[安徽省输入性疟疾流行病学特征及重症病例影响因素]
[Epidemiological characteristics of imported malaria and influencing factors of severe cases in Anhui Province].
作者信息
Tao Zhang, Xian Xu, Jing-Jing Jiang, Chen Yu, Cui-Cui Tian, Wei-Dong Li
机构信息
Anhui Provincial Center for Disease Control and Prevention, Hefei 230000, China.
出版信息
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Sep 27;29(6):704-709. doi: 10.16250/j.32.1374.2017082.
OBJECTIVE
To analyze the epidemiological characteristics of imported malaria cases and investigate the influencing factors of severe cases in Anhui Province, so as to provide the evidence for improving the control strategy.
METHODS
The epidemiological data of imported malaria cases in Anhui Province from January 1st, 2012 to April 18th, 2017 were collected and analyzed.
RESULTS
The imported malaria cases in Anhui Province were mainly young men of migrant workers. There were imported malaria cases in 79% (83/105) of counties (districts) in Anhui Province.. Totally 686 imported malaria cases were recorded, in which there were 62 severe cases (9.04%), and four death cases with the mortality rate of 0.58%. The age, education, initial diagnosed departments, initial diagnosed results, time from onset to seeing a doctor, and time from seeing a doctor to diagnosis were the influencing factors for the severe cases.
CONCLUSIONS
The proportion of severe imported malaria cases is high in Anhui Province. The monitoring sensitivity, clinician's awareness of malaria diagnosis, and health education for migrant workers should be improved.
目的
分析安徽省输入性疟疾病例的流行病学特征，探讨重症病例的影响因素，为完善防控策略提供依据。
方法
收集并分析2012年1月1日至2017年4月18日安徽省输入性疟疾病例的流行病学资料。
结果
安徽省输入性疟疾病例以外出务工青年男性为主。安徽省79%（83/105）的县（区）有输入性疟疾病例。共报告输入性疟疾病例686例，其中重症病例62例（9.04%），死亡4例，死亡率为0.58%。年龄、文化程度、首诊科室、首诊结果、发病至就诊时间、就诊至确诊时间是重症病例的影响因素。
结论
安徽省输入性重症疟疾病例比例较高。应提高监测敏感性、临床医生疟疾诊断意识及对外出务工人员的健康教育水平。
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