摘要
目的分析海口市2010—2017年疟疾病例流行病学特征,为制订消除疟疾后的防控策略和措施提供科学依据。方法采用描述性方法,对海口市2010—2017年报告的疟疾病例进行分析。结果海口市2010—2017年报告疟疾病例36例,年发病率(0.09~0.31)/10万,死亡1例。病例全部为输入性,其中非洲输入27例,南亚3例,东南亚6例,海口市各区均有病例分布。1、4、5、7月发病占63.89%。病例分型恶性疟28例,间日疟6例,卵型疟2例。25.00%病例有典型疟疾临床症状,患者发病到就诊时间中位数为2 d,就诊到确诊时间中位数为1 d。病例治疗规范用药率为22.22%。结论海口市2010—2017年疟疾病例均为输入性,病例主要来自赴非洲务工后返乡的青壮年人群,节日前后发病较多,出现典型临床症状病例少,治疗规范用药率低。提高医疗机构特别是基层机构医务人员对疟疾的敏感性,加强输入性病例监测和规范病例治疗是今后工作重点。
Objective The epidemiological characteristics of malaria cases in Haikou City from 2010 to 2017 were analyzed to provide scientific basis for the formulation of prevention and control strategies and measures after the elimination of malaria. Methods Reported malaria cases of Haikou City from 2010 to 2017 were analyzed using descriptive method.Results A total of 36 cases of malaria cases were reported, with an annual incidence of 0.09/100 000 to 0.31/100 000 and 1 fatality in Haikou City from 2010 to 2017. All cases were imported and distributed in all regions, including 27 from Africa, 3 from South Asia, 6 cases from Southeast Asia. In January, April, May, July, the incidence rate was 63.89%. There were 28 cases of falciparum malaria, 6 cases of tertian malaria, 2 cases of ovale malaria. The clinical symptoms of typical malaria accounted for 25.00%, the median time from onset to diagnosis was 2 days, and the median time form visit diagnosis was 1 day.The standardized drug rate of case treatment was 22.22%. Conclusion From 2010 to 2017, all cases of malaria in Haikou City were imported, mainly from young and middle-aged people returning home after working in Africa. Before and after the festival, there are more diseases, fewer cases of typical symptoms and the rate of standardized medication is low. To improve the sensitivity of medical personnel to malaria in medical institutions, especially at the grass-roots level, and to strengthen the monitoring of imported cases of venereal diseases and standardized case treatment will be the focus of future work.
作者
朱庆
陈烨丽
蒙仕珠
ZHU Qing;CHEN Huali;MENG Shizhu(Haikou Center for Disease Control and Prevention,Haikou,Hainan 571100,China)
出处
《中国热带医学》
CAS
2019年第3期233-236,共4页
China Tropical Medicine
基金
海口市重点科技项目(No.2015-0128)
海南省卫生计生行业科研项目(No.1601033027A2001)
关键词
疟疾
输入性
规范病例治疗
Malaria
import
standardized case treatment