首页|2017-2022年武汉地区儿童流感流行特征分析

2017-2022年武汉地区儿童流感流行特征分析

扫码查看
目的 分析2017-2022年武汉地区儿童流感的流行特征,为儿童流感防控工作提供依据.方法 基于中国流感监测信息系统流感监测数据,采用描述性流行病学方法分析2017-2022年武汉地区儿童流感流行病学 及不同毒株的流行特征.结果 2017-2022年门急诊病例中流感样病例(ILI)分别占6.35%、1.69%、3.77%、2.8%、0.43%和0.23%,各年度ILI占比差异有统计学意义(x2=125 368.853,P<0.001);共采集流感样病例标本6 095份,检出阳性730份,检出率为11.98%,其中2017年最高(20.89%),2021年最低(5.75%),各年度流感病毒检出阳性率差异有统计学意义(x2=208.340,P<0.001);季H3阳性率(268,36.71%)>Victoria(241,33.01%)>新甲 H1(193,26.44%)>Yamagata(28,3.84%);2017-2019 年,Victoria、Yamagata、季 H3和新甲H1呈现交替流行态势,2020-2022年Victoria和季H3是主要的流行毒株,2021年全年仅检出Victoria一种毒株.结论 武汉地区儿童流感呈季节性流行,不同亚型毒株共存或交替成为优势毒株,学生群体中流感病毒阳性检出率较高,是流感防控重点.
Epidemiological characteristics of influenza among children in Wuhan from 2017 to 2022
OBJECTIVE To analyze the epidemiological characteristics of influenza among the children in Wuhan from 2017 to 2022 so as to provide basis for prevention and control of influenza among the children.METHODS Based on the monitoring data of influenza from Chinese National Influenza Surveillance Information System,the epidemiological characteristics of influenza and prevalent strains among the children of Wuhan were analyzed by means of descriptive epidemiology method from 2017 to 2022.RESULTS The influenza-like illness(ILI)cases ac-counted for 6.35%among the outpatient and emergency cases in 2017,1.69%in 2018,3.77%in 2019,2.8%in 2020,0.43%in 2021,0.23%in 2022,and there was significant difference in the proportion of ILI cases among the years(x2=125 368.853,P<0.05).A total of 6 095 samples were collected from the ILI cases,730 of which were tested positive,the positive rate was 11.98%,it was the highest(20.89%)in 2017 and the lowest(5.75%)in 2021,and there were significant difference in the positive rates of influenza viruses among the years(X2=208.34,P<0.05).The positive rate of H3N2 was 36.71%(268),higher than 33.01%(241)of Victoria,26.44%(193)of H1N1,and 3.84%(28)of Yamagata.Victoria,Yamagata,H3N2 and H1NI show alternate prevalence trends in 2017-2019.Victoria and H3N2 were the major prevalent strains in 2020-2022,and Victoria was the only type of strain that was detected in 2021.CONCLUSION The influenza shows seasonal prevalence a-mong the children in Wuhan.The different subtypes of strains coexist or alternately become the dominant strains.The positive rate of influenza virus is relatively high among the student group,which the prevention and control of influenza should be focused on.

SurveillanceInfluenza virusEpidemiological characteristicChildWuhan

聂丽、罗万军、邓颖、周倩、唐锋

展开 >

华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)公共卫生科,湖北,武汉 430014

华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)医院感染管理办公室,湖北,武汉 430014

华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)检验部,湖北,武汉 430014

监测 流感病毒 流行特征 儿童 武汉地区

国家自然科学基金面上项目武汉市卫生健康青年人才研修班基金(第一届)(2021)武汉市卫生健康委公共卫生及卫生政策类项目武汉市卫生健康委面上项目

82072351WG21D05WX20C10

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(10)
  • 24