某三级综合医院2007—2011年法定传染病疫情报告分析

目的了解某三级综合医院法定传染病报告情况，掌握其流行特征和规律，为制定传染性疾病医院感染防控措施提供科学依据。 方法对长春市某三级综合医院2007-2011年报告的法定传染病疫情资料进行统计分析。结果2007-2011年该院法定传染病报告率为0.40%（15 386/3 852 327），不同年份间传染病报告率差异有统计学意义（χ2=94.93，P＜0.01）。其中14～45岁组报告病例比率（占46.70%）居首位，传染病传播途径以血液及性传播疾病为主（占60.68%），其次为呼吸道传染病（33.06%）。不同月份法定传染病报告率比较，差异有统计学意义（χ2=487.60，P＜0.01），连续5年4月份的法定传染病报告率（0.53%）居首位，其次为12月份（0.51%）、5月份（0.48%）等；上报的传染病病种构成居前5位的依次为病毒性肝炎（42.82%）、水痘（20.06%）、梅毒（16.96%）、风疹（5.41%）和肺结核（3.75%）。结论血液及性传播疾病、呼吸道传染病是今后传染病防治工作和医院感染预防控制的重点，应加大管理力度，做好传染病的预防和控制工作。

Reporting of epidemic of notifiable infectious diseases in a general hospital between 2007 and 2011

ObjectiveTo study the reporting status of notifiable infectious diseases in a general  hospital, grasp epidemiological characteristics and patterns, and  provide scientific basis for the preventive measures of infectious diseases.MethodsEpidemic data of notifiable infectious diseases reported by a hospital in 2007-2011 were analyzed statistically. ResultsReporting rate of  notifiable infectious diseases was 0.40%(15 386 /3 852 327）in 2007-2011, and were statistically different among each year (χ2=94.93，P＜0.01）, the major age of reported cases were 14-45 years(46.70%), the main transmission routes were blood and sex (60.68%), followed by respiratory tract (33.06%).The reporting rates among different months were statistically different（χ2=487.60，P＜0.01）， April ranked first for five consecutive years（0.53%）,followed by December（0.51%） and May（0.48%）. The main reported infectious diseases included viral hepatitis（42.82%）, varicella（20.06%）, syphilis（16.96%）, rubella（5.41%）, and pulmonary tuberculosis（3.75%）. ConclusionBloodborne diseases,sexually transmitted diseases, and  infectious respiratory diseases are the stress in the prevention and control of infectious disease, management should be intensified.