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目的探讨我国手足口病和其他感染性腹泻病两种法定传染病报告的工作程序、报告内容和报告方式中存在的不足,提出改进的措施与建议,以更好地指导和服务于疾病预防控制工作实际,提高我国疾病防治工作科学决策水平。方法通过电子邮件发送调查问卷的方式,在部分省级、市级和县级疾病预防控制机构选择长期从事传染病监测工作的专业人员进行调查,在知情同意前提下独立完成调查并在一周内反馈调查问卷。结果共收集调查问卷39份。参与调查人员均认为手足口病病例定义过于宽泛,建议只报告重症、死亡和聚集性病例,病原监测以哨点医院为基础,报告实验室诊断病例。对于其他感染性腹泻建议开展哨点病原学监测,只对其中病情较为严重,预后较差的其他感染性腹泻进行网络报告。结论建议进一步明确调整手足口病、其他感染性腹泻的病例定义,加强哨点监测。
Objective To explore the work procedures, contents and ways of report of two notifiable infectious diseases of hand, foot and mouth disease and other infectious diarrhea in our country, and to put forward the measures and suggestions for improvement in order to better guide and serve the disease prevention and control Practical work to improve China’s disease prevention and control of scientific decision-making level. Methods By means of e-mail, the questionnaires were sent to some CDC agencies at provincial, municipal and county levels for long-term monitoring of infectious diseases. The investigations were completed independently with informed consent and feedback within one week Questionnaire. Results A total of 39 questionnaires were collected. Participants in the survey considered that the definition of hand-foot-mouth disease is too broad. It is recommended to report only cases of severe, fatal and aggregated cases. Pathogen surveillance is based on sentinel hospitals and reports on laboratory diagnosis. For other infectious diarrhea, it is recommended to carry out sentinel etiological surveillance, and only report on other infectious diarrhea in which the condition is more serious and the prognosis is poor. Conclusions It is suggested to further clarify the definition of case of foot and mouth disease and other infectious diarrhea and strengthen the monitoring of sentinel disease.