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[江苏省溧阳市输入性疟疾情况分析]

[Analysis of imported malaria situation in Liyang City, Jiangsu Province].

作者信息

Huang Xiao-mei, He Ming-zhen, Lv Lai-fu, Huang Li-zhong, Jiang Liang, Xie Yi-qing

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Feb;28(1):66-8.

PMID:27356409
Abstract

OBJECTIVE

To analyze the epidemic characteristics of imported malaria in Liyang City, so as to provide the evidence for formulating appropriate control strategies and measures.

METHODS

The malaria epidemic situation reports, case epidemiological investigations and the follow-up materials of counterparts returned together with the cases were collected and analyzed in Liyang City from 2007 to 2014.

RESULTS

Totally 53 imported malaria cases were reported and they were all laboratory confirmed in Liyang City from 2007 to 2014. Forty-nine cases (92.5%) were imported from African countries, 37 cases (69.8%) were Plasmodium falciparum infection, and 37 cases (69.8%) had overseas incidence history. Forty cases (75.5%) were aged between 30 and 49 years, and 52 cases (98.1%) were male, 42 cases (79.2%) were farmers. These cases were distributed in all the 10 towns and there were no obvious seasonal variation for onset time. The median time from onset to seeing a doctor was 3 d, and the median time from seeing a doctor to being diagnosed was 0 d. The first visit health facilities by the patients were various, and the diagnostic health facilities were all the medical institutions at the county level or above, and the standardized treatment rate was 100%.

CONCLUSION

During the last 5 consecutive years, there have been no local infected malaria cases in Liyang City, and the remarkable results have been achieved in malaria elimination. However, there are still many imported malaria cases, and the infected species are diverse. Therefore, the imported malaria is still the key of malaria prevention and control.

摘要

目的

分析溧阳市输入性疟疾流行特征,为制定适宜防控策略和措施提供依据。

方法

收集溧阳市2007 - 2014年疟疾疫情报表、病例流行病学调查及病例同行返溧随访资料并进行分析。

结果

2007 - 2014年溧阳市共报告输入性疟疾病例53例,均为实验室确诊病例。49例(92.5%)从非洲国家输入,37例(69.8%)为恶性疟原虫感染,37例(69.8%)有境外发病史。40例(75.5%)年龄在30~49岁之间,52例(98.1%)为男性,42例(79.2%)为农民。病例分布于全市10个乡镇,发病时间无明显季节性差异。发病至就诊中位时间为3天,就诊至确诊中位时间为0天。患者首诊医疗机构多样,确诊医疗机构均为县级及以上医疗机构,规范治疗率为100%。

结论

溧阳市连续5年无本地感染疟疾病例,疟疾消除工作取得显著成效。但输入性疟疾病例仍较多,感染虫种多样,输入性疟疾仍是防控重点。

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