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目的掌握2013-2015年房山区腹泻的流行病学特征、各种病原体检出情况,明确腹泻疾病的防控重点。方法通过“北京市肠道门诊早期监测预警系统”获得2013-2015年房山区肠道门诊就诊病例,并通过病原体监测工作获得诺如病毒、轮状病毒、志贺菌属、沙门菌属、副溶血弧菌和大肠埃希菌的检测结果,使用流行病学方法对以上数据进行分析。结果 2013-2015年,房山区肠道门诊病例中,“胃肠功能紊乱”和“感染性腹泻”最为常见,分别占27.50%和26.08%;6-8月肠道门诊就诊量达到高峰;男性病例略多于女性;20~30岁年龄组为腹泻的高发人群;志贺菌属的检出率呈现逐年下降趋势,其他病原则有升高趋势。结论房山区细菌性痢疾的防控工作取得了较好的效果,但仍需积极控制其他感染性腹泻,针对高发季节和高发人群进行有重点的防控工作。
Objective To grasp the epidemiological characteristics of diarrhea in Fangshan District from 2013 to 2015, the detection of various pathogens and the prevention and control of diarrheal diseases. Methods The cases of enteral clinic in Fangshan District from 2013 to 2015 were obtained through “Beijing Early Diagnosis and Early Warning System of Intestine Outpatient Service”, and Norovirus, rotavirus, Shigella, Salmonella , Vibrio parahaemolyticus and Escherichia coli test results, the use of epidemiological methods to analyze the above data. Results In 2013-2015, the incidence of gastrointestinal disorders and infectious diarrhea were the most common in the outpatients of Fangshan District, accounting for 27.50% and 26.08% respectively. The number of visits in June and August in the gastroenterology clinic Reaching the peak. The incidence of diarrhea in 20-30 age group was slightly higher than that in women. The detection rate of Shigella decreased year by year and the other pathogens tended to increase. Conclusion The prevention and control of bacillary dysentery in Fangshan District have achieved good results. However, other infectious diarrhea needs to be actively controlled, so that prevention and control of bacillary dysentery in Fangshan District should be focused on prevention and control of high-incidence seasons.