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一起暴发麻疹的临床特征和流行病学特征分析及防控处理

马伏英 朱战涛 万娟 王紫云 张文静 崔晓莉 柳石磊 尹重阳 王海涛

武警医学2017,Vol.28Issue(5):469-471,3.
武警医学2017,Vol.28Issue(5):469-471,3.

一起暴发麻疹的临床特征和流行病学特征分析及防控处理

Clinical features and epidemiological characteristics and strategies of control of an outbreak of measles in a college

马伏英 1朱战涛 1万娟 1王紫云 1张文静 1崔晓莉 1柳石磊 1尹重阳 1王海涛1

作者信息

  • 1. 100039北京,武警总医院感染性疾病科
  • 折叠

摘要

Abstract

Objective To study the epidemiological characteristics,clinical features and strategies of control of fifteen outbreaks of measles in a college.Methods The epidemiological and clinical data of 15 cases of measles was investigated,samples were taken,the cause of these outbreaks was analyzed,and the epidemiological characteristics and strategies of control were analyzed.Results The outbreaks of measles mostly occurred in spring.The clinical characteristics included fever,rash,pharyngalgia,cough,a running nose,a stuffy nose,and oral leukoplakia.One of the patients developed pneumonia and conjunctivitis,and another one developed myocarditis.Measles virus nucleic acid was positive in 13 cases.As for epidemiological characteristics,the first case occurred on April 1 2015,the peak of the epidemic occurred between April 13 and April 17,and the epidemic ended on April 17.Cases of infection of the second generation were concentrated in the longest incubation period.Eleven of these patients had definite epidemiological contact with measles,accounting for 73% of the patients.These patients of measles mostly lived in three dormitories on the same floor.They were all males,aged 19 to 25.Conclusions The outbreak of measles was associated with the season,vaccination,age of disease onset,and control strategies.It is recommended that clinical doctors be alert to sporadic cases of measles in spring in colleges and densely-populated neighborhoods,isolate the measles patients immediately,vaccinate those who have close contact with measles patients,and guard against outbreaks of measles.

关键词

麻疹/流行病学/临床特征/暴发/应急措施

Key words

measles/epidemiology/clinical feature/outbreak/emergency strategy

分类

临床医学

引用本文复制引用

马伏英,朱战涛,万娟,王紫云,张文静,崔晓莉,柳石磊,尹重阳,王海涛..一起暴发麻疹的临床特征和流行病学特征分析及防控处理[J].武警医学,2017,28(5):469-471,3.

基金项目

武警总医院科研课题资助(编号:2013GRXJBK) (编号:2013GRXJBK)

武警医学

OACSTPCD

1004-3594

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