Surveillance results of viral diarrhea in children under five years of age in Shaoxing City
LIU Mingqi1, CHEN Jinkun2, HUANG Zemin2, CHEN Haimiao1, WANG Jiling1, MA Yan1, FANG Yirong2
1. Department of Communicable Disease Control and Prevention, Shaoxing Center for Disease Control and Prevention, Shaoxing, Zhejiang 312000; 2. Shaoxing Center for Disease Control and Prevention, Shaoxing, Zhejiang 312000
Abstract:Objective To investigate the epidemiological and etiological characteristics of viral diarrhea among children under 5 years of age in Shaoxing City, Zhejiang Province, so as to provide insights into management of viral diarrhea. Methods The surveillance data on viral diarrhea among children under 5 years of age in Shaoxing City from 2019 to 2022 were collected, including demographics and stool testing results. The epidemiological and etiological characteristics of viral diarrhea were analyzed using a descriptive epidemiological method. Results A total of 763 diarrheal children under 5 years of age were reported in Shaoxing City from 2019 to 2022, and 236 children were tested positive for virus (30.93%). The detection of virus was 49.01%, 31.61%, 20.43% and 21.89% from 2019 to 2022, which appeared an overall tendency towards a decline (P<0.05). The incidence of viral diarrhea peaked from November to March of the next year and from May to July, and the detection of virus was lower among children with diarrhea living in urban areas (Yuecheng District, Keqiao District and Shangyu District) than among those in suburb areas (Zhuji City, Shengzhou City and Xinchang County) (30.22% vs. 52.00%, P<0.05). There were 206 children tested positive for a single virus, and the detection rates of rotavirus (RV), enteric adenovirus (EAdV), norovirus (NoV), and sapovirus (SaV) were 9.57%, 8.91%, 8.39%, and 0.13%, respectively. There were 25 children with virus co-infections, and the positive rates of EAdV and NoV, RV and EAdV and RV and NoV co-infections were 1.31%, 1.18% and 0.79%, respectively. There were 5 children with triple infections of RV, EAdV and NoV (0.66%). The highest detection of EAdV was seen in April, the highest detection of RV and NoV was seen in January, while SaV was only detected in April. Conclusions The incidence of viral diarrhea among children under 5 years of age peaked in winter and spring in Shaoxing City from 2019 to 2022, and the cases predominantly occurred in urban areas. The detection of virus appeared an overall tendency towards a decline, with high detection of RV, EAdV and NoV.
刘明奇, 陈金堃, 黄泽民, 陈海苗, 王吉玲, 马岩, 方益荣. 绍兴市5岁以下儿童病毒性腹泻监测结果[J]. 预防医学, 2023, 35(10): 903-906.
LIU Mingqi, CHEN Jinkun, HUANG Zemin, CHEN Haimiao, WANG Jiling, MA Yan, FANG Yirong. Surveillance results of viral diarrhea in children under five years of age in Shaoxing City. Preventive Medicine, 2023, 35(10): 903-906.
[1] CHAROENWAT B,SUWANNAYING K,PAIBOOL W,et al.Burden and pattern of acute diarrhea in Thai children under 5 years of age:a 5-year descriptive analysis based on Thailand National Health Coverage (NHC) data[J].BMC Public Health,2022,22(1):1-10. [2] HOSSAIN M I,FARUQUE A S G,SARMIN M,et al.Prolonged diarrhea among under-five children in Bangladesh:burden and risk factors[J].PLoS One,2022,17(10):1-9. [3] 赵文娜,刘莹莹,于秋丽,等.2013—2017年河北省卢龙县监测点5岁以下儿童病毒性腹泻流行特征分析[J].疾病监测,2019,34(2):132-136. [4] 马浩杰,侯瑞英.0~59月龄儿童轮状病毒性腹泻流行病学及影响因素分析[J].中国临床医生杂志,2023,51(5):605-608. [5] 曹亿会,寸建萍,姜黎黎,等.2016—2020年云南省病毒性腹泻监测点5岁以下儿童轮状病毒监测结果分析[J].中国病毒病杂志,2022,12(1):31-34. [6] 段世宇,方婷,黄秀琴,等.2018—2021年义乌市12岁以下儿童诺如病毒感染性腹泻检测结果分析[J].中国卫生检验杂志,2022,32(11):1387-1389. [7] 方辉,张红梅,徐智寅,等.2014—2020年上海市闵行区病毒性腹泻流行特征[J].热带医学杂志,2022,22(8):1163-1166. [8] 管红霞,沙丹,冯微宏,等.2014—2018年江苏省无锡市感染性腹泻病原监测结果分析[J].疾病监测,2019,34(9):795-799. [9] 甘正凯,周建红,张艳,等.2010—2019年秀洲区5岁以下轮状病毒腹泻病例特征分析[J].预防医学,2020,32(10):1045-1047. [10] 吉彦莉,王永全,崔海洋,等.2015—2018年北京市西城区5岁以下儿童病毒性腹泻流行病学特征[J].公共卫生与预防医学,2020,31(3):104-107. [11] 曾好,王晓南,官旭华,等.2016—2017年湖北省病毒性腹泻患者病原及流行病学特点分析[J].现代预防医学,2019,46(10):1737-1740. [12] 王文祥,连宪强,范秋华,等.2016—2021年深圳市大鹏新区病毒性腹泻监测结果分析[J].应用预防医学,2022,28(3):289-291. [13] 张艳妮,熊英,龚甜,等.南昌市2 301例5岁以下儿童病毒性腹泻病原检测结果分析[J].实验与检验医学,2023,41(1):91-94. [14] 任丹,吴荻,焦书丽,等.2018—2020年绵阳市<5岁儿童腹泻病例病原体检出情况及特征分析[J].华南预防医学,2021,47(8):994-997. [15] 蒋卓婧,陈金堃,赵丹燕.绍兴市5岁以下儿童病毒性腹泻常见病原体分析[J].预防医学,2020,32(7):730-732. [16] 骆玲飞,王小光,闫红静,等.2014—2020年上海市闵行区病毒性腹泻病原学监测[J].公共卫生与预防医学,2022,33(3):76-80. [17] 毕文俊,许姜姜.儿童病毒性腹泻病原体流行病学特征分析[J].中国公共卫生,2020,36(9):1371-1373. [18] 石鑫,许军,舒畅,等.黑龙江省札如病毒感染流行病学及基因型分析[J].中国公共卫生管理,2021,37(1):69-71.