目的：分析开县2005~2014年学校传染病暴发疫情流行特征，为指导学校传染病疫情防控提供科学依据。方法收集开县2005~2014年学校疫情资料，对开县学校传染病暴发疫情进行流行病学分析。结果2005~2014年开县共报告学校传染病暴发疫情124起，以4、5、9月为主，累计患病2882例，波及人数为165774人，罹患率为1.74%。农村学校传染病罹患率高于城镇学校，差异有统计学意义（P<0.05）。呼吸道传染病、肠道传染病及接触性传染病罹患率分别为1.84%（2320/125981）、1.94%（71/3662）、1.36%（491/36131）。从传播途径来看，学校传染病暴发疫情以呼吸道传染病为主，其中以流行性腮腺炎最为常见。结论做好农村学校以呼吸道传染病为主的疫情防控是控制学校暴发疫情的重点。%Objective To analyze the epidemiological features of infectious diseases in schools in Kaixian County from 2005 to 2014,in order to provide scientific basis for guiding the epidemic prevention and control in schools. Methods The epi-demic data in schools in Kaixian County from 2005 to 2014 were collected and the epidemiological analysis was adopted to ana-lyze the outbreak of infectious diseases in schools in Kaixian County. Results A total of 124 cases of infectious diseases in schools were reported in Kaixian County from 2005 to 2014, mainly concentrating on April, May and September, the accumulated number of patients were 2 882,spreading among 165 774 person,with the attack rate of 1.74%;and the attack rate in rural schools was higher than that in urban schools with statistically significant difference(P<0.05). The attack rates of respiratory infectious disease, intestinal infectious diseases and contagious disease were 1.84%(2 320/125 981),1.94%(71/3 662) and 1.36%(491/36 131) respectively. On the aspect of transmission ,the major disease of outbreak in schools was respiratory infectious diseases ,and the epidemic parotitis was the most common. Conclusion Epidemic prevention of respiratory infectious diseases in rural schools is the focus of controlling the outbreak in schools.
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