皇益英, 刘彬辉. 浙江省湖州市某学校一起人鼻病毒引起呼吸道感染暴发疫情调查[J]. 上海预防医学, 2022, 34(3): 214-218. DOI: 10.19428/j.cnki.sjpm.2022.20942
引用本文: 皇益英, 刘彬辉. 浙江省湖州市某学校一起人鼻病毒引起呼吸道感染暴发疫情调查[J]. 上海预防医学, 2022, 34(3): 214-218. DOI: 10.19428/j.cnki.sjpm.2022.20942
HUANG Yiying, LIU Binhui. Investigation on an outbreak of respiratory tract infection caused by human rhinovirus in a school in Huzhou City, Zhejiang Province[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 214-218. DOI: 10.19428/j.cnki.sjpm.2022.20942
Citation: HUANG Yiying, LIU Binhui. Investigation on an outbreak of respiratory tract infection caused by human rhinovirus in a school in Huzhou City, Zhejiang Province[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 214-218. DOI: 10.19428/j.cnki.sjpm.2022.20942

浙江省湖州市某学校一起人鼻病毒引起呼吸道感染暴发疫情调查

Investigation on an outbreak of respiratory tract infection caused by human rhinovirus in a school in Huzhou City, Zhejiang Province

  • 摘要:
    目的 了解浙江省湖州市南浔区某学校一起人鼻病毒(human rhinovirus,HRV)引起呼吸道感染暴发疫情的流行病学特征,为今后预防控制HRV引起的上呼吸道感染暴发疫情提供科学依据。
    方法 根据《流感样病例暴发疫情处置指南(2018年版)》等开展调查。主要查阅该校因病缺课记录、晨午检记录和医院就诊记录等进行病例搜索,对病例开展个案调查,对班主任进行访谈,并察看现场环境。采集现症病例咽拭子,开展新型冠状病毒核酸检测,如为阴性再开展流感病毒等其他常见的14种上呼吸道病毒检测。
    结果 共发现68例HRV感染病例,首例病例2020年5月20日发病,末例病例5月30日发病,经过3 d最长潜伏期无新发病例出现,疫情结束。共5个班级发现病例,发病班级罹患率为30.77%(68/221),其中101班为25.00%(11/44),109班罹患率为30.23%(13/43),110班罹患率为25.58%(11/43),211班罹患率为35.26%(16/45),307班罹患率为39.96%(17/46),班级间罹患率差异无统计学意义(χ2=1.67,P>0.05)。病例年龄为7~9岁。男生罹患率为27.19%(31/114),女生为34.58%(37/107),性别差异无统计学意义(χ2=1.41,P>0.05)。病例症状较轻,无住院、重症或死亡,以咳嗽、咽痛、流涕为主,其中咳嗽100.00%(68/68),咽痛61.76%(42/68),流涕47.06%(32/68),肌肉酸痛4.41%(3/68)。69.12%(47/68)到医疗机构就诊,23.53%(16/68)自行吃药,7.35%(5/68)未就医和吃药。采集的22例现症病例咽拭子标本,新型冠状病毒核酸均为阴性。开展的14种其他呼吸道病毒检测,其中16例HRV核酸阳性。
    结论 HRV引起的症状相对流感较轻,不容易引起学校和家长的重视,学生带病上课现象严重。学生应做好个人卫生,养成良好的卫生习惯,学校应开展相关防治知识宣传,做好晨午检,以杜绝学生带病上课。

     

    Abstract:
    Objective To investigate the epidemiological characteristics of an outbreak of respiratory tract infection caused by human rhinovirus (HRV) in a school in Nanxun District of Huzhou City, and provide scientific evidence for prevention and control of outbreaks of upper respiratory tract infection caused by HRV in the future.
    Methods The investigation was performed according to the Guidelines for Response to Outbreaks of Influenza-like Illness (2018 version). It mainly referred to the records of nonattendance due to illness, morning and afternoon examination, and hospital treatment records, to search for cases. Then CDC staffs carried out epidemiological investigation on cases, interviewed the head teacher, and inspected the site. Throat swabs were collected for detection of SARS-CoV-2 and subsequently 14 common viruses that may cause upper respiratory tract infection.
    Results A total of 68 cases with HRV infection were identified. The first case and last case occurred on May 20 and 30, respectively. After a 3-day longest incubation period, there was no emerging case, suggesting the end of the outbreak. The incidence was 25.00% (11/44) in Class 101, 30.23% (13/43) in Class 109, 25.58% (11/43) in Class 110, 35.26% (16/45) in Class 211, and 39.96% (17/46) in Class 307. There was no significant difference in the incidence among classes (χ2=1.67, P>0.05). The patients aged from 7 to 9 years. The incidence was 27.19% (31 / 114) in male and 34.58% (37/107) in female, with no significant difference (χ2=1.41, P>0.05). The symptoms were mild, with no hospitalization, severe illness or death. The patients had mainly cough (100.00%), sore throat (61.76%), and runny nose (47.06%), whereas had little muscle soreness (4.41%). Of the patients, 69.12% visited hospitals, 23.53% took medicine by themselves, while 7.35% did not seek any medical treatment or medicine. Throat swabs were collected from 22 cases, testing negative for SARS-CoV-2. Then 14 common respiratory viruses were examined, of which HRV was positive in 16 cases.
    Conclusion Children with HRV infection have milder symptoms compared to influenza infection, which is difficult to be noticed by school teachers and parents. Students should maintain personal hygiene and develop health habits. Moreover, schools should strength relevant health education, implement morning and afternoon health inspection, and prevent students with illness to routinely go to schools.

     

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