摘要
目的通过对芜湖市2005～2011年婴儿麻疹流行特征分析,了解芜湖市婴儿麻疹流行变化规律,探讨婴儿麻疹的预防控制策略。方法对芜湖市2005～2011年206例婴儿麻疹流行特征进行分析,并对婴儿麻疹可能的影响因素进行分析。结果 2005～2011年芜湖市婴儿麻疹年均发病率为147.1/10万,处于全人群麻疹发病第一位。市区婴儿麻疹发病率高于农村地区。以5～8月龄为主,发病高峰为3～5月份。87.86%的婴儿麻疹病例无麻疹疫苗免疫史或免疫史不详,在有麻疹疫苗免疫病例中,52.00%的病例在麻疹疫苗接种后2W内发病,32.00%的病例在麻疹疫苗接种后4W以上发病。孕妇麻疹IgG抗体阳性率46.58%,有71.43%8月龄以上婴儿麻疹病例未及时接种或未接种麻疹疫苗,婴儿麻疹疫苗初免后平均麻疹IgG抗体阴性率为3.57%,麻疹流行强度、麻疹疫苗强化免疫、成人麻疹病例对婴儿麻疹病发病无明显影响。结论婴儿是麻疹高发人群,需进一步加强婴儿麻疹的预防控制工作。
Objective To study the measles epidemic variation among infants by analyzing the infant measles epidemic- trend and influencing factors from 2005 to 2011 in Wuhu, then explore the strategies of prevention and control measles a- mong infants. Methods The epidemic characteristics of 206 cases of infant measles were analyzed, and the influencing factors of measles in infants were investigated and analyzed. Results The average annual incidence rate was 147.1/100 000 from 2005 to 2011, it was the first in measles case of all people. The incidence of measles among infants in urban area was higher than that in rural area. Most measles cases of infants were 5 ~ 8 months old, the peak incidence was at March to May. 87.86% of the infant measles cases had no vaccination history or immunization history was unknown. Among infants who had measles vaccination history, 52.00% of them were ill within two weeks after the measles vaccination, 32.00% of them were ill after more than 4 weeks of measles vaccination. The positive rate of measles IgG antibody among pregnant women was 46.58%. 71.43% of infant measles cases less than 8 month - old didnt accept timely immunization or vaccina- tion. The average negative rate of measles IgG antibody was 3.57% after first vaccination. The epidemic intensity of mea- sles, the measles supplemental immunization activity （SIA） and the adult measles cases had no effect on the proportion of infant measles cases. Conclusion Infants are the high - risk population of measles, we should strengthen the prevention and control of measles among infants further.
出处
《安徽预防医学杂志》
2013年第2期76-78,105,共4页
Anhui Journal of Preventive Medicine
关键词
婴儿麻疹
流行特征
影响因素
Infant
Measles
Epidemiological characteristics
Influencing factors
