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目的初步了解南京市2014年秋冬型恙虫病的流行特征,为进一步控制疫情提供依据。方法以南京市六合区和浦口区为监测点,根据恙虫病诊断标准对报告的恙虫病疑似病例、临床诊断病例进行确诊,对确诊病例开展病例个案调查。结果共收集恙虫病病例44例,发病高峰期为11月(40例,占90.91%)。发病年龄集中在50~70岁,所占比例为56.82%(25/44),其中女性占63.64%(16/25),农民(占79.55%)为高发病人群,50.00%有田间作业暴露史,27.27%居住在村边,65.91%家庭内有鼠类活动。结论本地区秋冬型恙虫病发病高峰为11月份,且以女性农民为主,应做好该人群恙虫病的宣传教育活动,以提高其对恙虫病的认识,同时做好防护工作以减少发病。
Objective To understand the epidemic characteristics of autumn-winter 2014 scrub typhus in Nanjing, and to provide basis for further controlling the epidemic. Methods Liuhe District and Pukou District of Nanjing were used as monitoring points. According to the diagnostic criteria of scrub typhus, the reported cases of scrub typhus were confirmed, and the cases diagnosed clinically were diagnosed. Case studies were conducted on the confirmed cases. Results A total of 44 tsutsugamushi cases were collected, with a peak onset of 11 months (40 cases, 90.91%). The age of onset was 50 to 70 years old, accounting for 56.82% (25/44), of which women accounted for 63.64% (16/25), peasants (79.55%) were high incidence and 50.00% had field exposure , 27.27% live in the village edge, 65.91% family have rodents. Conclusion The highest incidence of autumn-winter tsutsugamushi disease in autumn and winter in this area is November, and female peasants are the mainstay. Publicity and education activities should be well done for tsutsugamushi disease in order to improve their understanding of tsutsugamushi disease and at the same time do a good job of protection work to reduce the incidence.