Epidemiological characteristics of Sapovirus virus clustered vomiting epidemic in Baoshan District in Shanghai from 2017 to 2019
-
摘要:
目的 探讨上海市宝山区札如病毒感染所致聚集性呕吐腹泻疫情的流行病学特征,为学校聚集性呕吐腹泻事件规范处置提供参考。 方法 收集2017—2019年宝山区聚集性呕吐腹泻疫情,汇总每起聚集性疫情的病例基本信息、现场采集样本结果,运用描述性流行病学方法对疫情流行特征进行分析。 结果 2017—2019年宝山区共报告聚集性呕吐腹泻事件100起,其中札如病毒所致9起。札如病毒所致聚集性呕吐腹泻事件共报告病例120例,平均罹患率为2.37%,其中实验室确诊病例39例。疫情流行时间主要集中在9—11月,场所分布为小学4起,幼儿园5起;主要临床表现为呕吐(112/120,93.33%)、腹痛(27/120,22.50%)、腹泻(26/120,21.67%)。与诺如病毒事件相比,札如病毒的阳性率、呕吐、发热的检出率均低于诺如病毒(χ2值分别为8.32,4.52,14.20,P值均 < 0.05)。 结论 在学校聚集性呕吐腹泻事件中,札如病毒的阳性检出率仅次于诺如病毒。应制定札如病毒感染性腹泻防控方案,为学校聚集性呕吐腹泻事件现场处置提供依据。 Abstract:Objective To investigate the epidemiological characteristics of cluster vomiting diarrhea outbreaks caused by Sapovirus infection in Baoshan District, Shanghai, and to provide reference for the standardized management of cluster vomiting diarrhea events in schools. Methods The cluster of vomiting and diarrhea outbreaks in Baoshan District from 2017 to 2019 were collected, and the basic information and scene of each cluster were summarized. Sample results were collected and descriptive epidemiological methods were used to analyze the epidemiological characteristics of the outbreak. Results From 2017 to 2019, a total of 100 cluster vomiting and diarrhea events were reported in Baoshan District, including 9 cases caused by Sapovirus, 120 cases of cluster vomiting diarrhea caused by Sapovirus, with an average incidence rate of 2.37%, including 39 laboratory-confirmed cases, the epidemic epidemic time was mainly concentrated in September to November, the places were distributed in 4 primary schools and 5 kindergartens, the main clinical manifestations were vomiting (112/120, 93.33%), abdominal pain (27/120, 22.50%), diarrhea (26/120, 21.67%), compared with Norovirus events, the positive rate, vomiting and fever ratios of Zarovirus were lower than those of Norovirus(χ2=8.32, 4.52, 14.20, P < 0.05). Conclusion In school cluster vomiting and diarrhea events, the positive detection rate of Sapovirus is second enteric vinus behind Norovirus, and it's recommended to formulate a prevention and control plan for Sapovirus infection diarrhea to provide a basis for the on-site treatment of school cluster vomiting diarrhea events. -
Key words:
- Enterovirus infections /
- Diarrhea /
- Disease outbreaks /
- Epidemiologic studies /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。2) 冯太聪与胡永迪为共同第一作者。 -
[1] 朱琳, 董兆鹏, 杜荐如, 等. 上海市某幼儿园一起札如病毒引发的胃肠炎疫情流行分析[J]. 上海预防医学, 2021, 33(6): 521-524. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202106013.htmZHU L, DONG Z P, DU J R, et al. Epidemiological characterization of Sapovirus gastroenteritis aggregation in a kindergarten in Jinshan District[J]. Shanghai J Prev Med, 2021, 33(6): 521-524. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI202106013.htm [2] 周锦辉, 严寒秋, 高志勇. 人类札如病毒流行概况[J]. 国际病毒学杂志, 2017, 24(2): 133-136. doi: 10.3760/cma.j.issn.1673-4092.2017.02.016ZHOU J H, YAN H Q, GAO Z Y, et al. Epidemiological overview of human Sapovirus[J]. Int J Virol, 2017, 24(2): 133-136. (in Chinese) doi: 10.3760/cma.j.issn.1673-4092.2017.02.016 [3] 杭惠, 刘成. 2014—2015年苏州市5岁以下儿童病毒性腹泻病原学分析[J]. 现代预防医学, 2017, 44(5): 815-818. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201705013.htmHANG H, LIU C. Etiological analysis of viral diarrhea in children aged < 5 years in Suzhou, 2014-2015[J]. Mod Prev Med, 2017, 44(5): 815-818. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201705013.htm [4] 宋敬东. 病毒性急性胃肠炎监测专题[J]. 疾病监测, 2021, 36(8): 737. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC202108025.htmSONG J D. Special topics on surveillance of viral acute gastroenteritis[J]. Dis Surveill, 2021, 36(8): 737. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC202108025.htm [5] 谢兆勋, 陈敏红, 贾海梅. 福州市2017年人杯状病毒急性胃肠炎暴发疫情特征[J]. 海峡预防医学杂志, 2018, 24(6): 42-44. