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孙海波, 于伟, 王璐璐, 宋亦春, 毛玲玲, 姚文清. 辽宁省发热伴呼吸道症候群病原谱及流行特征[J]. 中国公共卫生, 2017, 33(6): 997-1000. DOI: 10.11847/zgggws2017-33-06-35
引用本文: 孙海波, 于伟, 王璐璐, 宋亦春, 毛玲玲, 姚文清. 辽宁省发热伴呼吸道症候群病原谱及流行特征[J]. 中国公共卫生, 2017, 33(6): 997-1000. DOI: 10.11847/zgggws2017-33-06-35
SUN Hai-bo, YU Wei, WANG Lu-lu.et al, . Prevalence characteristics and pathogen spectrum of fever with respiratory syndrome in Liao-ning province[J]. Chinese Journal of Public Health, 2017, 33(6): 997-1000. DOI: 10.11847/zgggws2017-33-06-35
Citation: SUN Hai-bo, YU Wei, WANG Lu-lu.et al, . Prevalence characteristics and pathogen spectrum of fever with respiratory syndrome in Liao-ning province[J]. Chinese Journal of Public Health, 2017, 33(6): 997-1000. DOI: 10.11847/zgggws2017-33-06-35

辽宁省发热伴呼吸道症候群病原谱及流行特征

Prevalence characteristics and pathogen spectrum of fever with respiratory syndrome in Liao-ning province

  • 摘要: 目的 建立并完善辽宁省呼吸道传染病病原检测平台,了解辽宁省发热伴呼吸道症候群流行特征和病原谱构成。方法 于2012—2014年在辽宁省内8个地市10家哨点医院收集就诊的发热伴呼吸道病例流行病学资料及标本,使用多重逆转录聚合酶链反应(RT-PCR)检测流感病毒A、B型(Flu A、B型)、副流感病毒Ⅰ、Ⅱ、Ⅲ和Ⅳ型(PIVⅠ、Ⅱ、Ⅲ和Ⅳ型)、呼吸道腺病毒(Adv)、呼吸道合胞病毒A、B型(RSV A、B型)、人类冠状病毒(HCov)、人鼻病毒(HRV)和偏肺病毒(hMPV)。结果 共收集发热伴呼吸道症状标本670份,病毒检测阳性率为19.70%(132/670)。其中Flu阳性率为39.26%、HRV 14.81%、RSV 15.56%、Adv 14.81%、PIV 9.63%、HCov 5.19%、hMPV 0.74%。以0~4岁幼儿组和5~9岁少年组为主,发病主要集中在冬春季节。结论 辽宁省发热伴呼吸道病毒感染人群主要以<10岁儿童为主,发病时间集中在冬春季节,主要病原为流感病毒,偏肺病毒比较少见。

     

    Abstract: Objective To examine prevalence characteristics and pathogenic spectrum of fever with respiratory syndrome in Liaoning province and to provide a basis for clinical diagnosis and prevention and control of the syndrome.Methods Medical records and throat swab specimens of fever and respiratory syndrome cases were collected at 10 sentinel hospitals in 8 cities of Liaoning province from 2012 through 2014.Influenza virus (Flu),parainfluenza virus (PIA),respiratory adenovirus (Adv),respiratory syncytial virus (RSV),human coronavirus (HCov),human rhinovirus (HRV),and human metapneumovirus (hMMV) were detected with reverse transcription-polymerase chain reaction.Results Of the 670 specimens detected,132 were positive for the viruses,with a overall positive rate of 19.70%;of the positive specimens,39.26%were positive for Flu,14.81%for HRV,15.56%for RSV,14.81%for Adv,9.63%for PIV,5.19% for HCov,and 0.74%for hMMV,respectively.More than 40%of the fever cases with respiratory syndrome were small children under 10 years old and more cases occurred during the period from November of a year to March of the next year.Conclusion Fever with respiratory syndrome was prevalent mainly in children under 10 years old and during winter to spring season in Liaoning province and main pathogen in relation to the epidemic was influenza virus and human meta pneumovirus was rarely prevalent.

     

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