论文部分内容阅读
目的调查了解南宁市5岁以下儿童细菌性脑膜炎的流行病学特点和影响因素。方法由监测区内各医疗点对符合筛检标准的就诊患儿进行流行病学调查 ,并采集脑脊液和血液进行细菌培养和有关实验室检查 ,将数据输入数据库进行流行病学统计、分析。结果共调查1272例脑膜炎疑似患儿 ,检出各种细菌性脑膜炎38例 ,发病率12.40/10万 ,病死7例 ,病死率18.42%。病例发病主要集中在24月龄以下儿童 (占97.37% ) ,无性别差异。本病在6、9、12月份高发 ,在父母文化程度较低的儿童和未送托儿童中高发 ,与家庭人口数、家中房间数无关联。结论南宁市细菌性脑膜炎多发2岁以下儿童 ,其发病率与父母文化程度和环境卫生有密切联系 ;改善环境卫生 ,提高家长的防病意识是预防细菌性脑膜炎的关键措施。
Objective To investigate the epidemiological characteristics and influential factors of bacterial meningitis in children under 5 years old in Nanning. Methods Epidemiological investigation was performed on children who met the screening criteria at various medical sites within the monitoring area. Cerebrospinal fluid and blood were collected for bacterial culture and laboratory tests. The data were entered into the database for epidemiological analysis and analysis. Results A total of 1272 cases of suspected meningitis were investigated. 38 cases of various bacterial meningitis were detected, the incidence rate was 12.40 / 100 000, 7 died and the case fatality rate was 18.42%. The incidence of cases mainly concentrated in children under 24 months old (97.37%), no gender differences. The disease was high in June, September and December, high in children with less educated parents and non-sentinels, and had no correlation with the number of family members and the number of rooms in the family. Conclusions The incidence of bacterial meningitis in Nanning city is less than 2 years old. The incidence of bacterial meningitis in Nanning is closely related to the educational level of parents and environmental hygiene. Improving environmental hygiene and raising parental awareness of disease prevention are the key measures to prevent bacterial meningitis.