施文平, 申惠国, 崔劲松, 席韵, 苏华林, 俞李萍. 上海市闵行区2005—2009年细菌性痢疾流行特征分析[J]. 上海预防医学, 2011, 23(9): 419-420,426.
引用本文: 施文平, 申惠国, 崔劲松, 席韵, 苏华林, 俞李萍. 上海市闵行区2005—2009年细菌性痢疾流行特征分析[J]. 上海预防医学, 2011, 23(9): 419-420,426.
SHI Wen-ping, SHEN Hui-guo, CUI Jing-song, XI Yun, SU Hua-lin, YU Li-ping. Epidemiological analysis on bacillary dysentery during 2005 and 2009, in Minhang District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2011, 23(9): 419-420,426.
Citation: SHI Wen-ping, SHEN Hui-guo, CUI Jing-song, XI Yun, SU Hua-lin, YU Li-ping. Epidemiological analysis on bacillary dysentery during 2005 and 2009, in Minhang District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2011, 23(9): 419-420,426.

上海市闵行区2005—2009年细菌性痢疾流行特征分析

Epidemiological analysis on bacillary dysentery during 2005 and 2009, in Minhang District, Shanghai

  • 摘要: 目的 分析上海市闵行区2005—2009年细菌性痢疾流行特征,探讨发病规律,为细菌性痢疾的防治提供依据。方法 收集2005—2009年细菌性痢疾疫情数据进行描述性流行病学分析,并对2007—2009年检出的55株志贺菌进行血清学分型。结果 闵行区2005—2009年细菌性痢疾发病率为 5.43/10万~39.01/10万,年均发病率为19.06/10万,总体呈下降趋势。发病主要集中在5—10月,发病高峰期为9月,月均发病率达4.09/10 万。0~4岁婴幼儿发病率最高,为189.38/10万。发病数居前三位的人群是散居儿童、学生和工人。55株痢疾杆菌分型结果,福氏志贺菌36株,占65.45%,宋内志贺菌19株,占34.55%,福氏志贺菌以F2a、F4c和F1a为主。菌株对阿莫西林、头孢噻吩、头孢噻肟以及庆大霉素较敏感。结论 闵行区近年来细菌性痢疾发病率明显下降。应在夏秋季将0~4岁组婴幼儿、散居儿童、学生和工人作为细菌性痢疾重点防治的对象。阿莫西林、头孢噻吩、头孢噻肟和庆大霉素可作为临床首选药物。

     

    Abstract: Objective To analyze the epidemiologic characteristics of bacillary dysentery in Minhang District, Shanghai during 2005 and 2009, and to provide scientific basis for prevention and treatment of bacillary dysentery.Methods Data on bacillary dysentery epidemics were collected and analyzed by descriptive epidemiological study. And 55 strains of Shigella dysenteriae isolated in 2007-2009 were serotyped.Results Average incidence rate of bacillary dysentery reported was 19.06 per 100,000 in Minhang District of Shanghai from 2005 to 2009,ranging from 5.43 per 100,000 to 39.01 per 100,000,presenting a decreasing trend with each year.Incidence was the highest in infants and young children under four years old (189.38 per 100,000),and the top three numbers of patients were preschool children scattered at home,school children and workers. Bacterial serotyping showed that 36 of 55 strains were Shigella flexneri(65.45%) and 19 Shigella sonnei(34.55%),and the dominant Shigella flexneri were flexneri 2a,flexneri 4c,and flexneri 1a.Most of strains of the Shigella were susceptble to AMC,CFT,CTX,CIP and GEN.Conclusion The incidence rate of bacillary dysentery decreased in Minhang District. Controlling measures should be strengthened on infants and young children under four years old,preschool children scattered at home,school children and workers. AMC,CFT,CTX,CIP and GEN may be good alternatives for the treatment of diarrhea caused by Shigella in Shanghai Minhang area.

     

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