首页|2012-2023年广州市海珠区疑似麻疹风疹病例血清学检测

2012-2023年广州市海珠区疑似麻疹风疹病例血清学检测

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目的 分析广州市海珠区麻疹及风疹的流行特征,为制定预防及控制策略和措施提供科学依据.方法 采用抗体捕捉酶联免疫吸附试验(ELISA)对广州市海珠区疾病预防控制中心接收的2012-2023年期间麻疹和风疹疑似病例的血清标本检测IgM抗体,采用SPSS 24.0软件进行统计分析.结果 2012-2023年期间麻疹IgM抗体的总阳性率为18.06%(244/1 351),风疹IgM抗体的总阳性率为9.03%(122/1 351).各年份麻疹及风疹阳性率差异均有统计学意义(x2=161.680、83.700,P均<0.001).与2012-2016年相比,2017年之后的麻疹阳性率下降,新型冠状病毒疫情期间(2020-2022年)麻疹阳性率较低.男女麻疹、风疹病例性别分布差异均无统计学意义(P均>0.05).麻疹阳性年龄主要分布在8月龄~<8岁、15~<30岁、30~岁,风疹阳性主要分布在15~<30岁.麻疹和风疹各年龄组分布差异均有统计学意义(x2=239.980、276.701,P均<0.001).2012-2023年麻疹、风疹阳性病例主要集中在5-6月.免疫史无或不详者,麻疹阳性病例中占70.49%(172/244),风疹阳性病例中占82.79%(101/122).结论 应加强重点人群和易感人群的麻疹、风疹疫苗接种和查漏补种,发病高峰月份应加强疫情监测,避免暴发流行.
Serological detection of suspected measles and rubella cases in Haizhu district of Guangzhou during 2012 and 2023
Objective To analyze the epidemic features of measles and rubella in Haizhu district of Guangzhou,and provide scientific basis for its prevention and control strategy and measures.Methods Antibody IgM was measured by enzyme linked immunosorbent assay(ELISA)in all suspected measles and rubella cases during 2012 and 2023.The results were analyzed by the statistical software SPSS 24.0.Results In the last 12 years,the overall positive rate of antibody IgM in measles and rubella were 18.06%(244/1 351)and 9.03%(122/1 351),respectively.There was statistical difference in measles and rubella positive rates in each year(x2=161.680,83.700;all P<0.001).The positive rate of measles after 2017 showed a descending tendency compared with the positive rate of measles during 2012 and 2016.The positive rate of measles was very low during 2020 and 2022.There was no statistical difference between male and female measles and rubella cases(all P>0.05).The age of measles positive was mainly distributed in 8 months to<8 years old,15 to<30 years old,and 30 to above,while the age of rubella positive was mainly distributed in 15 to<30 years old.The distribution of measles and rubella in each age group was statistically significant(x2=239.980,276.701;all P<0.001).The measles and rubella positive cases in 2012-2023 were mainly concentrated in May and June.Those with no or unknown immunization history accounted for 70.49%(172/244)of measles positive cases and 82.79%(101/122)of rubella positive cases.Conclusion Vaccination of key populations and susceptible populations should be strengthened,and epidemic monitoring should be strengthened in the peak months to avoid outbreaks.

MeaslesRubellaAntibody IgMSerological detectionEnzyme linked immunosorbent assay

王国玲、郭鹏娟、王军、陆家海

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广州市海珠区疾病预防控制中心,广东 广州 510288

海南医科大学公共卫生学院,海南海口 570100

麻疹 风疹 IgM抗体 血清学检测 酶联免疫吸附试验

2024

热带医学杂志
广东省寄生虫学会 中华预防医学会

热带医学杂志

CSTPCD
影响因子:0.643
ISSN:1672-3619
年,卷(期):2024.24(11)