| BackgroundAccording to the incidence of infectious diseases in Shandong Province,the incidence of infectious diseases is higher than that in the neighboring city such as Tai’an and Zaozhuang.In this city,the Infectious Disease Hospital is the only specialist hospital for infectious diseases.In recent years,we found that the infectious diseases admitted to the Infectious Diseases Hospital showed a gradually increasing trend.Therefore,this study is designed to analyze the time,population and regional distribution characteristics of inpatients with infectious diseases in the Infectious Diseases Hospital from 2010 to 2015,in order to provide the reasonable advices of the rational distribution of medical resources and the effective prevention and control of infectious diseases.ObjectivesTo investigate the time,population and regional distribution characteristics of inpatients with infectious diseases in the Infectious Diseases Hospital from 2010 to 2015,and analyze the clinical features and main characteristics of infectious diseases.With our work,we can provide an reasonable advice of effective using of the hospital medical service,the use of beds and rooms,and provide a scientific basis for the control measures and strategies of infectious disease prevention.Methods Research methodWe totally collected Through the 38908 cases from theof hospital medical record system for form 2010--to 2015.years in infectious disease hospital by using EExcel software was used to statistical analyzes,the basic situation of the cases was assessed with the descriptive epidemiological methods.Moreover,the time,population and regional distribution characteristics of inpatients with infectious diseases,hospitalization time,population distribution and regional distribution,the trend of the distribution of the cases,and the characteristics of infectious diseases were also analyzed by the use of the theory of epidemiology.Results1.There were about 38908 cases(24 kinds of infection diseases)were treated in the Infectious Diseases Hospital from 2010 to 2015.① The lowest number of the cases with infectious diseases in the hospital were 5705 in 2010,while the highest number in the hospital were 6996 in 2014,which showed an increasing trend year by year.② In the classification of diseases,there was a case of Class A infectious diseases;a total of 17221 cases of infectious diseases which could be classified as 18 kinds of class B,accounted for 44.26%;there were 3 kinds of class C infectious diseases,the number were 20603,accounted for 52.95%,and a total of 1083 cases of infectious diseases which could be classified as the other 2 kinds of infectious diseases,accounted for 2.78%.③ We found 4 kinds of blood and sexually transmitted diseases,accounting for 25.59%of the total number of hospitalized infectious diseases during the 6 years;there were 7 kinds of respiratory tract diseases,accounting for 26.31%of the total number of hospitalized infectious diseases during the 6 years;there were 6 kinds of intestinal transmission disease,accounting for 47.12%of the total number of hospitalized infectious diseases during the 6 years;there were 6 kinds of natural foci and vector-borne diseases for 0.80%of the total number of hospitalized infectious diseases during the 6 years;and the tetanus,which accounted for 0.17%of the total number of hospitalized infectious diseases during the 6 years.2.There were 58 cases died in 6 years.① 30 cases died in 2011,accounting for 51.72%of the total number of deaths,and in 2015,the number of deaths was 0.The number of deaths showed a significant downward trend.② There was no death case in class A infectious diseases,while there were 45 cases died in class B infectious diseases,the mortality rate was 26.31%The death number of Class C infectious disease were 8,accounted for 0.04%and other infectious diseases died in 5 cases,the mortality rate was 0.46%.The highest number of deaths was Hepatitis B in 30 cases,accounting for 51.72%of the total number of deaths.3.①The peak season of hospitalized patients with infectious diseases in a city was from April to August ② In regional distribution,the Rencheng area accounted for 50.88%of the total number of cases of infectious diseases,followed by Jiaxiang county,Liangshan county and Wenshang.③The ratio of male to female was 2.20:1;the age was concentrated in 1 to 3 and 21 to 50 years old;Occupation of the top three were:scattered children,farmers and students.4.Main characteristics of infectious diseases(1)Analysis on epidemiological characteristics of hand-foot-mouth disease.There were about 18191 cases of hand-foot-mouth disease during the past 6years;accounted for 46.75%and could be admitted to a wavy trend.The peak season of hand-foot-mouth disease treatment was May and June.The ratio of male to female was 1.66:1.0-5 year-old children accounted for 96.21%of the total number of patients with foot and mouth,and scattered children mainly.There were the most number of hospitalization cases in Rencheng area,followed by Jiaxiang county,Liangshan county,Wenshang county,and Weishan county.The total hospitalization days of hand-foot-mouth disease cases is about 1 to 10 days,accounted for 99.03%,the medical costs of hand-foot-mouth disease cases is mostly about 0 to 4000 yuan,accounted for 88.27%.(2)Analysis on epidemiological characteristics of Hepatitis B.there were about 6927 cases of Hepatitis B during the past 6years,accounted for 24.74%and could be admitted to a wavy trend.The peak season of Hepatitis B treatment was March and May.The ratio of male to female was2.91:1.26-30 year-old and 46-50 year-old accounted for 81.28%of the total number of patients with Hepatitis B.There were the most number of hospitalization cases in Rencheng area,followed by Jiaxiang county,and wenshang county.The total hospitalization days of Hepatitis B cases is about 6 to 20 days,accounted for 59.37%;the medical costs of Hepatitis B cases is mostly about 2000 to 8000 yuan,accounted for 62.64%.(3)Analysis on epidemiological characteristics of pulmonary tuberculosis there were about 5036 cases of pulmonary tuberculosis,6 years accounted for 12.94%tuberculosis of the 6 years was gradually increasing trend.From pulmonary tuberculosis was highest in March.Male to female ratio was 2.21:1,pulmonary tuberculosis,pulmonary tuberculosis accounted for 22.99%of the total to 21-30 and 56-70 years old 25.25%,farmers’ occupation accounted for 78.41%of Zoucheng City tuberculosis of the total number of the most,followed by Rencheng area,Qufu City,ranked third,and Jiaxiang County Wenshang County in fourth,fifth.The total hospitalization days of pulmonary tuberculosis26 to 35 days accounted for the total number of cases of tuberculosis 33.84%;medical expenses in 6000-16000 yuan accounted for 71.65%.Conclusion and proposal1.The number of cases of infectious diseases admitted to a city Infectious Disease Hospital increased year by year.Treatment cases could be mainly classified as B and C infectious diseases.Intestinal tract disease admitted to hospital cases showed a wavy trend,the hand-foot-mouth disease ranked first.Blood and sexually transmitted diseases and respiratory tract diseases showed a steadily rising trend,mainly to hepatitis B;pulmonary tuberculosis is the main cause of respiratory tract diseases.2.The peak season of hospitalized patients with infectious diseases in a city was summer;,In connection with the main city;Mainly male;the age was concentrated in 1 to 3 and 21 to 50 years old;The most of scattered children,The second of farmers and students.3.The city’s Infectious Diseases Hospital should improve the health care workers’level of knowledge on hand-foot-mouth disease,hepatitis B,tuberculosis and other diseases,and increase number of spare room for the disease of the hand-foot-mouth disease,and increase the bed number of hepatitis B,tuberculosis in order to alleviate the stress of the bed brought about by the increase in infectious diseases. |
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