于宏杰, 倪胜男, 钟培松. 上海市嘉定区2007—2016年手足口病流行特征及病原学分析[J]. 上海预防医学, 2018, 30(12): 1005-1008. DOI: 10.19428/j.cnki.sjpm.2018.18717
引用本文: 于宏杰, 倪胜男, 钟培松. 上海市嘉定区2007—2016年手足口病流行特征及病原学分析[J]. 上海预防医学, 2018, 30(12): 1005-1008. DOI: 10.19428/j.cnki.sjpm.2018.18717
YU Hong-jie, NI Sheng-nan, ZHONG Pei-song. Epidemiological and pathogenic characteristics of hand-foot-mouth disease in Jiading District of Shanghai from 2007 to 2016[J]. Shanghai Journal of Preventive Medicine, 2018, 30(12): 1005-1008. DOI: 10.19428/j.cnki.sjpm.2018.18717
Citation: YU Hong-jie, NI Sheng-nan, ZHONG Pei-song. Epidemiological and pathogenic characteristics of hand-foot-mouth disease in Jiading District of Shanghai from 2007 to 2016[J]. Shanghai Journal of Preventive Medicine, 2018, 30(12): 1005-1008. DOI: 10.19428/j.cnki.sjpm.2018.18717

上海市嘉定区2007—2016年手足口病流行特征及病原学分析

Epidemiological and pathogenic characteristics of hand-foot-mouth disease in Jiading District of Shanghai from 2007 to 2016

  • 摘要:
    目的了解上海市嘉定区2007—2016年手足口病流行情况及病原学特征,为手足口病的进一步防控提供依据。
    方法收集嘉定区2007—2016年手足口病报告病例信息并进行统计分析。
    结果2007—2016年共报告手足口病病例37 520例,平均发病年龄为2.81岁,5岁及以下儿童占92.05%;发病率呈隔年波动趋势,最低为2015年的217.03/10万,最高为2016年的461.83/10万;发病主要集中在4—7月份,占病例总数的55.95%;病例多发生在农村和城乡接合部,占94.98%。共采集咽拭子、肛拭子等样品799人份,EV71阳性检出比例最高,为44.56%。重症手足口病占总病例数的0.59%,重症病例的病原以EV71为主,占96.23%。
    结论嘉定区手足口病发病呈一定的周期性和季节性,非城区儿童为手足口病的高发群体,EV71为手足口病尤其是重症手足口病的主要病原,应采取更有针对性的措施,加强对农村和城乡接合部学龄前儿童手足口病的防控。

     

    Abstract:
    ObjectiveTo explore the prevalence trend and pathogenic characteristics of hand-food-mouth disease(HFMD) in Jiading District of Shanghai from 2007 to 2016.
    MethodsInformation on cases of hand-food-mouth disease in Jiading District from 2007 to 2016 was collected and analyzed.
    ResultsThere were 37 520 reported cases from 2007 to 2016 with average age of 2.81 years old, in which 92.05% cases were aged 5 years old or below.The incidence rate showed fluctuation over years was from the lowest incidence of 217.03/105 in 2015 to the highest of 461.83/105 in 2016.There were 55.95% of reported cases from the period of April to July and 94.98% were from rural and urban-rural areas.Samples from 799 patients as pharynx swab and anal swab, etc.were found to be enterovirus 71 (EV71), the dominant pathogen, accounting for 44.56% of total isolation.There were 0.59% severe cases, 96.23% of which were positive of EV71.
    ConclusionThe HFMD prevalence in Jiading District of Shanghai showed periodicity and seasonality.Children aged 5 years old below and living in non-urban areas showed higher incidence risk.EV71 is the dominant pathogen, especially for the severe cases.These findings suggested that targeted measures should be carried out according to the prevalence and pathogenic characteristics, strengthening the prevention and control of HFMD among preschool children in rural and urban- rural areas.

     

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