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目的:对上海市浦东新区手足口病聚集性发病的托幼机构进行调查,探讨托幼机构手足口病聚集性发病的影响因素。方法:选取2012年10月~2013年12月,在该辖区20个社区发生手足口病聚集性病例的托幼机构为病例组。按幼儿园性质进行1∶1配对选择同一社区内未发生聚集性病例的托幼机构为对照组进行研究。采用条件Logistic回归分析探讨托幼机构手足口病聚集性发病影响因素。结果 :保育员消毒正确性与托幼机构手足口病聚集性发病呈正相关,OR(95%CI)为21.668(1.548~303.285)。结论:保育员消毒正确性为该区托幼机构手足口病聚集性发病的重要影响因素。开展托幼机构手足口病聚集性发病影响因素调查分析,为制定新的托幼机构传染病预防控制与消毒隔离规范提供科学依据,控制聚集性病例的发生。
OBJECTIVE: To investigate the mechanism of nurseries on the incidence of hand-foot-and-mouth disease in Pudong New Area, Shanghai, and to explore the influencing factors on the incidence of HFMD in kindergartens. Methods: From October 2012 to December 2013, kindergartens and nurseries with aggregated cases of HFMD in 20 communities in this area were selected as cases. According to the nature of kindergarten 1: 1 pairing Select the same community without clustering cases of child care institutions as a control group to study. Logistic regression analysis was used to investigate the influencing factors of HFMD clustering in nurseries. Results: The correctness of disinfection was positively correlated with the aggregated incidence of HFMD in nurseries. The OR (95% CI) was 21.668 (1.548 ~ 303.285). Conclusion: The correctness of nursery disinfection is an important factor affecting the aggregation of hand-foot-mouth disease in nurseries in this area. To carry out investigation and analysis of the influential factors of HFMD clustering in nurseries and kindergartens, and to provide a scientific basis for the development of a new nursery-borne infectious disease prevention and control and disinfection and isolation rules to control the occurrence of aggregation cases.