天津市麻疹家庭感染病例流行特征分析Analysis on Epidemiological Characteristics of Household-acquired Measles in Tianjin
丁亚兴;黄海涛;孙静;高志刚;
摘要(Abstract):
目的分析天津市麻疹家庭感染病例流行特征和家庭传播模式。方法利用麻疹监测信息报告管理系统监测麻疹家庭聚集性病例,开展标本检测和家庭感染状况调查。结果 2014年天津市共报告麻疹家庭聚集性疫情33起,涉及病例69例,占病例总数的2.51%。其中家庭获得性疫情19起,病例39例,占家庭聚集性病例数的56.52%。家庭获得性疫情中,由≥20岁成人引入的传播14起(73.68%),<7岁儿童引入的传播5起(26.32%)。在家庭感染中,婴儿罹患率100%,9月龄19岁组罹患率最低(14.29%);有明确含麻疹成分疫苗(MCV)免疫史者罹患率为0。麻疹家庭聚集性病例和单个散发病例之间麻疹临床症状和住院率无差别。结论成人麻疹病例是导致家庭内感染和婴儿发病的重要原因,推荐开展成人MCV免疫。
关键词(KeyWords): 麻疹;家庭感染
基金项目(Foundation): 天津市疾病预防控制中心科技基金项目(CDCKY1405)
作者(Authors): 丁亚兴;黄海涛;孙静;高志刚;
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