test, epidemiological investigation and analysis of the encephalitis and / or meningitis cases that meet the screening criteria were conducted in the medical institutions in Guiping district from April 2007 to March 2008 and to explore the establishment of encephalitis And / or meningitis emergency response system. Results From April 2007 to March 2008, 233 suspected cases of encephalitis and / or meningitis that met the screening criteria were reported in the area. 156 cases were clinically diagnosed, the incidence rate was 10.65 / 100 000, the pathogenicity was confirmed in 91 cases, Among them, 32 were bacterial, 47 were viral, 11 were fungal and 1 was parasite. The peak incidence in June, accounting for 35.26% of the total number of onset; onset age to children under 15 years of age, accounting for 79.49% of the total number of onset. Conclusions Guiping is a high incidence area of encephalitis and / or meningitis cases. Establishing a corresponding emergency system can effectively reduce the harm caused by the encephalitis and / or meningitis.