上海市普陀区监测点医院急性呼吸道感染监测的的结果及分析.docVIP

上海市普陀区监测点医院急性呼吸道感染监测的的结果及分析 　　摘要： 目的 了解上海市普陀区监测点急性呼吸道感染病原谱特征和流行病学特征，为完善呼吸道传染病防控策略和措施提供科学依据。 方法 收集2014年11月1日至2016年3月31日于普陀区急性呼吸道感染监测点医疗机构发热门诊就诊的急性呼吸道感染病例的相关流行病学信息。采用间隔采样（5：1）方法对监测对象的鼻咽拭子标本进行病原学检测。对监测点急性呼吸道感染流行特征、病原学检出情况进行分析。结果 共登记2630例病例，就诊高峰存在冬春季及夏季。共采集533例病例的样品，其中阳性病例407例，阳性率为76.36%，病原菌检测菌毒株514份，其中病毒株占70.33%、细菌株占29.77%；检出率前五位的病原体分别为流感病毒、肺炎克雷伯菌、金黄色葡萄球菌、鼻/肠病毒和腺病毒。不同年龄组的病毒检出率不同（p0.05），有咳嗽症状者总的阳性率和病毒检出率均高于无咳嗽症状者（p0.05）。结论 流感病毒感染是我区监测点急性呼吸道感染的主因，应重点关注流感的防控，在流行季节，应警惕聚集性疫情的发生。 　　关键词：急性呼吸道感染；病原谱；流感病毒；上海普陀 　　中图分类号：R181.3 　　Monitoring results and analysis of acute respiratory infections in Putuo District monitoring point of Shanghai 　　WANG Rui ； CUI Yan； CHEN Jun；ZHENG Yi-hui； TANG Hai-feng； ZHANG Yu-yan； 　　（Shanghai Putuo District Center For Disease Control and Prevention， Shanghai 200333） 　　Abstract： [Objective] To understand the pathogen and epidemiological features in Putuo district monitoring point of Shanghai， provide a scientific basis in improving the respiratory tract infectious disease prevention and control strategies and measures. [Methods] The nasopharyngeal swabs of ARTI patients who visited the fever clinic in monitoring site hospital from November 2014 to March 2016 were collected by interval sampling method to conduct the pathogen identification. The epidemiological characteristic and the pathogenic detection of acute respiratory tract infection were analyzed. [Results] A total of 2630 ILI cases were collected in this study， peaked in spring， summer and winter. There were 407 positive cases that were detected among 533 nasopharyngeal swabs， accounting for 76.36%. The top five isolating rates of the strains were Influenza virus， Klebsiella pneumoniae， Staphylococcus aureus， nasal/enteric virus and adenovirus. The virus detection rate of different age groups was different （p value0.05）. The total positive rate and virus detection rate of those who had cough were higher than those without cough symptoms （p value0.05）.[Conclusion] Influenza virus infecti