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Objective To understand hand hygiene(HH) among health care workers(HCWs) in primary medical institutions in Shijiazhuang,and evaluate HH compliance,so as to formulate the strategy for HH management.Methods In 2015,one county-level comprehensive medical institution and two township medical institutions from each of seven counties of Shijiazhuang city were randomly selected,HH qualified rates of HCWs in all divisions of internal medicine before clinical procedures and after HH were analyzed statistically.Results 118 HCWs before clinical procedures and 130 HCWs after HH were monitored.The qualified rate of HH of physicians and nurses before clinical procedures were 44.26％ (27/61) and 40.35％ (23/57) respectively;HH qualified rate of nurses in township hospitals before clinical procedures were higher than county-level hospitals(x2 =6.447,P =0.011);the qualified rate of HH of physicians and nurses after HH were 98.41 ％ (62/63) and 98.51 ％ (66/67) respectively;there were significant differences in the qualified rates before clinical procedures as well as after HH in HCWs at different levels and types of medical institutions(all P＜0.05).Conclusion The qualified rate of HH among HCWs in primary medical institutions in Shijiazhuang before clinical procedures is low,medical institutions should improve the HH compliance among HCWs from various aspects.
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Objective To analyze the overseas imported malaria situation of Shijiazhuang City from 2012 to 2015,so as to provide the evidence for exploring the prevention and control strategy. Methods The data of overseas imported malaria were collected and analyzed with the descriptive method including Plasmodium species,population characteristics,epidemic focus distribution,onset time,diagnosis and treatment in Shijiazhuang City from 2012 to 2015,and the time from the onset to first medical visit,time from first medical visit to being diagnosed,and time from onset to being diagnosed of different Plasmodium species were analyzed respectively with the statistical analysis method. Results A total of 92 overseas imported malaria cases were reported in Shijiazhuang City from 2012 to 2015,including 88 cases from African countries(falciparum malaria taking 53.41％),and 4 cases from Southeast Asian and other countries(vivax malaria taking 50％). Eighty-nine cases were distributed in 28 counties(districts)of 6 cities in Hebei Province,except 2 persons with foreign nationalities and 1 with Anhui Province cen-sus register. The male and young adults were dominant. The median time from the onset to seeing a doctor was one day and the median time from seeing a doctor to being diagnosed was five days. Most cases were reported by the Fifth Hospital of Shijia-zhuang which was the sentinel hospital. Totally 42.39％of the cases were misdiagnosed when the first visit to a doctor. All of the cases were laboratory confirmed and 100％of them received the standard treatment after diagnosis. Conclusions The overseas imported malaria cases are increasing rapidly with years and the malignant malaria cases were more than other malaria cases in Shijiazhuang City. It is necessary to further strengthen the long-term cooperation mechanism between the medical institutions and the entry-exit inspection and quarantine department. The technician training should be strengthened to avoid the severe cas-es and death cases.
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Objective To understand the epidemiological characteristics of hemorrhagic fever with renal syndrome (HFRS) in Shijiazhuang City,and to provide scientific evidence for finding available prevention and control measures against the disease.Methods Using data retrospective method,the monitoring data of HFRS in Shijiazhuang from 1984 to 2015 were collected and divided into 1984-1993,1994-2003 and 2004-2015 periods.The incidence changes of HFRS in time,district and population in different periods were analyzed,and the time distribution of HFRS cases was analyzed on a seasonal basis.Results A cumulative total of 12 692 cases (accounting for 4.94/100 000) of HFRS,including 56 deaths,were reported in Shijiazhuang from 1984 to 2015.The particular years with the two peeks of HFRS epidemic were 1986 and 1999,the incidences of HFRS were 16.14/100 000 and 14.25/100 000,respectively.The incidence of HFRS maintained at a high level from 1998 to 2002,the average annual incidence was 12.21/100 000.And then,the incidence of HFRS declined quickly.The incidence of HFRS in Shijiazhuang kept at a lower level in 2011-2015,the average annual incidence was 0.26/100 000.42.91％ (5 446/12 692) of cases mainly occurred in spring;90.44％ (11 479/12 692) of cases were concentrated in 11 counties (cities,districts) of the eastern part of Shijiazhuang.Most cases were young males,the ratio of males to females was 2.43:1.00 (8 997/3 695),and 93.20％ (1 1 829/12 692) of them were adults.The majority of the cases were framers,accounting for 70.91％ (9 000/12 692),and the second large group was workers,accounting for 11.13％(1 413/12 692).Conclusions Overall,the incidence rate of HFRS has reduced continuously and maintained at a low level in recent years;epidemic areas are widely distributed,but in uneven distribution,and presented with obvious regional characteristics;these cases have mainly occurred in spring.The specific measures for control and prevention of HFRS should be taken according to the epidemic characters in different areas.