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目的 :分析风疹病例对麻疹监测工作的影响 ,风疹病例可否作为麻疹疑似病例纳入麻疹监测系统。方法 :对麻疹疑似病例用酶联法测定麻疹 Ig M,同时测定风疹 Ig M。结果 :36 4例疑似麻疹病例中 ,临床最初诊断麻疹 137例 ,风疹为 12 5例 ,其他或不详 10 2例 ,经实验室检测 ,麻疹和风疹的符合率分别为 5 6 %和 38% ,存在麻疹、风疹的误诊情况。结论 :如果不把风疹病例纳入麻疹监测系统 ,必然会漏掉真正的麻疹病例 ;把风疹病例纳入麻疹监测系统 ,增加了麻疹监测工作的投入 ;各地可根据所处控制麻疹阶段的不同 ,对麻疹疑似病例的定义作不同的变更。
Objectives: To analyze the impact of rubella cases on measles surveillance and whether rubella cases could be included as measles surveillance systems as suspected measles cases. Methods: Measles measles Ig M was determined by enzyme-linked immunosorbent assay (ELISA) and measles IgM simultaneously. Results: Among the 364 suspected cases of measles, 137 cases were initially diagnosed as measles, 125 cases were rubella and 10 cases were other or unknown. The coincidence rates of measles and rubella were 56% and 38% respectively after laboratory tests. There is a misdiagnosis of measles and rubella. CONCLUSIONS: If rubella cases are not included in the measles surveillance system, the true cases of measles will inevitably be missed; the inclusion of rubella cases in the measles surveillance system will increase the input of measles surveillance; the measles population may be affected by measles The definition of suspected cases is subject to change.