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ANALYSIS ON EPIDEMIOLOGIC DISTRIBUTION AND CLINICAL DIAGNOSIS OF SCRUB TYPHUS IN BEIJING, CHINA
Author(s): 
Pages: 88-93
Year: Issue:  2
Journal: Acta Parasitology et Medica Entomologica Sinica

Keyword:  Scrub typhusEpidemiologic distributionClinical manifestationDiagnosisDetection;
Abstract: 通过疫情上报,对北京市2008 ~2013年恙虫病病例的临床表现、时空分布及诊断过程进行了分析.2008 ~2013年北京市累计报告恙虫病273例,270例感染来自平谷区,发病时间集中在10月份(占全部病例的81.68%),病人以农民为主(占75.82%),多数病例通过临床诊断确定,实验室诊断与临床诊断符合率>85%.以PCR和ELISA法作为金标准,对外斐氏反应进行了敏感性验证,结果发现外斐氏反应灵敏度较低.鉴于实验室诊断与临床诊断符合率较高,今后应在基层医院接诊医生中开展培训,提高基层接诊医生对恙虫病的认识,以减少误诊和漏诊.
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