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广州大学城流感暴发疫情及其危险因素Logistic回归分析 被引量:7

Logistic Regression Analysis of the Risk Factor of Influenza Outbreak in Guangzhou Higher Education Mega Center
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摘要 目的了解大学城流感暴发的流行特征,探讨暴发的危险因素,为控制暴发提供科学依据。方法采用现况流行病学调查方法,对该大学城流感暴发的流行特征进行分析;漱口液标本用MDCK细胞进行病毒分离,分离到病毒的标本用血凝抑制试验进行分型鉴定;采用病例对照研究和非条件Logistic回归模型分析此次暴发的危险因素。结果2所学校累计发病人数分别为376例和525例,罹患率分别为1.80%、2.14%。采集的35份现症病人咽漱液中有20份分离出流感病毒,型别鉴定均为H1N1型流感病毒。病人接触史在多因素回归模型中有统计学意义(OR=1.86,1.09-3.18)。结论该事件为由季节性H1N1型流感病毒引起的暴发疫情;病人接触史为此次暴发的危险因素;早期发现、及时隔离治疗病人是控制流感暴发的重要措施。 Objective To explore the epidemiological features and risk factors of influenza outbreak in Higher Education Mega Center and provide scientific evidence for monitoring and adopting effective control measures. Methods Epidemiological survey was conducted to analyze features of the influenza outbreak in two universities. Virus was isolated from collutory samples using MDCK cells and the virus was further identified by hemagglutination inhibition assay. Case control study and nonconditional multiplicity logistic regression model were used to analyze the risk factor of this event. Results Out of 376 and 525 peoples in two schools were infected with influenza, with incidence rates of 1.80% and 2.14%. Influenza virus H1N1 was detected in 20 of 35 collutory samples. History of patient contact had statistical significance in the regression model (OR= 1.86,1.09-3.18). Conclusion This event in Guangzhou Higher Education Mega Center was diagnosed to be an outbreak of influenza caused by Influenza virus H1N1. History of patient contact was the risk factor of this event. Identifying and isolating the patient in time were the significant measures to control the outbreak of influenza.
出处 《热带医学杂志》 CAS 2010年第1期92-94,共3页 Journal of Tropical Medicine
关键词 流感 暴发 危险因素 influenza outbreak risk factor
作者简介 张周斌(1975-),男,本科,主管医师,主要从事现场流行病学工作。
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参考文献10

  • 1Baras B, Bouveret N, Devaster JM, et al. A vaccine manufacturer's approach to address medical needs related to seasonal and pandemic influenza viruses [J ]. Influenza Other Respi Viruses, 2008,2 (6) : 251-260.
  • 2中国疾病预防控制中心.中国流感监测工作规范(试行).2002:23-31.
  • 3郭吉元,程小雯.流行性感冒病毒及其实验技术[M].北京:中国三峡出版社,1997:48—53.
  • 4李铁钢,刘于飞,秦鹏哲,王玉林,何丽娟,刘维斯,杨智聪.广州市某小学2起流感爆发疫情流行病学分析[J].中国学校卫生,2008,29(1):72-73. 被引量:22
  • 5Eshaghi A, Blair J, Burton L, et al.Charaeterization of an influenza A and influenza B co-infection of a patient in a long-term care facility with co-circulating influenza A and influenza B [J]. Int J Infect Dis, 2009,13(3) : 127-128.
  • 6李铁钢,刘维斯,秦鹏哲,刘于飞,王玉林,何丽娟.广州市海珠区一起小学流感爆发的流行病学分析[J].热带医学杂志,2007,7(4):366-367. 被引量:6
  • 7Barker WH, Mullooly JP. Pneumonia and influenza deaths during epidemics: implications for prevention [J]. Arch Intern Med, 1982, 142( 1 ) : 85-89.
  • 8Engler RJ, Nelson MR, Klote MM, et al. Half-vs full-dose trivalent inactivated influenza vaccine (2004-2005): age, dose, and sex effects on immune responses [J]. Arch Intern Med, 2008,168 (22) : 2405-2414.
  • 9卢亦愚.流感病毒的变异及其引发流行的预防[J].国外医学(流行病学.传染病学分册),2005,32(5):257-259. 被引量:5
  • 10李铁钢,刘维斯,秦鹏哲,刘于飞,王玉林,杨智聪,何丽娟.2006年广州市145起流感样病例暴发疫情分析[J].华南预防医学,2007,33(3):29-30. 被引量:12

