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Objective To analyze the burden of intestinal infectious diseases in Jining city from 2009 to 2016, determine the epidemic trends and the high-risk groups in this area, so as to provide evidence for the prevention and control of intestinal infectious diseases. Methods The intestinal infectious diseases case information were collected from the Infectious Diseases Surveillance Information Reporting System. Based on these data, the incidence rate, the years lived with disability (YLDs) and the intensity of YLDs of intestinal infectious diseases was calculated. Results From 2009 to 2016, the annual incidence rate of intestinal infectious diseases in Jining city was 128.81/100 000, the annual incidence rate of subtype diseases in the descending order were other infectious diarrhea (74.74/100 000), hand-foot-and-mouth disease (49.15/100 000), bacillary dysentery (3.65/100 000), hepatitis E (0.57/100 000), acute hemorrhagic conjunctivitis (0.37/100 000) and hepatitis A (0.34/100 000). The highest incidence of intestinal infectious diseases was at May to August. The total YLDs caused by intestinal infectious diseases were 593.04 person-years, including 372.31 person-years for males and 220.73 person-years for females. The YLDs ranked in descending order were of hand-foot-mouth disease (326.88 person-years), other infectious diarrhea (235.74 person-years), hepatitis E (10.65 person-years), bacillary dysentery (10.09 person-years), hepatitis A (7.71 person-years), and acute hemorrhagic conjunctivitis (1.97 person-years), and the corresponding intensity of YLDs were 0.489, 0.353, 0.016, 0.015, 0.012, and 0.003 person-years /100 000, respectively. Conclusions The hand-foot-and-mouth disease and the other infectious diarrhea were the main intestinal infectious diseases subtypes prevailed in Jining city from 2009 to 2016, whose incidence was highest in the season of summer, and the preschool children and elderly people were the high-risk populations. According to its incidence characteristic, relevant government departments can take effective measures to prevent and control the intestinal infectious diseases in Jining city.
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Objective To analyze the characteristics and related factors of the incidence of intestinal infectious diseases in children.Methods 180 children with intestinal infectious diseases who were treated from July 2012 to July 2015 in our hospital were radomly selected.Meanwhile,180 healthy children were randomly selected from pediatric hospital examination as control group.Then,according to the clinical data and epidemiological data of these children,the number of cases were compared,and these children were from different age,different regions and different types of infections.The incidence factors of univariate and multivariate Logistic analysis were compared.Results In terms of age,patients younger than 1 year of age were 105 cases,between the ages of 1 -3 years were 37 cases, patients older than 3 years were 38 cases,the proportion of younger than 1 year was 58.3%,the proportion of patients between 1 -3 years of age was 20.6%,the proportion of older than 3 years of age was 21.1%,the proportion of patients younger than 1 year of age compared with the proportion of patients with the other two groups had significant differences (P <0.05).In the area,117 cases were from rural areas and the incidence rate was 65.0%,63 cases were from the city,and the incidence rate of the city was 35.0%,which was significantly lower than the incidence of rural areas,the difference was statistically significant (P <0.05).On the type of infection,parenteral infection was 24 cases,bacterial infection was 75 cases,viral infection was 81 cases,parenteral infection rate was 13.3%,bacterial infection rate was 41.7%,virus infection rate was 45.0%,parenteral infection was significantly lower than the other two infection prevalence groups,the difference was statistically significant (P <0.05 ).After univariate analysis, observation and control groups were compared,showed that children washing their hands before meals,children washing their hands after stool,parents washing their hands after stool,no tableware disinfection,ground nails,indoor flies and intestinal infectious diseases in children were concerned (P <0.05).After multivariate Logistic analysis,OR values of no tableware disinfection and indoor flies were greater than 1,they were risk factors,and ground nails,OR value of children and children wash their hands before meals and after hand washing were less than 1,they were protective factors.Conclusion Pediatric intestinal infectious diseases mainly occur in infants less than 1 year old, and the incidence has temporal and spatial distribution,multiviral and bacterial infections,the analysis by the relevant factors,including age,time,space and infectious pathogens.And children washing their hands before meals,washing their hands after stool,parents washing their hands after stool,no tableware disinfection,ground nails,indoor flies and intestinal infectious diseases in children -related,but not sterilized tableware and interior flies belong to risk factors and attendance nails,children and children wash their hands before meals and after hand washing belong to protection factor.
