首页|2018-2022年山东省潍坊市病毒性腹泻流行特征分析

2018-2022年山东省潍坊市病毒性腹泻流行特征分析

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目的 分析2018-2022年山东省潍坊市病毒性腹泻病的病原谱和流行病学特征,为病毒性腹泻病的防控提供参考依据.方法 在2018-2022年山东省潍坊市报告的其他感染性腹泻病例中,采集监测病例的粪便标本进行病原学检测,分析病毒阳性病例的病原构成及其流行病学特征.结果 2018-2022年山东省潍坊市共报告其他病毒性腹泻病例39 707例,采集2 157份标本,共检出阳性872例,阳性率为40.4%(872/2 157).单病毒阳性率由高到低依次为轮状病毒 27.21%(587/2 157)、诺如病毒 12.84%(278/2 157)、肠道腺病毒 3.20%(69/2 157)、星状病毒 2.87%(66/2 157)、札如病毒0.88%(19/2 157),2种及以上病毒混合感染阳性率为5.00%(108/2 157).2018-2022年各年度病毒阳性检出率分别为 36.3%(151/2 157)、40.7%(207/2 157)、43.9%(159/2 157)、47.0%(231/2 157)和 32.7%(124/2 157),检出率差异有统计学意义(x2=23.081,P<0.05).2018-2021年病毒阳性率呈现逐年升高趋势(x2=11.507,P=0.001),2022年阳性率回落.结论 2018-2022年山东省潍坊市病毒性腹泻由多种病毒引起,以轮状病毒和诺如病毒为主,存在一定的混合感染.
Analysis on epidemiological characteristics of viral diarrhea in Weifang city,Shandong province from 2018 to 2022
Objective To analyze the pathogen spectrum and epidemiological characteristics of viral diarrhea in Weifang city,Shandong province from 2018 to 2022,so as to provide reference for the prevention and control of viral diarrhea.Methods Fecal specimens were collected from reported cases of infectious gastroenteritis in Weifang city during 2018 to 2022 for pathogen detection.The composition of pathogens and the epidemiological characteristics of positive viral cases were analyzed.Results A total of 39 707 cases of infectious gastroenteritis were reported,and 2 157 fecal specimens were collected,872 cases were positive,the positive rate was 40.4%(872/2 157).The positive rates of single virus from high to low were rotavirus(27.21%,587/2 157),norovirus(12.84%,278/2 157),enteric adenovirus(3.20%,69/2 157),astrovirus(2.87%,66/2 157),and sapovirus(0.88%,19/2 157).The positivity rate for mixed infections with 2 or more types of viruses was 5.00%(108/2 157).From 2018 to 2022,the annual positive detection rates showed signifi-cant differences(x2=23.081,P<0.05),with rates of 36.3%(151/2 157),40.7%(207/2 157),43.9%(159/2 157),47.0%(231/2 157),and 32.7%(124/2 157)from 2018 to 2022,respectively.The virus positivity rate showed a steady in-crease from 2018 to 2021(x2=11.507,P=0.001).However,the positive rate declined in 2022.Conclusion Viral di-arrhoea is caused by a variety of viruses,predominantly rotavirus and norovirus,with some mixed infections in Weifang cit-y,Shandong province from 2018 to 2022.

Viral diarrheaEpidemiological characteristicsPathogen spectrumPositive ratePrevention and control strategy

孙琳、姜艳艳、申亚琪、尹振华、周健

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潍坊市疾病预防控制中心地方病与寄生虫病防制科,山东 261061

病毒性腹泻 流行特征 病原谱 阳性率 防控策略

山东省潍坊市科学技术发展计划项目

2022YX111

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(4)
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