菏泽市2015年百日咳流行特征分析.docVIP

菏泽市2015年百日咳流行特征分析 　　【摘要】 目的：对2015年菏泽市百日咳流行特征进行分析，评价菏泽市百日咳诊断、治疗与防控进展，为百日咳诊断、治疗与防控提供科学依据。方法：根据菏泽市百日咳网络报告系统资料、个案调查资料与实验室诊断资料进行分析。结果：2015年菏泽市共报告百日咳诊断病例96例，发病率为1.0293/100 000，无死亡病例；96例病例分布在全市的8县区的61个乡镇（办事处）的91个行政村（社区），相对集中又高度散发；病例个案调查率100%。血清标本采集率35.42%，血清PT IgM阳性率100%，病例实验室确诊率35.42%。结论：2015年菏泽市百日咳诊断、治疗与防控取得了一些进展，但仍有不少不足。建议仍要加强百日咳监测与百白破疫苗接种，百日咳诊断、治疗与防控仍需努力。 　　【关键词】 百日咳； 流性特征； 诊断； 治疗； 防控 　　【Abstract】 Objective：To analyze the epidemiological feature of pertussis of 2015 in Heze City，evaluating the work progress of diagnosis，treatment and control of pertussis of Heze City，providing scientific basis for diagnosis，treatment and control of pertussis.Method：The date for analysis was based on network reporting system of pertussis，epidemiological case study and laboratory diagnosis of Heze City.Result：Total of 96 pertussis cases were reported in 2015 of Heze City，and the incidence of pertussis was 1.0293/100 000，there was no death case.96 pertussis cases were distributed in 91 administrative villages of 61 towns among 8 counties in Heze City，and was relatively concentrated and highly distributed state.The case investigation rate was 100%.The collected rate of serum samples And PT IgM positive rate of serum were respectively 35.42%，100%，laboratory diagnosis rate was 35.42%.Conclusion：Work of diagnosis and treatment and control of pertussis of Heze City has made some progress，but still has many shortcomings.Vaccination and monitoring of pertussis still should be strengthened and efforts are still needed for diagnosis，treatment and control of pertussis. 　　【Key words】 Pertussis； Epidemiological feature； Diagnosis； Treatment； Prevention and control 　　First-author’s address：Heze City Center for Disease Control and Prevention，Heze 274010，China 　　doi：10.3969/j.issn.1674-4985.2017.36.014 　　百日咳是?乐匚：Χ?童健康的急性呼吸道传染病。菏泽市历史上是百日咳高发区，曾造成大量儿童发病和死亡。实施扩大免疫规划（EPI）以来，菏泽市认真落实原卫生部及山东省有关百日咳防控工作的文件精神，采取一系列有力的措施，百日咳防控工作取得了很大成绩，发病逐步下降，发病得到了有效控制，百日咳发病降至历史较低水平。但百日咳防控仍任重道远，仍面临发病的威胁与挑战，百日咳防控仍是一项长期、艰巨、复杂