Epidemiological characteristics and pathogen of hand-foot-mouth-disease in Longhua District of Shenzhen in 2015-2016
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摘要: 目的 本研究对深圳市龙华区手足口病(hand-foot-and-mouth disease,HFMD)的流行病学和病原学特征进行分析,为辖区HFMD预防和控制策略的制订提供重要科学依据。方法 从中国疾病预防控制信息系统获取深圳市龙华区2015-2016年HFMD流行病学数据;采用荧光定量聚合酶链反应(reverse transcription-polymerase chain reaction,RT-PCR)方法对辖区447例HFMD进行肠道病毒(enteroviurs,EV)、肠道病毒71型(enteroviurs 71,EV-A71)和柯萨奇病毒A16(coxsackievirus A16,CV-A16)核酸检测,并对非EV-A71非CV-A16的其他肠道病毒进行VP1区序列亚型鉴定和进化分析。采用χ2检验对不同年龄层的HFMD病原体分型结果进行分析。结果 2015-2016年深圳市龙华区HFMD发病率较高的两个街道分别是龙华街道和观澜街道;发病曲线呈双峰分布,5~7月份为主高峰,9~11月份为次高峰;5岁及以下儿童占全部发病数的96.40%;不同年龄层HFMD病原体分型结果的差异有统计学意义(χ2=25.01,P<0.001)。结论 CV-A6为2015-2016年龙华区HFMD的主要病原,2015年流行的CV-A6存在两条支系。而2016年CV-A6存在多条支系。应重点做好5岁及以下儿童的手足口病防治工作。Abstract: Objective To analyze the epidemiological and etiological features of hand-foot-and-mouth disease (HFMD) in Longhua district, Shenzhen City, in order to provide an important scientific basis for the HFMD prevention and control strategies in this area. Methods HFMD epidemiological data of Longhua district was obtained from China's disease prevention and control information system; The nucleic acid of enteroviurs (EV), enteroviurs 71(EV-A71)and coxsackievirus A16(CV-A16)for 447 cases of HFMD in Longhua district was detected by fluorescent quantitative reverse transcription-polymerase chain reaction(RT-PCR),and VP1 of non EV-A71, non CV-A16 and other EV was performed sequencing to identify the subtype and carry out evolutionary analysis. χ2 test was used to analyze the results of HFMD pathogen typing between different age group. Results The high incidence of HFMD in Longhua district of Shenzhen City was Longhua street and Guanlan street. The incidence curve showed a bimodal distribution, the main peak in May-July, the second peak in September-November. Children under 5 years of age was 96.40% among all incidence. There was significant difference in different age groups of HFMD pathogen typing(χ2=25.01,P<0.001). Conclusions CV-A6 is the main pathogen of HFMD in Longhua district of Shenzhen, and there are two main branches in evolutionary relationship in 2015. However, there are multiple branches in CV-A6 in 2016. HFMD prevention and control should focus on children under the age of 5.
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