浙江省永嘉县钩端螺旋体病流行特征调查及防控管理措施分析
Investigation on the epidemiological characteristics of leptospirosis in Yongjia County,Zhejiang Province and analysis on prevention,control and management measures
梅成科 1李勇 2胡龙标3
作者信息
- 1. 浙江省永嘉县人民医院,浙江永嘉 325100
- 2. 温州市中心医院
- 3. 永嘉县疾病预防控制中心
- 折叠
摘要
目的 分析浙江省永嘉县钩端螺旋体病流行特征,为制定科学防控策略提供参考.方法 选取2017年1月-2022年12月到温州医科大学附属第一医院和第二医院、温州市中心医院及永嘉县人民医院就诊的245例钩端螺旋体病疑似病例作为调查对象,分析钩端螺旋体病流行特征,并进行二元logistic回归分析.结果 钩端螺旋体病感染109例,阳性率为44.49％.男性、8月和9月、农民、≥50岁患者的阳性率分别高于女性,10月、11月和12月,其他职业,＜50岁患者的阳性率(x2=114.514、15.431、82.367、103.211,P＜0.05).男性、≥50岁、8月和9月、农民及接触疫水为发生钩端螺旋体病感染的影响因素.结论 永嘉县钩端螺旋体病感染以疫水接触为主,8月和9月为高发月份,患者多为男性、高龄及农民.因此,需针对相关因素,加强监测及防控等干预措施,以遏制钩端螺旋体病的流行和蔓延.
Abstract
Objective To investigate the epidemiological characteristics of leptospirosis in Yongjia County and to provide reference for developing scientific prevention and control strategies.Methods 245 suspected cases of leptospirosis who visited and treated in the First Hospital of Wenzhou Medical University,the Second Hospital of Wenzhou Medical University,Wenzhou Central Hospital and Yongjia People's Hospital from January 2017 to December 2022 were selected to analyze the epidemiological characteristics of leptospirosis,and binary logistic regression analysis was conducted.Results A total of 109 cases of leptospirosis infection occurred,with a positivity rate of 44.49％.All males had a higher positive rate than females(x2=114.514,P＜0.05).The positivity rate was higher in August and September than in October,November and December(x2=15.431,P＜0.05).Farmers were more positive than other occupations(x2=82.367,P＜0.05).The positivity rate was higher for ≥50 years than for＜50 years(x2=103.211,P＜0.05).Males,advanced age,August and September,farmers and exposure to infected water were correlates influencing the occurrence of leptospirosis infection.Conclusion Leptospirosis infection in Yongjia County is dominated by infected water contact,with August and September as the high incidence months,and the patients are mostly male,advanced age and farmers,so it is necessary to strengthen interventions such as monitoring and prevention and control to curb the prevalence and spread of leptospirosis epidemic by targeting related factors.
关键词
钩端螺旋体病/流行特征/防控管理Key words
leptospirosis/epidemiological characteristics/prevention and control management引用本文复制引用
出版年
2024
NETL
NSTL
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