摘要
目的分析福建省输入性登革热病例早期发现能力及影响因素,提升输入性病例的早期发现能力。方法从国家疾病监测信息报告系统导出福建省2010—2021年输入性登革热病例报告卡,结合流行病学调查报告计算入境发现率、首诊发现率与病毒血症期发现率,以反映早期发现能力,并分析其影响因素。结果福建省2010—2021年共报告1148例输入性病例,其中有流行病学调查报告者993例,入境前已发病522例,海关发现134例,海关入境发现率25.7%(134/522);首诊发现率平均51.6%(440/853),且12年来有升高趋势;其中省市级医院(75.3%)、县级医院(60.6%)、乡镇级医院(17.1%)、村级及个体医疗机构(2.2%),首诊发现率随医院级别的降低而降低(趋势χ^(2)=307.206,P<0.05);病毒血症期发现率44.3%(440/993)。结论福建省输入性登革热病例早期发现能力有待提升。提高登革热病例的早期发现能力,不仅要提升入境口岸发现能力,也要提升首诊医疗机构的发现能力。
Objective To analyze the early detection ability and its influencing factors for imported dengue fever cases in Fujian province,in order to enhance early detection ability for imported cases.Methods Case report cards of imported dengue fever cases in Fujian during 2010-2021 were extracted from China Disease Surveillance Information Reporting System.Based on the epidemiological investigation reports,customs entry detection rate,first-visit detection rate and detection rate at viremia stage were calculated in order to reflect early detection ability and to analyze its influencing factors.ResultsDuring 2010 and 2021,a total of 1148 imported cases were reported in Fujian province,among which 993 cases had epidemiological investigation reports and 522 cases were sick before the customs entry.A total of 134 cases were found by customs,and the customs entry detection rate was 25.7%(134/522).The average first-visit detection rate was 51.6%(440/853),meanwhile showing an increasing trend during the past 12 years.First-visit detection rates varied at different hospital levels:75.3%for provincial and municipal hospitals,60.6%for county-level hospitals,17.1%for township-level hospitals,and 2.2%for village-level hospitals and private medical institutions,showing a decreasing trend along with lower level of hospitals(trendχ^(2)=310.08,P<0.01).The detection rate at viremia stage was 44.3%(440/993).Conclusion The early detection ability for imported dengue fever cases in Fujian province should be improved.In order to improve the early detection ability for dengue fever cases,not only the detection ability in customs entry shall be enhanced,but also the first visit detection ability in medical institutions.
作者
吴生根
林嘉威
蔡少健
欧剑鸣
郭志南
陈武
WU Shenggen;LIN Jiawei;CAI Shaojian;OU Jianming;GUO Zhinan;CHEN Wu(Fujian Center for Disease Control and Prevention(Fujian Provincial Key Laboratory of Zoonosis Research),Fuzhou,Fujian 350012,China;Xiamen Center for Disease Control and Prevention,Xiamen Fujian 361021,China)
出处
《海峡预防医学杂志》
CAS
2022年第4期14-17,共4页
Strait Journal of Preventive Medicine
基金
福建省卫健委青年骨干人才培养项目(2019-ZQN-30)
福建省科技厅引导性项目(2019D014)
福建省科技计划项目(2020R0167)
关键词
登革热
早期发现能力
入境发现率
首诊发现率
病毒血症
Dengue Fever
Early Detection Ability
Customs Entry Detection Rate
First Visit Detection Rate
Viremia
