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目的分析泉州市首例B群流行性脑脊髓膜炎(流脑)病例的流行病学特点,为完善流脑的防控策略提供依据。方法查阅病案,对病例做流行病学个案调查;对病人家属及其相关知情人进行访视。结果根据流行病学调查、临床表现和实验室检测,确诊为B群流脑。患者主要表现为发热(最高体温38.5℃),无明显流脑病例接触史。经抗感染、对症及支持治疗痊愈。经采取综合防制措施,未出现2代病例。结论该病例为泉州市首例B群流脑病例,未发现传染源。主要采取提高监测系统的敏感性、加强病原学检测以及使用敏感药物等综合防制措施。
Objective To analyze the epidemiological characteristics of the first case of epidemic cerebrospinal meningitis (meningitis) in Group B of Quanzhou and provide the basis for the prevention and control of meningitis. Methods Access to medical records, cases of epidemiological case investigation; family members and their relatives to visit. Results According to epidemiological survey, clinical manifestations and laboratory tests, diagnosed as Group B meningitis. Patients mainly manifested fever (maximum body temperature 38.5 ℃), no obvious contact history of meningitis cases. Anti-infection, symptomatic and supportive treatment recovered. After taking comprehensive prevention and control measures, there were no cases of second generation. Conclusion This case is the first case of Group B meningitis in Quanzhou, and no source of infection was found. Mainly to improve the sensitivity of the monitoring system, and strengthen the etiological testing and the use of sensitive drugs and other integrated control measures.