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2015-2019年祥符区5岁以下腹泻患儿A群轮状病毒感染的流行病学分析 被引量:3

Epidemiological analysis of group A rotavirus infection in children with diarrhea under 5 years of age in Xiangfu District from 2015 to 2019
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摘要 目的 了解祥符区5岁以下腹泻患儿A群轮状病毒感染的流行特征,为有效控制轮状病毒感染提供科学依据。方法 收集2015-2019年因腹泻在祥符区人民医院就诊的5岁以下儿童的流行病学信息及粪便标本,采用胶体金标记双抗体夹心免疫层析法对轮状病毒抗原进行检测,采用SPSS 21.0进行数据统计分析。结果 13 011份标本中检出A群轮状病毒阳性标本3 921份,总阳性率为30.14%,年检出率呈逐年下降趋势(χ^(2)=23.23,P<0.001)。男童阳性率30.98%(2 209/7 130),高于女童的29.11%(1 712/5 881),差异有统计学意义(χ^(2)=5.36,P=0.021)。不同年龄组儿童轮状病毒感染阳性率差异有统计学意义(χ^(2)=357.42,P<0.001),2~<3岁组儿童阳性率最高(37.90%),其次为1~<2岁组(35.61%),0~<1岁组阳性率最低(20.02%)。A群轮状病毒全年均可检出,其发病高峰为秋冬季,8月份最低。结论 祥符区5岁以下儿童A群轮状病毒感染率较高,主要集中在秋冬季,应采取相应防控措施有效降低A群轮状病毒感染率。 Objective To understand the epidemic characteristics of group A rotavirus in children with diarrhea under 5 years of age in Xiangfu district,and to provide scientific evidence for effective control of rotavirus infection.Methods Epidemio-logical information and stool samples were collected from children under 5 years of age who visited Xiangfu People’s Hospital due to diarrhea from 2015 to 2019.Rotavirus antigen was detected by colloidal gold-labeled double-antibody sandwich immu-nochromatography.Statistical analysis was performed using SPSS(version 21.0).Results A total of 3921 group A rota-virus samples were detected in 13011 samples,with a total positive rate of 30.14%.The annual detection rate showed a de-creasing trend year by year(χ^(2)=23.23,P<0.001).The positive rate of boys was 30.98%(2209/7130),which was higher than that of girls(29.11%,1712/5881),and the difference was statistically significant(χ^(2)=5.36,P=0.021).There was a significant difference in the positive rate of rotavirus infection among children in different age groups(χ^(2)=357.42,P<0.001),with the highest positive rate in children aged over 2 but less than 3 years of age(37.90%),followed by those aged over 1 year but less than 2 years of age(35.61%),and the lowest positive rate in those aged less than 1 year of age(20.02%).Group A rotavirus can be detected throughout the year,and its peak incidence is in autumn and winter,with the lowest incidence in August.Conclusion The infection rate of group A rotavirus in children under 5 years of age in Xiangfu district remains high,mainly occurring in autumn and winter.Corresponding prevention and control measures should be taken to effectively reduce the infection rate.
作者 芦卫锋 万艳霞 程卫华 马秀丽 陈晓芹 Lu Weifeng;Wan Yanxia;Cheng Weihua;Ma Xiuli;Chen Xiaoqin(Kaifeng Xiangfu Center for Disease Control and Prevention,Kaifeng Henan 475100,China;Kaifeng Xiangfu First People's Hospital,Kaifeng Henan 475100,China)
出处 《保健医学研究与实践》 2022年第8期21-24,共4页 Health Medicine Research and Practice
关键词 轮状病毒 腹泻 儿童 Rotavirus Diarrhea Children
作者简介 第一作者:芦卫锋,E-mail:kfxcdclwf@163.com。
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