广东省佛山市南海区2018年其他感染性腹泻患者就诊模式特征分析

广东省佛山市南海区2018年其他感染性腹泻患者就诊模式特征分析【】

Analysis

on

the

pattern

of

other

infectious

diarrhea

patients

in

nanhai

district

of

foshan

city,

east

china's

guangdong

province

in

2018【Abstract】

Objective

:

To

analyze

the

characteristics

of

visit

patterns

of

other

infectious

diarrhea

patients

in

Nanhai

District,

Foshan

City,

Guangdong

Province

in

2018,

to

provide

a

rational

basis

for

the

allocation

of

health

resources

in

the

region

or

the

patient's

visiting

hospital,

and

to

provide

a

scientific

basis

for

the

prevention

and

control

of

other

infectIous

dlarrhea.Methods:

The

data

of

other

infectious

diarrhea

epidemics

in

Nanhai

District,

Foshan

City,

which

were

reported

in

the

"China

Disease

Prevention

and

Controllnformation

System"

in

2018,

were

collected

and

analyzed

using

descriptive

epidemiological

methods.Results:

In

2018,

a

total

of

8051

cases

of

other

infectious

diarrhea

were

reported

in

Nanhai

District

of

Foshan

City.

The

average

monthly

number

of

cases

reported

was

671,

of

which

2329

were

reported

in

January,

accounting

for

28.93%

of

the

total

number

of

cases.

It

is

the

peak

period

of

disease.The

interval

between

the

onset

of

the

patient

and

the

time

of

consultation

was

0-3

days,

the

number

of

cases

was

6,589,

accounting

for

81.84%

of

the

total

number

of

cases.

There

was

a

statistically

significant

difference

in

the

distribution

of

the

time

interval

from

onset

to

treatment

in

patients

from

4-10

months

and

11-3

months

(χ2=20.589,

P

<0.05).

Visits

in

and

out

of

townThere

was

a

statisticalty

significant

difference

in

the

distribution

of

the

time

interval

from

onset

to

treatmentin

patients

(χ2=17.64,

P

<0.05).There

was

a

statistically

significant

difference

in

the

distribution

of

the

timeintervalbetween

onset

and

treatment

of

patients

who

were

in

the

town

of

Guangzhou

and

notin

the

town

of

Guangzhou(χ2=40.91,

P

<0.05).

The

top

3

reported

towns

in

Nanhai

District

were

Guicheng

(2720

cases),

Shishan

(1976

cases)

and

Dali

(1128

cases),

accounting

for

72.34%

of

the

total

cases.

The

gender

ratio

was

1.40:

1.

The

number

of

cases

of

scattered

children

in

the

population

classification

was

6,700,

accounting

for

83.22%

of

the

total

number

of

cases.

There

was

a

statistically

significant

difference

in

the

dIstribution

ofhospital

levels

between

patients

vIsiting

the

town

and

outside

the

town

(χ2=1253.258,

P

<0.05).

There

was

a

statistically

significant

difference

in

the

level

of

medical

institution

visits

between

patients

who

were

in

and

out

of

Guangzhou

Zhenjie(χ2=128.21,

P

<0.05).There

was

a

statistically

significant

difference

in

the

distribution

of

patients

in

and

out

of

town

streets

with

tertiary

medical

institutions(χ2=694.233,

P

<0.05).Conclusion:

In

201

8,

Nanhai

District

of

Foshan

City,

other

patients

with

infectious

diarrhea,

the

pattern

of

consultation,

patients

outside

the

town

street

and

patients

near

the

town

of

Guangzhou

are

more

inclined

to

visit

the

tertiary

medical

institutions,

but

the

patients

in

the

town

street

are

more

timely,

-2

years

old

scattered

children

are

at

higher

risk.

Reasonable

allocation

of

medIcal

care

in

the

area

Resources,

do

a

good

job

of

health

education

for

key

populations,

strengthen

the

awareness

of

medical

consultation,

effectively

controlthe

occurrence

of

epidemics,

and

reduce

severe

cases

and

deaths.

【Key

words】:other

infectious

diarrhea;consultation

mode;Nanhai

area其他感染性腹泻指除霍乱、痢疾、伤寒和副伤寒以外的感染性腹泻，是一组由病毒、细菌和原虫引起的肠道感染性疾病，常见的病原体有轮状病毒、副溶血性弧菌、沙门氏菌、肠致病性大肠杆菌、蓝氏贾第鞭毛虫等，属于我国法定报告丙类传染病。近年来感染性腹泻全球普遍流行，是全球性重要的公共卫生问题之一，其他感染性腹泻更是普遍存在，为了解南海区其他感染性腹泻就诊模式，笔者对佛山市南海区2018年其他感染性腹泻就诊模式进行了分析。 1材料与方法1.1资料来源2018年佛山市南海区其他感染性腹泻疫情资料来源于中国疾病预防控制信息系统中的其他感染性腹泻报告卡(仅包括已审核卡，不包括已删除卡;包括临床诊断病例和实验室诊断病例和疑似病例)。人口资料来源于南海年鉴。1.2统计分析从中国疾病预防控制信息系统数据库中导出其他感染性腹泻报告卡资料，利用Excel2007建立数据库，运用SPSS17.0软件对数据进行统计和分析。对数据进行描述性分析和χ2检验，检验水准α=0.05。2结果2.1疫情情况2018年南海区累计报告其他感染性腹泻病例8051例月均报告病例数为671例，4-10月（夏秋季）报告病例数3330例，占总病例数的41.3611-3月（冬春季）报告病例数4721例，占总病例数的58.64，其中1月份报告病例数为2329例，占总病例数的28.93占总病例数的72.34男女性别比为1总病例数的83.22。2.2流行特征2.2.1时间分布和时间就诊模式1-12月份疫情流行趋势见图1，1月份。占总病例数的81.84占总病例数的18.1617.64图12018年佛山市南海区其他感染性腹泻1-12月份流行趋势表12018年佛山市南海区其他感染性腹泻患者发病至就诊时间间隔（天）分布情况项目病例数/例构成比/%发病至就诊时间间隔（天）χ2P值0构成比/%1–3构成比/%>3构成比/%月份21.0110.004–10333041.36129939.01134940.5168220.4811–3472158.64190140.27204043.2178016.52镇街就诊模式312.3460.00镇街内就诊474458.92222446.88173036.4779016.65镇街外就诊330741.0897629.51165950.1767220.32镇街是否临广州40.910.00临广州镇街460457.19169436.79205344.5985718.61不临广州镇街344642.81150643.7133538.7460517.56占总病例数的79.26占总病例数的72.34总病例数的75.71(6095/8051)(见表2)表22018年佛山市南海区其他感染性腹泻患者人口学分布人口学分布性别年龄组/岁人群分布男女0-2>2散居儿童幼托儿童家务及待业商业服务学生农民其它人群病例数/例46823369609519566700319273194180123262总病例数的61.14总病例数的38.861253.258128.21表32018年佛山市南海区其他感染性腹泻患者就诊医疗机构级别分布情况项目病例数/例构成比/%就诊医院级别χ2P值非三级构成比/%三级构成比/%镇街就诊模式1253.2580.00镇街内就诊474458.92366277.19108222.81镇街外就诊330741.081