Xiao-Dong Zhao, Du-Ju Han, Qiu-Yan Yu, Shu-Hui Xu
Jinan Municipal Center for Disease Control and Prevention, Shandong Province, Jinan 250021, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Oct 24;30(1):62-64. doi: 10.16250/j.32.1374.2017106.
To analyze the epidemiological characteristics of malaria reported in the malaria surveillance system in Jinan City from 2012 to 2016, so as to provide the evidence for improving the ability of diagnosis, treatment, prevention and control of malaria.
The data of all reported malaria cases in the malaria surveillance system were retrospectively analyzed.
From 2012 to 2016, 91 malaria cases were found in Jinan City, of which one patient died. All the cases were imported and 95.60% (87 cases) of them came from Africa (note：most of the people were Chinese residents who had been in Africa for the export of labor service and came back China). Falciparum malaria accounted for the most (82.42%, 75 cases). All the cases were adult males, and were mainly migrant workers. The median time from onset to being confirmedly diagnosed was 5 days, and the median time from seeing a doctor to being diagnosed was 1 day. The medical institutions where the patients first visited were mainly municipal medical institutions (42 cases, 46.15%). The misdiagnosis rate was 100% in village clinics and township health centers (8/8 and 2/2, respectively). The misdiagnosis rate was lowest in the municipal medical institutions (3/42, 7.14%). There were 41 malaria patients (45.05%) with complications.
The situation of overseas imported malaria in Jinan City is becoming more and more serious. It is necessary to further strengthen the related professional training for doctors and strengthen the multi-sectoral cooperation for health education, etc. in order to find the cases in time and conduct the active standardized treatment, so as to prevent the second generation cases.
分析济南市2012 - 2016年疟疾监测系统报告的疟疾流行病学特征，为提高疟疾诊断、治疗、预防和控制能力提供依据。
对疟疾监测系统中报告的所有疟疾病例数据进行回顾性分析。
2012 - 2016年济南市共发现疟疾病例91例，其中1例患者死亡。所有病例均为输入性病例，95.60%（87例）来自非洲（注：大多数为曾在非洲劳务输出后回国的中国居民）。恶性疟占比最高（82.42%，75例）。所有病例均为成年男性，主要为农民工。发病至确诊的中位时间为5天，就诊至确诊的中位时间为1天。患者首诊医疗机构主要为市级医疗机构（42例，46.15%）。村卫生室和乡镇卫生院的误诊率均为100%（分别为8/8和2/2）。市级医疗机构误诊率最低（3/42，7.14%）。有41例疟疾病例（45.05%）出现并发症。
济南市境外输入性疟疾形势日益严峻。有必要进一步加强对医生的相关专业培训，强化健康教育等多部门合作，以便及时发现病例并进行积极规范治疗，从而预防二代病例。
