摘要
目的了解杭州市余杭区儿童猩红热现状及其影响因素,为开展有效防控提供参考。方法以2013年5月1日—2015年6月30日间,杭州市各级医疗机构报告的本辖区儿童猩红热病例作为病例组,按同班级、同性别选择对照开展猩红热调查,条件Logistic回归分析探讨猩红热病例发病的危险因素。结果猩红热病例接触者感染率为11.48%,感染率最高的为一起玩的同学,感染率为19.00%,其次为邻桌(16.90%)、同桌(11.64%),家人和老师感染率均为0。患过出疹性疾病、与病例在校外经常一起玩耍、与病例床铺相邻或邻桌、与病例同桌均与猩红热发病呈正相关(OR值分别为6.18,6.43,4.69,6.40,P值均<0.01)。结论猩红热病例的同桌、邻桌、邻床及经常一起玩的同学应作为密切接触者进行医学观察和预防性服药。
Objective To investigate the current situation of the scarlet fever in Yuhang district and explore the influencing factors of the disease to provide references for effective prevention. Methods We selected the child scarlet fever cases in Yuhang district who were reported by medical institutions in Hangzhou from May 1,2013 to June 30,2015, and the controls were matched for class and gender with cases. Conditional Logistic regression was used to explore the influencing factors of scarlet fever. Results Infection rate of contacts with the scarlet fever was 11.48%. the students who play with the patient get the highest infection rate of19.00%, followed by the infection rates of the students who sit at adjacent table（ 16.90%） and that of the students who sitat the same table（ 11.64%）.The infection rates of both family and teachers were 0. Having got a rash illness, playing together outside the school, sitting adjacent to or adjacent to the bed of a case and same table with a case remained significant risk factors associated with scarlet fever（ OR = 6.18, 6.43, 4.69, 6.40, P〈0.01）. Conclusion The students who sit at the same table, at the next table,in the next bed and often play together with scarlet fever should be made medical observation and preventive medication as close contacts.
出处
《中国学校卫生》
CAS
北大核心
2016年第11期1682-1685,共4页
Chinese Journal of School Health
关键词
猩红热
病例对照研究
因素分析
统计学
儿童
Scarlet fever
Case-control studies
Factor analysis
statistical
Child