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYF201806020.htmXIE Z X, CHEN M H, JIA H M. Epidemiological characteristics of human calicivirus acute gastroenteritis outbreak in Fuzhou in 2017[J]. Strait J Prev Med, 2018, 24(6): 42-44. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HXYF201806020.htm [6] YAN Y, LI Y, SHI W, et al. An outbreak of gastroenteritis associated with a novel GⅡ. 8 sapovirus variant-transmitted by vomit in Shenzhen, China, 2019[J]. BMC Infect Dis, 2020, 20(1): 911. doi: 10.1186/s12879-020-05643-x [7] KUMTHIP K, KHAMRIN P, MANEEKARN N. Molecular epidemiology and genotype distributions of Noroviruses and Sapoviruses in Thailand 2000-2017: a review[J]. J Med Virol, 2018, 90: 617-624. doi: 10.1002/jmv.25019 [8] 上海市卫生健康委. 上海市诺如病毒感染性腹泻防控方案(2019版)[Z]. 2019-12-30.Shanghai Municipal Health Commission. Prevention and control scheme of Norovirus infection diarrhea in Shanghai(2019 edition)[Z]. 2019-12-30. (in Chinese) [9] 廖巧红, 冉陆, 靳淼, 等. 诺如病毒感染暴发调查和预防控制技术指南(2015版)[J]. 中国病毒病杂志, 2015, 5(6): 448-458. https://www.cnki.com.cn/Article/CJFDTOTAL-ZRYX201506004.htmLIAO Q H, RAN L, JIN M, et al. Technical guidelines for the investigation and prevention and control of Norovirus infection outbreaks[J]. Chin J Viral Dis, 2015, 5(6): 448-458. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZRYX201506004.htm [10] SÁNCHEZ G J, MAYTA H, PAJUELO M J, et al. Epidemiology of Sapovirus infections in a birth cohort in Peru[J]. Clin Infect Dis, 2018, 66: 1858-1863. [11] 于悦, 郭新慧, 严寒秋, 等. 札如病毒急性胃肠炎暴发特征系统综述[J]. 中华流行病学杂志, 2019, 40(1): 93-98.YU Y, GUO X H, YAN H Q, et al. A systematic review on the outbreak characteristics of acute gastroenteritis caused by Sapovirus[J]. Chin J Epidemiol, 2019, 40(1): 93-98. (in Chinese) [12] 杨艳娜, 李洪军, 李秋虹. 2014—2016年北京市通州区5岁以下儿童病毒性腹泻病原流行特征分析[J]. 实用预防医学, 2018, 25(7): 877-879. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201807032.htmYANG Y N, LI H J, LI Q H. Epidemiological characteristics of viral diarrhea in children under 5 years old in Tongzhou District, Beijing from 2014 to 2016[J]. Pract Prev Med, 2018, 25(7): 877-879. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201807032.htm [13] 张海龙, 叶郁辉, 何雅青, 等. 2016年深圳市腹泻患者札如病毒感染特征分析[J]. 国际病毒学杂志, 2019(1): 31-34.ZHANG H L, YE Y H, HE Y Q, et al. Analysis of the characteristics of Sapovirus infection in patients with diarrhea in Shenzhen in 2016[J]. Int Chin J Virol, 2019(1): 31-34. (in Chinese) [14] 郭黎, 邵云平, 陈春枝, 等. 北京市海淀区2015—2018年札如病毒聚集性疫情的流行病学特征分析[J]. 实用预防医学, 2020, 27(1): 91-93. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY202001025.htmGUO L, SHAO Y P, CHEN C Z, et al. Analysis of epidemiological characteristics of Sapovirus cluster epidemic in Haidian District, Beijing from 2015 to 2018[J]. Pract Prev Med, 2020, 27(1): 91-93. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY202001025.htm [15] 徐春华, 王志, 王健. 一起小学札如病毒急性胃肠炎聚集性疫情调查[J]. 中国消毒学杂志, 2014, 31(5): 490-492. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201405018.htmXU C H, WANG Z, WANG J. Investigation on the cause of clustering outbreak of acute Sapovirus gaster oenteritis epidemic in primary students[J]. Chin J Disinfect, 2014, 31(5): 490-492. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201405018.htm [16] 方肇寅, 温乐英, 晋圣瑾, 等. 在我国腹泻患儿中发现诺瓦克样病霉感染[J]. 病毒学报, 1995(3): 215-219. https://www.cnki.com.cn/Article/CJFDTOTAL-BDXB503.003.htmFANG Z Y, WEN L Y, JIN S J, et al. Norovirus infection in children with diarrhea in China[J]. Chin J Virol, 1995(3): 215-219. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-BDXB503.003.htm [17] 钱程, 陈聪, 顾敏华, 等. 诺如病毒Ⅱ型感染儿童的肠道排毒时间及其相关因素的研究[J]. 现代预防医学, 2017, 44(20): 3801-3804, 3827. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201720039.htmQIAN C, CHEN C, GU M H, et al. Research of the duration of intestinal detoxification and its related factors in children infected with type Ⅱ Norovirus[J]. Mod Prev Med, 2017, 44(20): 3801-3804, 3827. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201720039.htm
点击查看大图
计量
- 文章访问数: 333
- HTML全文浏览量: 131
- PDF下载量: 50
- 被引次数: 0