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O presente estudo, sob forma de análise descritiva, tem como objetivos a análise das supostas forças de correlação entre as variáveis e suas implicações, seus diferentes comportamentos, nas questões que envolvem as internações hospitalares observando o comportamento de cada variável, inclusive as construídas sob bases populacionais diferentes, justificando as possíveis causas e consequências, entre a ocorrência das mesmas. Para isto, foram utilizadas variáveis como a "Internação por doença infecciosa intestinal em menor de 1 ano" (Int M), a "Internação por doença infecciosa intestinal em menor de 1 ano, per capita, (Int M PC) e algumas variantes destas, obtidas/construídas de dados secundários do ano de 2010 do DATASUS e SEPLANDE, para efetuar as correlações utilizando o Microsoft Excel. A análise principal apresentou fracas correlações porém não nulas, onde todas as sete variáveis observadas aumentaram os coeficientes de Pearson da primeira com relação a segunda variável. Observou-se a diferença das forças de correlação quando comparadas variáveis construídas sob base populacionais diferentes, bem como a interferência do fator per capita. Além disso, a pesquisa buscou avaliar o problema, identificar as possíveis causas, sugerindo ações específicas e estudos específicos e complementares. Destaca a gravidade do problema para que sejam implementadas políticas públicas específicas e para que mais recursos sejam dirigidos às ações de prevenções das internações hospitalares por doenças infecciosas intestinais no estado de Alagoas. Sugere a ampliação do atendimento da atenção básica em todos os municípios do estado de Alagoas, da quantidade de leitos hospitalares, equipamentos disponíveis para o Sistema Único de Saúde (SUS), para reduzir o número de óbitos decorrentes de tais internações. São limitações deste estudo o pequeno número de variáveis utilizadas e a possibilidade de se proceder com outro teste estatístico para convalidar as que foram efetuadas.(AU)
This study, in the form of descriptive analysis aims to analyze the supposed correlation between variables forces and their implications, their different behavior, on issues involving hospitalizations observing the behavior of each variable, including those built on different population basis, justifying the possible causes and consequences of the occurrence thereof. For this, variables such as "hospitalization for intestinal infectious disease in less than 1 year" (Int M) and "hospitalization for intestinal infectious disease in less than 1 year per capita" (Int PC M) were used, as well as some variants derived from these two, obtained from secondary data by DATASUS and SEPLANDE in 2010, to make correlations using Microsoft Excel. The primary analysis showed weak correlations but not zero, where all seven observed variables increased Pearson's coefficients of the first with respect to the second variable. There was a difference of correlation forces when compared to variables constructed under different population basis, as well as the interference of per capita factor. In addition, the survey sought to assess the problem, identify possible causes, suggesting specific actions and specific and complementary studies. It highlights the seriousness of the problem so that specific public policies and more resources can be implemented as preventive actions for hospitalizations due to intestinal infectious diseases in the state of Alagoas.It also suggests the expansion of primary health care services in all municipalities of the state of Alagoas, the number of hospital beds, equipment available for the Unified Health System (SUS), to reduce the number of deaths from such admissions. Limitations of this study are: the small number of variables used and the possibility of proceeding with another statistical test to validate the ones conducted.(AU)
Subject(s)
Unified Health System , Inflammatory Bowel Diseases/mortality , Health Facility Administration , Hospitalization/statistics & numerical data , BrazilABSTRACT
The research progress in water supply and latrine improvement as well as its effects on controlling intestinal infectious diseases in rural areas of China were reviewed in the present paper. It showed that China had significant gains in rural water supply and sanitary latrines over the past two decades. By the end of 2005, 94.06% of the rural population had benefited from the improved water supply, 61.32% of the rural residents were supplied with the running water and 55.31% used the sanitary latrines. As a result, the occurrence of the intestinal infectious diseases had significantly declined. To develop a perfect disease control system in the rural areas in China, the role of government will be important and critical.