摘要
[目的]比较、分析湖南省3例人感染高致病性禽流感（H5N1）确诊病例就诊、诊断与报告以及实验室标本采集、检测情况。[方法]采用描述流行病学方法。[结果]3病例发病后4～7次到不同级别的医疗单位就诊，8～13d才被诊断为“不明原因肺炎病例”并网络报告；11～32d确诊；病后14～37d正式公布。患者发病前均有病死禽接触史或污染环境的暴露史，但只有一起有明确的动物禽流感疫情。标本检测阳性率直接受标本采集的时间和种类的影响。[结论]基层专业人员对人禽流感的敏感性和标本采集意识较差，群众对人禽流感预防知识不足，提示应加强对专业人员的培训，普及防治知识。
[Objective] To compare and analyze 3 confirmed cases of human infection with avian influenza virus （H5N1） about seeing-doctors, diagnosing and reporting, collecting samples and H5N1 testing in Hunan. [Methods] Descriptive epidemiological method was used to the study. [Results] The 3 cases went to hospital at different levels 4-7 times. They were diagnosed and reported as ＂unknown pneumonia case＂ after 9-13 days, and were diagnosed as confirmed case at llth-32th day and released after 14th-37th day. The 3 cases had contacted with the ill or fatal avian or exposed to the contaminated surroundings, but only one case was confirmed as H5N1. The positive rate of samples was related to sample collecting time and kinds. [Conclusion] The sensitivity to H5N1 and sample collecting in time should be strengthened especially for the staff of professional institutions at lower levels. It is suggested that the training of knowledge for avian influenza and health education should be strengthened.
出处
《海峡预防医学杂志》
CAS
2008年第1期19-22,共4页
Strait Journal of Preventive Medicine
