| Objective To study the epidemiological characteristic, clinical situation, diagnosis of fever illness encountered at fever clinic, and screen the measure and effect on unexplained pneumonia.Methods Collected and analyzed the data of 58522 cases with fever illness from January, 2004 to December, 2008 at fever clinic of the First affiliated hospital of Guangxi Medical University.Results (1) The temperatures of patients with fever are mainly located at moderate fever (38℃-39℃). Among the 585 cases of pneumonic patients, the number of the cases with moderate fever (38℃-39℃) is up to 379 (64.8% ). (2) Two times of seasonal flu happening at elhi schools are detected and controlled by the measures in time. (3) Among the 58522 cases with fever, 585 cases are screened as pneumonia. Among them, 12 cases of unexplained pneumonia are suspected which is excluded from suspected Severe Acute Respiratory Syndrome (SARS) and human infection by highly pathogenic avian influenza (HAI) by via etiology detection in the end. (4) According to their spectrums of temperatures, the 585 patients of pneumonia fall into three groups (38-39℃group,39.1-41℃group and >41℃group). Compare the counts of leucocytes and lymphocytes from results of blood test routine in three groups, and found the differences in leucocytes counts among the three groups which make sense statistically(P<0.01).Conclusion (1) Respiratory illness with fever occur most frequently from April to July. At elhi schools, flu happens most frequently in April and June. (2) The pneumonia happens most frequently from July to March and especially in Children. As temperatures of patients with pneumonia are rising, their WBC is increasing. After treatment with antibiotic the pneumonia will be effectively that may discriminate from SARS and HAI. (3) In fever clinic, early diction, early informing, early isolation and early treatment of the unexplained pneumonia can bring a well effect of early warning to strictly preventing SARS and HAI.
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