摘要
为了解河南省2010-2016年输入性卵形疟流行病学特征,利用中国疾病预防控制中心疾病监测信息报告管理系统,收集2010-2016年河南省输入性卵形疟疫情信息和调查报告,结合实验室复核结果,建立数据库,进行统计分析。结果显示,2010-2016年,河南省有输入性疟疾1 203例,其中输入性卵形疟115例,占9.6%(115/1 203)。2010-2016年,河南省输入性卵形疟占输入性疟疾的构成比依次为0、1.4%(2/146)、6.4%(10/156)、13.3%(26/197)、13.9%(30/216)、13.0%(24/184)和11.6%(23/198)。115例输入性卵形疟来自于非洲的21个国家,主要输入国为安哥拉(22例,19.1%)、刚果布(17例,14.8%)、赤道几内亚(15例,13.0%)、利比里亚(14例,12.2%)和尼日利亚(13例,11.3%)。发病至确诊为疟疾的时间间隔,最短为当天,最长为59 d。经河南省疟疾诊断参比实验室复核,卵形疟的初次诊断正确率为51.3%(59/115)。其中,医疗机构和疾控中心卵形疟的初次诊断正确率分别为53.3%(32/60)和49.1%(27/55),差异无统计学意义(χ~2=0.21,P>0.05)。省级医疗机构和疾控中心卵形疟的初次诊断正确率高于地市级和县级(χ~2=20.80、6.15,P<0.05)。
To analyze the epidemiological characteristics of imported ovale malaria in Henan Province during2010-2016, a database was established by collecting the epidemiological data of ovale malaria through the Infectious Disease Reporting and Management System of China Information System for Disease Control and Prevention in 2010-2016 combined with laboratory re-examination. Results showed that in 2010-2016, 115 ovale malaria cases were reported in Henan Province, which were all imported and accounted for 9.6% of all the imported malaria cases(115/1 203). The constitutional ratio of ovale malaria among imported malaria was 0, 1.4%(2/146), 6.4%(10/156),13.3%(26/197), 13.9%(30/216), 13.0%(24/184) and 11.6%(23/198) during 2010-2016, respectively. All the115 cases were from Africa, mainly from Angola(22, 19.1%), Congo(17, 14.8%), Equatorial Guinea(15, 13.0%),Liberia(14, 12.2%) and Nigeria(13, 11.3%). The interval from disease onset to diagnosis ranged from 0 day to59 days. The rate of correct initial diagnosis with respect to reference laboratory re-examination was 51.3%(59/115). There was no significant difference in the rate of correct initial diagnosis between medical institutions(53.3%,32/60) and centres for disease control and prevention(49.1%, 27/55)(χ^2= 0.21, P〈0.05), and both were higher than city-level and county-level medical institutions(χ^2= 20.80, 6.15; P〈0.05).
作者
周瑞敏
李素华
钱丹
杨成运
刘颖
赵玉玲
许汴利
张红卫
ZHOU Rui-min;LI Su-hua;QIAN Dan;XU Bian-li;YANG Cheng-yun;LIU Ying;ZHAO Yu-ling;ZHANG Hong-wei(Henan Centre for Disease Control and Prevention, Henan Key Laboratory of Pathogenic Organism, Zhengzhou 450016, China)
出处
《中国寄生虫学与寄生虫病杂志》
CAS
CSCD
北大核心
2018年第2期193-195,共3页
Chinese Journal of Parasitology and Parasitic Diseases
基金
河南省医学科技攻关计划项目(No.201602318)
关键词
输入性卵形疟
流行特征
河南省
Imported ovale malaria
Epidemiological characteristics
Henan Province