【摘要】 目的分析2005-2016年北京市海淀区细菌性痢疾流行特征,为制定预防控制措施提供科学依据。方法采用描述流行病学方法,病例信息来源于"中国疾病预防控制信息系统",对2005-2016年细菌性痢疾病例信息进行分析。结果海淀区2005-2016年共报告细菌性痢疾病例38 623例,年报告发病率为39.20/10万～243.82/10万,年报告发病数及发病率呈明显下降趋势。0～岁、85～岁和5～岁年龄组发病率居前1、2、3位。学生报告病例数最多,占全部病例数的26.47%。主要以夏季发病为主,每年6-9月报告病例数最多,人口聚集地区发病率较高。病原学监测显示,2005-2016年海淀区痢疾菌株以宋内氏为主,占73.52%。2005-2006年志贺和福氏为优势菌株,2007-2016年宋内氏为优势菌株。结论 2005-2016年海淀区细菌性痢疾发病呈现逐年下降趋势,但每年仍是海淀区法定乙类传染病报告首位,婴幼儿和高龄人士是易感高危人群,应对此部分人群开展针对性宣传教育,以预防控制细菌性痢疾传播。更多还原

【Abstract】 Objective To understand the epidemiological characteristics of bacterial dysentery cases in Haidian district of Beijing from 2005 to 2016,and provide the basis for the prevention and treatment of bacterial dysentery in this area.Methods Descriptive analysis was conducted to analyze the data of bacterial dysentery cases,which were obtained from Chinese Disease Prevention and Control Information System from 2005 to 2016. Results A total of 38 623 cases of bacillary dysentery were reported in Haidian district from 2005 to 2016,and the annual report incidence ranged from 39.20/100 000 to 243.82/100 000. In addition,the annual reported cases and incidence showed a significant downward trend. The incidence rates of 0～ years old,85～ years old and 5～ years old were in the first,second and third places. Students reported the largest number of cases,accounting for 26.47% of all cases. The disease occurred mainly in summer,especially during June and September each year,and the local incidence of population aggregation areas was relatively high. Etiological surveillance showed that the main bacterial dysentery strain was Sonnei bacterium which accounted for 78.08% during 2005-2016. Conclusion The incidence of bacterial dysentery in Haidian district decreased year by year since 2005,but it was still one of the most common infectious diseases in Haidian district. This study suggest that it is necessary to develop efficient propagation and education aiming at the high risk groups such as infants and the elderly so as to prevent and control the spread of bacillary dysentery more effectively.更多还原