摘要:
分析广州市儿童流感疫情病原学流行特征,为防控流感疫情提供科学依据.方法 于2015年1月至2016年12月采集广州市儿童流感疫情咽拭子标本3 259份,通过荧光定量RT-PCR方法进行流感病毒核酸检测.结果 累计采集流感病例样本中,B型流感病毒检出率最高(23.57%),其次为H3N2亚型(7.43%),最低为H1N1亚型(2.49%).在208起儿童流感疫情中,有25起疫情存在不同型别或同一型别不同亚型流感病毒共感染的情况,占12.02%.在时间分布上,具有明显的季节性特点,每年均有2次流行高峰,大高峰在每年春季3-6月,小高峰在每年冬季12月.大高峰流行期均以B型流感为主,伴有H3N2和H1N1交替出现.不同性别儿童流感病毒阳性率差异无统计学意义.小学流感病毒阳性率最高,平均为34.88%.9岁儿童流感检测阳性率最高(39.33%).结论 广州市儿童流感疫情具有季节性流行特点,B型流感病毒为主要流行种类.小学是儿童流感疫情重点监测区域,其中小学二、三年级学生是儿童流感疫情的高发人群.
Abstract:
Objective To analyze the epidemiological characteristics of influenza epidemic in Guangzhou,and to provide scientific evidence for influenza prevention and control.Methods From 2015 to 2016,throat swab samples from children infected influenza epidemic in Guangzhou were collected.Fluorescent quantitative RT-PCR was used for detection of influenza virus.SPSS 11 software was used for statistical analysis.Results Influenza B had the highest detection rate (23.57%) in the 3 259 samples.There were 25 outbreaks of influenza viruses with different types or subtypes of influenza viruses,accounting for 12.02% (25/208).There was obvious seasonal characteristics,and each year had both highest and lowest season peak.The highest peak occurred from March to July and the lowest peak occurred from November to December.The peak season was mainly caused by influenza B,accompanied by H3N2 and H1N1 alternately.The highest positive rate of influenza detection was among 9-10-year-old children 39.33%.Boys were higher than that of girls.The detection rate of influenza epidemic in primary schools was the highest,with an average positive rate of 34.88%.Conclusion The epidemic of children's influenza in Guangzhou shows seasonal pattern.Influenza B viruses become the predominant circulating influenza virus.Children,especially grade 2 and grade 3,in primary schools are a key link in the transmission of influenza.