摘要
目的探讨常熟市急性胃肠炎的流行特征和社会经济负担。方法连续5年每月开展社区人群横断面调查,分析急性胃肠炎的发病情况、影响因素和疾病负担。结果5年共调查6 000人,急性胃肠炎月患病率为0.631%,相当于0.082 5次/人年,调查日4周内确诊急性胃肠炎38例,其中:食源性占比为55.3%,就诊率为31.6%,抗生素使用率为69.2%,每年急性胃肠炎造成经济损失约为2 169万元。发病时间主要集中在第3季度,高发人群为0~4岁的低年龄段人群。结论常熟市急性胃肠炎疾病负担值得关注,且食源性比例较高。应不断完善食源性疾病监测网络,根据评估结果提出更有效的预防措施。
Objective To understand the epidemiological characteristics of acute gastroenteritis and related social economic burden in Changshu city.Methods A monthly cross-sectional study was conducted for five consecutive years to analyze the incidence,influencing factors and disease burden of acute gastroenteritis.Results Totally 6 000 people were interviewed.The average monthly prevalence rate of acute gastroenteritis was 0.631%and the incidence was 0.082 5 per person-year.There were 38 cases was diagnosed for at least 1 occurrence of acute gastroenteritis in past 4 weeks before the interview was conducted,among whom foodborne diseases accounted to 55.3%,the consultation rate was 31.6%,and the utilization rate of antibiotics was 69.2%.The economic loss caused by acute gastroenteritis was about 21.69 million RMB.The incidence peak was in the third season and in the low age group younger than 4 years old.Conclusion The disease burden of acute gastroenteritis was worthy of attention in Changshu city.The proportion of foodborne diseases is relatively high;the foodborne diseases surveillance network should be constantly improved;more effective preventive measures should be proposed based on the assessment results.
作者
蔡敏
王冬月
CAI Min;WANG Dong-yue(Changshu Municipal Center for Disease Control and Prevention,Jiangsu Suzhou 215500,China)
出处
《江苏预防医学》
CAS
2019年第4期389-392,共4页
Jiangsu Journal of Preventive Medicine
关键词
急性胃肠炎
食源性疾病
疾病负担
Acute gastroenteritis
Foodborne disease
Disease burden