二级参考文献31

  • 1陈丽,潘南胜,孙超,叶国军,霍细香.湖北省疑似流感疫情调查与实验室检测[J].公共卫生与预防医学,2005,16(1):10-12. 被引量:2
  • 2邓卓晖,鄢心革,倪汉忠,张欣,罗会明,邓爱萍,欧春泉,陈平雁.广东省流行性感冒病原学监测结果分析[J].中国公共卫生,2005,21(7):868-869. 被引量:30
  • 3曾晓军,周一平,段良松,胡忠兰,黄健,欧社祥,谢群.郴州市2004年流行性感冒监测结果分析[J].实用预防医学,2006,13(1):96-97. 被引量:2
  • 4Kuiken T, Leighton FA, Fouchier RA. Pathogen surveillance in animals. Science, 2005, 309 ( 5741 ) : 1680-1681.
  • 5城野洋一郎.インフルエンザ生ワクチンの開發研究の動向と進步.日本臨床,1997,55(10):248-252.
  • 6太田和代.不活化インフルエンザHAワクチンの噴霧接種法開發に關する研究.臨床とウイルス,1995,23(5):366-375.
  • 7Nicholson KG. Textbook of influenza,London,UK,2000.
  • 8Kuiken T, Leighton FA, Fouchier RA. Pathogen surveillance in ani mals. Science,2005, 309(5741): 1680-1681.
  • 9甘孟侯.禽流感.第1版[M].北京:中国农业出版社,2004..
  • 10Bengen RB. Current status of live attenuated influenza virus vaccine in the US. Virus Res, 2004,103(1-2):177-185.

共引文献42

同被引文献48

  • 1孙伟,姜秀杰,贾春霞.流感暴发疫情核酸快速检测中质量控制研究[J].中国煤炭工业医学杂志,2007,10(6):713-714. 被引量:2
  • 2郑毅语.一起流感局部暴发的调查分析[J].现代预防医学,2007,34(8):1565-1565. 被引量:3
  • 3Sertsou G, Wilson N, Baker M, et al. Key transmission parameters of an institutional outbreak during the 1918 influenza pandemic estimated by mathematical modeling [J]. Theor Biol Med Model, 2006,3 : 38.
  • 4Mills CE, Robins JM, Lipsitch M. Transmissibility of 1918 pandemic influenza [J]. Nature, 2004, 432(7019):904-906.
  • 5Ferguson NM, Cummings DA, Cauchemez S, et al. Strategies for containing an emerging influenza pandemic in Southeast Asia [J]. Nature, 2005, 437(7056):209-214.
  • 6Lee VJ, Chen MI. Effectiveness of neuraminidase inhibitors for preventing staff absenteeism during pandemic influenza [J]. Emerg Infect Dis, 2007, 13(3):449-457.
  • 7Cauchemez S, Carrat F, Viboud C, et al. A Bayesian MCMC approach to study transmission of influenza: application to household longitudinal data [J]. Star Med, 2004, 23(22): 3469-3487.
  • 8EGAN JR, HALL IM, LEMON DJ, et al. Modeling legionnairesj disease outbreaks: Estimating the timing of an aerosolized release u- sing symptom-onset dates. Epidemiology, 2011,22 (2) : 188 - 19g.
  • 9EBELL MH, AFONSO A. A systematic review of clinical decision rules for the diagnosis of influenza. Ann Fam Med, 2011,9 ( 1 ) :69 - 77.
  • 10FATIREGUN AA, SANGOWAWA AO, ABUBAKAR OA. Outcome of training on yellow fever surveillance in a South-Western state, Ni- geria: Implications for improved field implementation. Niger J Clin Pract, 2010,13 (4) :449 - 52.

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