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门诊发热病人的疟疾感染调查 被引量:3

Investigation on the Malaria Infection of Fever Cases Among Outpatient Sevice
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摘要 目的 在两个疟疾高发县调查发热病人的疟疾及其感染疟疾的有关因素。方法 对发热病人进行厚血膜镜检疟原虫[1] ,查询露宿、使用蚊帐、病史及就诊情况。结果 疟原虫阳性率为 2 8 5 % ( 2 0 9/745 ) ,恶性疟占 2 4 49% ,露宿的疟疾阳性率达 48 86 %。一年内有疟史的症原虫阳性率达 39 4% ,用帐与未用帐的疟疾感染差异无显著性 ,发病到医院就诊时间为 7 9~ 3 1d。结论 户外及野外感染是当地疟疾传播的重要途径之一 ,注重冬季疟疾休止期根治和抗复发治疗的质量及数量 ,加强卫生宣教 ,强化自我防疫意识 ,杜绝露宿 ,减少人媒接触机会 ,对当地控制疟疾发病 。 Objective To investigate fever malaria cases and relevant factors of malaria infection among two high malaria counties.Methods To carry out the examinations of thick and thin blood smear for fever cases;investigating the habit of sleeping in the open air,the use of mosquito nets,malaria history and seeking behavior for medical care.Results The postitive rate of parasite was 28 5%(209/745) and 24 49% of them was falciparum malaria.The postitive rate of parasite reached 48 86% during the people of sleeping in the open air.The postitive rate of parasite was 39 4% to the people of having malaria history during the period of one year.The malaria infection is no difference between the people of using mosquito net or not.It wa after 7 9~3 1 days falling sick the time they seeking for medical care.Conclusions One way for malaria transmission was outdoor and field infection.So we need pay attention to the quality and numbers of the malaria control measure of effect radical cure in winter.Of cause,it will product an active function for malaria control and reduce malaria incidence in the area by carrying out health promotion to strengthen communities awareness of self-production and to change the habit of sleeping in the open air to reduce the chance of man-vector contact.
出处 《预防医学情报杂志》 CAS 2001年第3期135-136,共2页 Journal of Preventive Medicine Information
关键词 发热病人 疟疾 感染因素 调查 门诊 Malaria infection Seeking behavior Postive rate Health promiton
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