Vázquez Mirella, Cravioto Patricia, Galván Fernando, Guarneros Diana, Pastor Víctor Hugo
Instituto Nacional de Pediatría. Ciudad de México, México.
MSD México. Ciudad de México, México.
Salud Publica Mex. 2017 Nov-Dec;59(6):650-656. doi: 10.21149/7997.
To evaluate the epidemiological behavior of varicella and herpes zoster (HZ) to determine the need of health policies to diminish prevalence and avoid complications.
To assess frequency, we analyzed data from the National Information System for Epidemiological Surveillance (SUIVE) from 2000 to 2013; to assess the discharge data of varicella and HZ, we evaluated information from the National System of health information (Sinais).
The average annual cases of chickenpox were 296 733, 57% mostly children under 9 years, most of them from March to May. From 2004 to 2012 hospital discharge of varicella were 17 398, of which 4.6% had meningoecephalitis, 2.5% pneumonia and 18% other complications. For herpes zoster 7 042 discharges, mostly affected were patients 65 years or older, 1.3:1 the woman-man relationship. Main complications were: neuralgia (11%), eye involvement (7%), meningoencephalitis (5.4%), disseminated disease (2.8%) and others (5.4%); hospital stay was between 6.4 and 13.3 days.
Data is consistent with that of the literature in other countries. The role of vaccination to prevent infection in children and adults is discussed.
评估水痘和带状疱疹（HZ）的流行病学行为，以确定制定卫生政策以降低其发病率并避免并发症的必要性。
为评估发病率，我们分析了2000年至2013年国家流行病学监测信息系统（SUIVE）的数据；为评估水痘和HZ的出院数据，我们评估了国家卫生信息系统（Sinais）的信息。
水痘的年均病例数为296733例，其中57%主要为9岁以下儿童，大多数病例发生在3月至5月。2004年至2012年水痘的出院病例数为17398例，其中4.6%患有脑膜脑炎，2.5%患有肺炎，18%有其他并发症。带状疱疹出院病例7042例，主要受影响人群为65岁及以上患者，男女比例为1.3:1。主要并发症为：神经痛（11%）、眼部受累（7%）、脑膜脑炎（5.4%）、播散性疾病（2.8%）及其他（5.4%）；住院时间在6.4天至13.3天之间。
数据与其他国家的文献一致。讨论了疫苗接种在预防儿童和成人感染方面的作用。
