2015年四川省输入性疟疾流行病学特征分析

Li Li, Yang Liu, Guo-jun Xu, Tao Yu, Yan Zou, Xiao-hong Wu, Bo Zhong
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引用次数: 0

摘要

目的:分析2015年四川省输入性疟疾流行病学特征,为疟疾防治提供科学依据。方法:收集2015年中国疾病预防控制信息系统传染病报告管理系统报告的四川省疟疾流行病学资料并进行分析。结果:2015年四川省共报告疟疾病例290例,其中恶性疟158例(54.5%),间日疟107例(36.9%),卵形疟14例(4.8%),四分之一疟1例(0.3%),间日疟与恶性疟混合感染10例(3.5%)。5例恶性疟疾死亡。报告病例均为输入性,主要来源为非洲(27.93.4%),其中埃塞俄比亚(83例)和安哥拉(49例)为两个主要来源。1 - 12月连续报告病例,其中12月、8月、6月和7月报告病例最多(139例,47.9%)。病例主要分布在广安、成都、南充、绵阳、德阳、泸州和遂宁(243例,83.8%)。发病后首次就诊的209例患者中,诊断为疟疾的118例,首次就诊误诊率为43.5%(91/209)。结论:2015年四川省报告疟疾病例均为境外输入病例,以恶性疟原虫和间日疟原虫感染为主,以非洲输入病例为主。四川省医疗单位存在较高的误诊率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Epidemiological characteristics of imported malaria in Sichuan Province in 2015].

Objective: To analyze the epidemiological characteristics of imported malaria in Sichuan Province in 2015 in the aim of providing scientific basis for malaria control.

Methods: The epidemiological data of malaria in Sichuan Province reported through the Infectious Disease Reporting and Management System of China Information System for Disease Control and Prevention in 2015 were collected and analyzed.

Results: In 2015,290 malaria cases were reported in Sichuan Provinc, consisting of 158 falciparum malaria cases (54.5%),107 vivax malaria cases (36.9%),14 ovale malaria cases (4.8%), one quartan malaria case(0.3%), and 10 mixed infections of vivax malaria and falciparum malaria (3.5%). Five cases of falciparum malaria died. The reported cases were all imported, with a major source of Africa (271, 93.4%), in which Ethiopia (83) and Angola (49) were two major sources. The cases were reported continuously from January to December, with the majority(139, 47.9%) being reported in December, August, June and July. The cases distributed mainly in Guangan, Chengdu, Nanchong, Mianyang, Deyang, Luzhou and Suining(243, 83.8%). Among the 209 cases who first visited medical units after onset, 118 cases were diagnosed as malaria, the misdiagnosis rate at first visit was 43.5%(91/209).

Conclusion: The malaria cases reported in Sichuan Province in 2015 are all imported from overseas, mainly infected with P. falciparum and P. vivax, and imported mostly from Africa. There is a high rate of misdiagnosis in medical units in Sichuan Province.

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