摘要
目的分析2012-2017年南京市境外输入性疟疾疫情特点,为制定针对性的防控策略提供依据。方法对传染病报告信息管理系统中南京市2012-2017年疟疾疫情数据及病例流行病学个案调查资料进行统计分析。结果 2012-2017年南京市共报告疟疾病例119例,全部为境外输入性病例。感染虫种呈现多样性,其中恶性疟91例(76. 47%);间日疟8例(6. 72%);卵形疟13例(10. 92%);三日疟4例(3. 36%);混合感染3例(2. 52%)。119例境外输入性疟疾病例中,116例(97. 48%)来自非洲国家,3例来自东南亚国家。病例主要为男性青壮年,职业以农民、工人、技术人员为主,且发病时间无明显季节性。22例(18. 49%)病例在当天被确诊,18例(15. 13%)病例初次就诊时被诊断为其他疾病。确诊单位以市级以上综合医院为主。结论南京市境外输入性疟疾疫情仍然严重,需要加强医务人员的业务培训、出境人员健康教育和高疟区回归人员的疟疾筛查,提高医疗机构专业人员对疟疾的临床诊治能力,防止继发病例发生。
Objective To analyze the characteristics of imported malaria cases in Nanjing city from 2012 to 2017,and to provide scientific basis for malaria prevention and control in this city. Methods The epidemic situation was collected from the infectious disease reporting information system,and the epidemiological investigation data of imported malaria during 2012-2017 in Nanjing city were retrospectively analyzed. Results There were 119 imported malaria cases during 2012-2017 were reported,and the species of infected plasmodium were very diverse,including 91 cases( 76. 47%) of falciparum malaria,eight cases( 6. 72%) of vivax malaria,thirteen cases( 10. 92%) of ovale malaria,four cases( 3. 36%) of quartan malaria and 3 cases( 2. 52%) of mixed infections. There were 116 cases( 97. 48%) imported from Africa,another 3 cases were imported from Southeast Asia. Malaria cases were majorly young men working as migrant workers,laborers and technicists.Moreover,there was no significant seasonal feature in onset time. About 22 cases( 18. 49%) were diagnosed on onset day;about 18 cases( 15. 13%) were misdiagnosed when they first visited a doctor. The main diagnostic unit was the general hospital above the municipal level. Conclusion The situation of imported malaria from overseas was still serious in Nanjing city. It was necessary to strengthen the professional training further and establish health education system and improving the diagnosis and treatment ability of medical professionals to put an end to secondary cases.
作者
李燕菁
谢朝勇
LI Yanjing;XIE Chaoyong(Nanjing Center for Disease Control and Prevention,Nanjing 210003,Jiangsu Province,China)
出处
《预防医学情报杂志》
CAS
2019年第2期136-140,共5页
Journal of Preventive Medicine Information
