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