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[1994年急性弛缓性麻痹(AFP)监测系统评估]

[Evaluation of acute flaccid paralysis (AFP) surveillance system in 1994].

作者信息

Zhang R Z, Cao L, Li Q L

机构信息

EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1995 Dec;16(6):332-7.

PMID:8728952
Abstract

Increased by 40.2% compared with 1993, 3142 acute flaccidparalysis cases were reported from AFP surveillance system in 1994. A total number of 1297 counties had AFP cases reported, accounting for 45.1% of total amount of counties. Out of 3142 AFP cases, 307 were confirmed, coming from 225 counties. For children under 15 years old, the reported AFP incidence was 1.1/10(5), non-polio AFP rate was 0.83/10(5), much higher than 0.37/10(5), in 1993. 48.5% of the total AFP cases had double stool specimen taken within 0-14 days after paralysis. 79% AFP cases had been investigated within 48 hours after being reported. Some of the major monitoring indicators of AFP surveillance system were close to the WHO criterion, but the percentage of AFP cases reported within 48 hours of careseeking and AFP cases with follow-up visit after 60-70 days of paralysis were very low. Furthermore, 77.9% of the confirmed cases were diagnosea clinically by residual paralysis, so did the 46.4% of discarded cases. It is in urgent need to increase the percentage of cases classified by laboratory test.

摘要

1994年,急性弛缓性麻痹(AFP)监测系统报告了3142例病例,与1993年相比增加了40.2%。共有1297个县报告了AFP病例,占全国总县数的45.1%。在3142例AFP病例中,307例得到确诊,来自225个县。15岁以下儿童的AFP报告发病率为1.1/10万,非脊灰AFP发病率为0.83/10万,远高于1993年的0.37/10万。48.5%的AFP病例在麻痹后0至14天内采集了双份粪便标本。79%的AFP病例在报告后48小时内接受了调查。AFP监测系统的一些主要监测指标接近世界卫生组织标准,但在发病后48小时内报告的AFP病例百分比以及在麻痹后60至70天进行随访的AFP病例百分比非常低。此外,77.9%的确诊病例通过残留麻痹进行临床诊断,46.4%的排除病例也是如此。迫切需要提高实验室检测分类病例的百分比。

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