叶楚楚, 朱渭萍, 王远萍, 陈诹, 傅益飞, 孙乔, 赵根明. 上海市浦东新区363例老年流感样病例及严重呼吸道感染病例病毒病原谱特征分析[J]. 上海预防医学, 2016, 28(11): 772-776.
引用本文: 叶楚楚, 朱渭萍, 王远萍, 陈诹, 傅益飞, 孙乔, 赵根明. 上海市浦东新区363例老年流感样病例及严重呼吸道感染病例病毒病原谱特征分析[J]. 上海预防医学, 2016, 28(11): 772-776.
YE Chu-chu, ZHU Wei-ping, WANG Yuan-ping, CHEN Zou, FU Yi-fei, SUN Qiao, ZHAO Gen-ming. Viral etiology of 363 elderly people with influenza-like illness and severe acute respiratory infections in Pudong New Area, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2016, 28(11): 772-776.
Citation: YE Chu-chu, ZHU Wei-ping, WANG Yuan-ping, CHEN Zou, FU Yi-fei, SUN Qiao, ZHAO Gen-ming. Viral etiology of 363 elderly people with influenza-like illness and severe acute respiratory infections in Pudong New Area, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2016, 28(11): 772-776.

上海市浦东新区363例老年流感样病例及严重呼吸道感染病例病毒病原谱特征分析

Viral etiology of 363 elderly people with influenza-like illness and severe acute respiratory infections in Pudong New Area, Shanghai

  • 摘要: 目的 了解上海市浦东新区老年流感样病例(ILI)和严重急性呼吸道感染(SARI)病例的流行病学及病毒病原谱特征,为制定老年人群流感防治策略提供依据。方法 在浦东新区设立4家医疗机构监测点开展老年ILI和SARI病例监测,每周采集部分病例呼吸道标本进行病毒核酸检测,检测项目包括人流感病毒(A、B、C型)、鼻病毒、人副流感病毒(1~4型)、呼吸道合胞病毒(A、B型)、人偏肺病毒、人腺病毒、人冠状病毒(hCoVs-229E,OC43,NL63,and HKU1)及人博卡病毒;同时调查每个采样病例的基本信息。采用用卡方检验或Fisher确切概率法比较不同人群的病原体检出情况。结果 2014年1月1日-2016年6月30日,共363例老年ILI/SARI病例纳入监测,其中男性202例(55.65%),年龄中位数为70岁;任一病毒阳性率为39.12%(142/363),人流感病毒阳性率最高,为20.94%(76/363),ILI的流感阳性率(29.83%)显著高于SARI病例(12.09%,P=0.000),冬季(12月-2月)和夏季(7-9月)的流感阳性率显著高于其他月份。结论 人流感病毒为本地区老年ILI/SARI病例的优势病原体,全年呈现冬季和夏季2个流行高峰。建议制定针对老年人群的流感疫苗接种等相关政策,降低重症和死亡风险。

     

    Abstract: Objective To understand the epidemiological characteristics of common respiratory viruses among influenza-like illness (ILI) and severe acute respiratory infections (SARI) in Pudong New Area, Shanghai, so as to help estimate the disease burden and conduct the valuable control strategies. Methods Respiratory specimen (throat swab or sputum) from cases older than 65 years old with ILI/SARI were collected from outpatient and inpatient settings in four sentinel hospitals in Pudong New Area. Each specimen was tested by multiplex PCR for eight target viral etiologies, including influenza virus, human rhinoviruses (HRV), human para-influenza virus (PIV), adenoviruses (ADV), respiratory syncytial virus (RSV), human metapneumovirus (hMPV), human coronavirus (hCoV) and human bocavirus (hBoV).Chi-square tests or Fisher's Exact Test were used to compare and analyze. Results From January 1st, 2014 to June 30st, 2016, a total of 363 elderly cases with ILI/SARI were enrolled, with 202 (55.65%) male and a median age of 70 years old. 142(39.12%) patients were detected positive for any one of the eight viruses. Influenza was the predominant virus (20.94%, 76/363), with the positive proportion of (29.83%) among ILI cases and (12.09%) among SARI cases. The Influenza infection presented two seasonal peaks in winter (December to February) and summer (July to September). Conclusion Influenza is identified as the leading viral pathogen both among ILI and SARI cases older than 65 years old, and two seasonal epidemic peaks areobserved in Shanghai. Influenza vaccination strategy should be advocated for the elderly population in Shanghai.

     

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