首页|2018-2022年湘西自治州流感监测结果分析

2018-2022年湘西自治州流感监测结果分析

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目的 分析2018-2022年湘西自治州流行性感冒流行特征及病原学监测结果,为湘西自治州制定相关防控措施提供科学依据.方法 依据中国流感监测信息系统对2018-2022年湘西自治州哨点医院报告的流感样病例(influenza-like illness,ILI)监测数据及病原学检测结果进行统计分析.结果 2018-2022年,湘西自治州两家哨点医院共报告门急诊就诊人数2 050 339例,其中ILI 57 442例,占2.80%.共采集ILI呼吸道标本14 581份,其中流感病毒核酸检测阳性1 321份,阳性率为9.06%,甲型H3N2亚型、乙型Victoria系检出率较高,分别为561例(42.47%)、548例(41.48%).湘西州流感流行时间以冬春季为主,2018-2019年流行的主要毒株型别为甲型H1N1,2019-2020年H3N2与Victoria毒株共同流行,2021-2022年流行毒株为Victoria,2022年17周后以H3N2为主.ILI检测人群中,5~14岁年龄组流感病毒核酸阳性检测率最高,达13.41%,其次为0~4岁年龄组,为11.23%,不同年龄组人群流感病毒核酸阳性检测率差异有统计学意义(P<0.05).结论 2018-2022年冬春季是湘西州流感高发期,流感各型别交替流行,儿童、青少年为高发人群,应以学龄前儿童及中小学生流感防控工作为重点,及时发现聚集性疫情并积极采取相应措施,并鼓励及时进行疫苗接种以防控流感疫情暴发流行.
Monitoring results of influenza in Xiangxi Autonomous Prefecture,2018-2022
Objective To analyze the epidemic characteristics and pathogenic monitoring results of influenza in Xiangxi Autonomous Prefecture from 2018 to 2022,and to provide a scientific basis for formulating relevant prevention and control measures in Xiangxi Autonomous Prefecture.Methods Statistical analysis was performed on the monitoring data and pathogen detection results of influenza-like illness(ILI)cases reported by sentinel hospitals in Xiangxi Autonomous Prefecture from 2018 to 2022 based on the China Influenza Surveillance Information System.Results From 2018 to 2022,two sentinel hospitals in Xiangxi Autonomous Prefecture reported a total of 2,050,339 outpatient and emergency visits,including 57,442 ILI cases,accounting for 2.80%.14,581 respiratory tract samples were collected from ILI cases,and 1,321 samples were positive for influenza virus nucleic acid test,with the positive rate of 9.06%.The detection rates of subtype A H3N2 and subtype B Victoria were higher,with 561(42.47%)cases and 548(41.48%)cases respectively.The influenza epidemic in Xiangxi Autonomous Prefecture occurred mainly in winter and spring.The predominant strain of influenza virus in 2018-2019 was influenza A/H1N1.H3N2 and Victoria viruses were co-prevalent in 2019-2020.The dominant strain in 2021-2022 was Victoria,with H3N2 being the prevalent strain after 17 weeks of 2022.Among the population undergoing ILI testing,the positive rate of influenza virus nucleic acid test was found to be the highest in the group aged 5-14 years(13.41%),followed by the group aged 0-4 years(11.23%).There were statistically significant differences in the positive rate of influenza virus nucleic acid test among people in different age groups(P<0.05).Conclusion The high incidence periods of influenza in Xiangxi Autonomous Prefecture were in the winter and spring of 2018-2022,with alternating epidemics of various types of influenza viruses.Children and adolescents are the high incidence population,and influenza prevention and control work should be focused on preschoolers and primary and secondary school students.Clustered outbreaks should be detected in a timely manner,corresponding measures should be actively taken,and timely vaccination should be encouraged to prevent and control the epidemic of influenza.

influenzasentinel monitoringepidemiological characteristicpathogenic characteristic

黎祺、秦家碧、杨婵、莫英瑛、吴戈、姚华

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湘西州疾病预防控制中心,湖南 吉首 416000

中南大学湘雅公共卫生学院,湖南 长沙 410078

流感 哨点监测 流行病学特征 病原学特征

湖南省杰出青年基金

2022JJ10087

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(3)
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