传染病信息2024,Vol.37Issue(3) :277-281.DOI:10.3969/j.issn.1007-8134.2024.03.016

2017至2022年西安某三甲医院单中心0~14岁儿童传染病流行病学分析

Epidemiological analysis of infectious diseases in children aged 0-14 years at a single center in Xi'an from 2017 to 2022

陈芸 奚一凡 邓莹 张倩 杨文亚 段海燕
传染病信息2024,Vol.37Issue(3) :277-281.DOI:10.3969/j.issn.1007-8134.2024.03.016

2017至2022年西安某三甲医院单中心0~14岁儿童传染病流行病学分析

Epidemiological analysis of infectious diseases in children aged 0-14 years at a single center in Xi'an from 2017 to 2022

陈芸 1奚一凡 1邓莹 1张倩 1杨文亚 1段海燕1
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作者信息

  • 1. 710077,西安医学院第一附属医院儿科
  • 折叠

摘要

目的 分析2017年至2022年西安医学院第一附属医院0~14岁儿童法定传染病发病情况及流行病学特点.方法 采用描述性流行病学方法对2017年至2022年西安医学院第一附属医院上报的0~14岁儿童法定传染病发病情况进行统计学分析.结果 2017年1月1日至2022年12月31日西安医学院第一附属医院上报儿童法定传染病12种,共10588例,均为乙类或丙类传染病,位居前5位的儿童传染病为流行性感冒、感染性腹泻病、手足口病、细菌性痢疾、猩红热.不同年份儿童传染病发病种类、发病例数比较差异有统计学意义(x2趋势=14.698,P=0.000);不同年龄段儿童高发传染病不同,婴儿期(0~1岁组)高发感染性腹泻病、流行性感冒、手足口病;幼儿期(1~<3岁组)高发流行性感冒、感染性腹泻病、手足口病;学龄前期(3~<6岁组)和学龄期(6~14岁组)患儿主要为流行性感冒;不同年龄分期患儿所患不同疾病顺位比较差异有统计学意义(x2=2514.458,P=0.000).散居儿童的传染病主要通过消化道传播,而幼托儿童和学生中的传染病则主要通过呼吸道传播,不同儿童群体之间传染病的传播方式存在统计学上的显著差异(x2=2670.226,P=0.000).儿童传染病性别发病趋势差异无统计学意义(x2趋势=0.728,P=0.394).0~14岁儿童中年龄越小传染病发病率越低,不同年龄段儿童的传染病构成比比较,差异有统计学意义(x2趋势=288.679,P=0.000).儿童传染病全年均有发生,其中12、1、11、3月为传染病发病高峰月,流行性感冒发病以12、1、3月为主,流行性腮腺炎发病以6、9、12、5月为主,感染性腹泻病发病以12、1、2、11月为主,猩红热发病在12、3、4月份为主,其余传染病均为全年散发流行,各月份传染病发病比较差异有统计学意义(x2=687.453,P=0.000).结论 2017年至2022年西安医学院第一附属医院上报的儿童传染病流行整体呈现波动趋势,婴儿期以感染性腹泻病为主,其他年龄分期患儿均以流行性感冒为主;散居儿童以消化道传播为主要传播方式,幼托及学生以呼吸道传播方式为主;传染病全年均有发生,不同传染病发病高峰期亦有不同,应加强对高危人群和儿童传染病高发季节的疫情防控.

Abstract

Objective To analyze the incidence and epidemiological characteristics of notifiable infectious diseases in children aged 0-14 years in the First Affiliated Hospital of Xi'an Medical University from 2017 to 2022. Methods Descriptive epidemiological methods were used to analyze the incidence of notifiable diseases in children aged 0-14 years in the First Affiliated Hospital of Xi'an Medical University from 2017 to 2022. Results From January 1,2017 to December 31,2022,the First Affiliated Hospital of Xi'an Medical University reported 10588 cases of 12 notifiable infectious diseases in children,all of which were category B and category C infectious diseases. The top 5 diseases were influenza,infectious diarrheal disease,handfoot and mouth disease,bacillary dysentery and scarlet fever. There was significant difference in the types and cases of infectious diseases among children in different years (x2trend=14.698,P=0.000 ). The hig-incidence infectious diseases in children of different age groups were different. The infancy group (<1 year old ) had high incidence of infectious diarrhea diseases,influenza,hand-foot and mouth disease,Early childhood group (1-3 years old ) had high incidence of influenza,infectious diarrhea,hand-foot and mouth disease. Influenza was the main disease in the preschool age goup (3-6 years old) and school age group(6-14 years old ). There was significant difference in the composition of different infectious diseases among children in different age groups (x2=2514.458,P=0.000 ). Digestive tract was the main mode of transmission in scattered children,and respiratory tract was the main mode of transmission in preschool children and students. There was significant difference in the mode of transmission among different groups of children (x2=2670.226,P=0.000 ). There was no significant difference in gender incidence of infectious diseases in children (x2 trend=0.728,P=0.394 ). In the children aged 0-14 years old,,the incidence of infectiousdiseases was lower in the younger children. There was statistically significant difference in the composition of infectious diseases among different age groups (x2 trend=288.679,P=0.000 ). Children's infectious diseases occured throughout the year and December,January,November and March were the peak months. Influenza peaked in December,January and March;mumps peaked in June,September,December and May;infectious diarrhea peaked in December,January,February and November;scarlet fever peaked in December,March and April;other infectious diseases were sporadic and prevalent throughout the year. There was significant difference in the incidence of infectious diseases in each month (x2=687.453,P=0.000 ). Conclusion The prevalence of infectious diseases among children in our hospital showed a fluctuation trend from 2017 to 2022. The infancy group had high incidence of infectious diarrhea,while the other age groups had high incidence of influenza. Digestive tract transmission was the main mode of transmission in the scattered children,and respiratory tract transmission was the main mode in the preschool children and students. Infectious diseases occured throughout the year,and the onset time of different infectious diseases was also different. Attention should be paid to the prevention and control of infectious diseases among high-risk groups and children in the high incidence seasons.

关键词

传染病/0~14岁儿童/流行病学/监测结果/疫情分析

Key words

infection disease/children 0-14 years old/epidemiology/monitoring results/epidemic analysis

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出版年

2024
传染病信息
解放军第三0二医院

传染病信息

CSTPCD
影响因子:1.366
ISSN:1007-8134
参考文献量19
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