首页|2010-2023年丰县输入性疟疾流行病学特征分析

2010-2023年丰县输入性疟疾流行病学特征分析

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目的 分析江苏丰县输入性疟疾的流行特征,为制订输入性疟疾防控策略提供科学依据.方法 通过"国家传染病报告信息管理系统"和"寄生虫防治信息管理系统",收集2010-2023年丰县输入性疟疾疫情信息及病例个案调查资料,对疟疾的三间分布情况、病人诊治及病媒生物监测情况进行统计学分析.结果 2010-2023年丰县累计报告23例输入性疟疾病例,其中恶性疟18例(78.26%),间日疟2例(8.70%),卵形疟3例(13.04%);病例均为男性,中位年龄42岁,职业以农民工为主(65.22%);病例感染来源以非洲为主(86.96%);发病时间无明显季节性;发病至初诊平均时间间隔2.09 d,发病当天就诊6例(26.09%),初诊至确诊平均时间间隔1.52 d,初诊当天确诊者9例(39.13%);病例初诊正确率56.52%,各级医疗机构初诊正确率差异有统计学意义(x2=6.028,P<0.05).结论 丰县输入性疟疾以恶性疟为主;患者主要为外出非洲务工的男性,患病年纪较轻,发病无明显季节性.初诊正确率较低.
Analysis of epidemiological characteristics of imported malaria in Fengx-ian from 2010 to 2023
Objective The epidemiological characteristics of imported malaria in Fengxian County were analyzed to provide a scientific basis for prevention and control strategies for imported malaria.Methods The epidemic information and case investigation data of imported malaria cases in Fengxian County from 2010 to 2023 were collected from the National Notifiable Communicable Disease Reporting System and the Information System for Parasitic Diseases Control and Preven-tion and were analyzed statistically.Results A total of 23 imported malaria cases were reported in Fengxian from 2010 to 2023,including 18 cases of Plasmodium falciparum malaria(78.26%),2 cases of P.vivax malaria(8.70%),and 3 cases of P.ovale malaria(13.04%).All reported cases were in males,who had an average age of 39.57 years old and were occupied mainly as migrant workers(65.22%).The source of the infection was mainly Africa(86.96%).The onset was not seasonal.The mean time interval from onset to first diagnosis was 2.09 days and six patients saw a doctor on the day of onset(26.09%).The mean time interval from initial diagnosis to final diagnosis was 1.52 days,and nine cases were confirmed on the first day of diagnosis(39.13%).The accuracy rate of the initial diagnosis was 56.29%and the rate of accurate initial diagnosis was sta-tistically significantly different at all levels of medical institutions(x2=6.028,P<0.05).The density of Anopheles sinensis mosquitoes is low in Fengxian County.Conclusions Falciparum malaria is the main imported malaria in Fengxian County.The patients are mainly young male migrant workers from Africa and the incidence of malaria is not seasonal.The rate of ac-curacy of the initial diagnosis is low.

MalariaImported caseEpidemiological characteristics

韩红芳

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丰县疾病预防控制中心寄防科,江苏徐州 221000

疟疾 输入性病例 流行病学特征

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(10)