新发传染病电子杂志2024，Vol.9Issue(3)：11-15,5.DOI:10.19871/j.cnki.xfcrbzz.2024.03.003
一起疱疹性咽峡炎混合手足口病疫情持续传播调查分析
Investigation and analysis of persistent transmission of herpangina mixed with hand,foot and mouth disease
摘要
Abstract
Objective To understand the epidemiological characteristics of an outbreak of herpangina(HA)combined hand,foot and mouth disease(HFMD)in a kindergarten in Luohu District,Shenzhen,and analyze the factors of sustained transmission and provide scientific basis for formulating effective prevention and control measures.Method Field epidemiological methods were used to collate and analyze the relevant data of the epidemic.Throat swabs,anal swabs and environmental samples were collected to detect the nucleic acid and genotype of enterovirus in the stages of reporting and continuous transmission of the epidemic.Result The epidemic lasted for 42 days,115 cases were reported,no severe cases,no hospitalization cases,no death cases.There were 86 cases of HA,11 cases of HFMD and 18 others.The overall incidence was 20.7％(115/555),and the incidence of children on the second floor of the teaching building was 27.5％(57/207),the difference was statistically significant(RR=1.824,95％CI:1.187-2.804).The pathogens in the two samples were different,and the sustained spread of the epidemic may be related to factors such as close community contact,misdiagnosis of the first diagnosis,irregular morning examination,and park activities.Conclusion This is an outbreak of HA mixed HFMD caused by multiple transmission sources.There is not only communication from community to kindergarten,but also communication between kindergarten classes.It is recommended to add the observation period of home isolation for the prevention and control of campus infectious diseases to prevent the continued spread of the epidemic.关键词
疱疹性咽峡炎/手足口病/肠道病毒/聚集性疫情/幼儿园/深圳Key words
Herpangina/Hand,foot and mouth disease/Enterovirus/Cluster epidemic/Kindergarten/Shenzhen分类
医药卫生引用本文复制引用
刘威,王艳梅,江仕清,郑思捷,陈志高,张振,旷翠萍..一起疱疹性咽峡炎混合手足口病疫情持续传播调查分析[J].新发传染病电子杂志,2024,9(3):11-15,5.基金项目
科技基础资源调查专项子课题委托合作项目(2022FY100904) （2022FY100904）
深圳市医学重点学科建设经费资助项目(SZXK064) （SZXK064）
深圳市医疗卫生三名工程项目(SZSM202011008) （SZSM202011008）
