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class="newsIndex_header">《百日咳防控方案（2024年版）》解讀問(wèn)答</h1><div id="rjphjbh" class="newsIndex_headerBottom"><p class="headerBottomTime"><span>發(fā)布時(shí)間：</span><b>2024-06-24</b></p><p class="headerBottomLook"><span>瀏覽次數：</span><b>2</b></p></div><div id="rxrpzxr" class="newsIndex_seo_content has_imgs" ><div><img class="zhanwei"/><div id="rxpl7vt" class="style_reset self_style"><p><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一、《百日咳防控方案（2024年版）》出臺的背景是什么？</span></strong><br/></p><p style="margin-top: 0px; margin-bottom: 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">百日咳是《中華人民共和國傳染病防治法》規定的乙類(lèi)傳染病。為有效預防、控制百日咳的發(fā)生與流行，切實(shí)保障人民群眾生命安全和身體健康，針對近年來(lái)國內外百日咳疫情流行特點(diǎn)，結合各地疫情應對過(guò)程中積累的有益經(jīng)驗，國家疾控局會(huì )同國家衛生健康委研究制定了《百日咳防控方案（2024年版）》（以下簡(jiǎn)稱(chēng)《方案》）?！斗桨浮访鞔_了防控工作總體要求和病例報告管理、多渠道監測、預防接種、暴露后預防、聚集性疫情處置、重點(diǎn)機構疫情防控、實(shí)驗室檢測等具體措施和要求，指導各地進(jìn)一步規范做好百日咳防控工作，持續提高防控的科學(xué)精準水平。</span></p><p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二、百日咳的傳染源和傳播途徑是什么？哪些人群容易感染百日咳？</span></strong></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一是傳染源。感染者是主要傳染源。對于嬰幼兒，感染百日咳鮑特菌的父母或其他同住人員是最主要的傳染源。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二是傳播途徑。主要通過(guò)呼吸道飛沫傳播，如感染者咳嗽、打噴嚏等將細菌播散到空氣中，易感者因吸入帶菌的飛沫而被感染。也可經(jīng)密切接觸傳播。</span></section></p><p style="margin-top: 0px; margin-bottom: 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">三是易感人群。人群普遍易感，嬰幼兒更加易感。接種含百日咳成分的疫苗或自然感染，均不能獲得終生保護。</span></p><p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">三、《方案》對疫情防范應對做了哪些規定？</span></strong></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">百日咳防控工作堅持“預防為主、防治結合、精準防控、快速處置”的原則，圍繞“防感染、降重癥、減死亡”的工作要求，通過(guò)采取多種有效措施，堅決遏制百日咳疫情擴散蔓延勢頭，最大限度降低重癥、死亡風(fēng)險。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一是做好病例報告。各級各類(lèi)醫療機構參照《百日咳診療方案（2023年版）》（以下簡(jiǎn)稱(chēng)《診療方案》）對病例進(jìn)行診斷，并按照乙類(lèi)傳染病的報告要求于24小時(shí)內進(jìn)行報告。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二是開(kāi)展多渠道監測。各級各類(lèi)醫療機構對診療中發(fā)現的百日咳病例，要依法依規及時(shí)進(jìn)行報告。將百日咳納入全國急性呼吸道傳染病哨點(diǎn)監測范圍，由哨點(diǎn)醫院和網(wǎng)絡(luò )實(shí)驗室開(kāi)展全年監測。鼓勵有條件的地區組織開(kāi)展流行病學(xué)、病原學(xué)和血清學(xué)等專(zhuān)項調查。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">三是加強預防接種。適齡兒童應按照國家免疫規劃疫苗兒童免疫程序，盡早、全程接種無(wú)細胞百白破疫苗（DTaP）。如已按疫苗說(shuō)明書(shū)免疫程序接種其他含百日咳成分的疫苗，可視為完成相應劑次的疫苗接種。如未按照推薦年齡完成無(wú)細胞百白破疫苗（DTaP）接種，應盡早進(jìn)行補種。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">四是加強聚集性疫情處置。發(fā)現聚集性疫情后，縣級疾控機構及時(shí)開(kāi)展病例主動(dòng)搜索、病例管理、密切接觸者判定和管理、環(huán)境消毒等措施，動(dòng)態(tài)開(kāi)展疫情分析研判，有效遏制疫情傳播擴散。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">五是加強重點(diǎn)機構防控。加強月子中心、托幼機構、中小學(xué)校、兒童福利機構和未成年人救助保護機構、醫療機構等重點(diǎn)機構常態(tài)化防控工作，落實(shí)日常健康監測、環(huán)境消毒等措施。</span></section></p><p style="margin-top: 0px; margin-bottom: 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">六是加強宣傳教育。充分發(fā)揮新媒體以及廣播、電視、報紙等傳統媒體作用，廣泛開(kāi)展百日咳防控科普知識宣傳，增強公眾防護意識，促進(jìn)監護人依法確保適齡兒童盡早、全程接種含百日咳成分疫苗。</span></p><p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">四、《方案》對百日咳病例管理有哪些具體要求？</span></strong></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一是住院病例。各級各類(lèi)醫療機構按照《診療方案》要求，對需要住院治療的百日咳病例實(shí)施隔離治療。對于ICU治療病例、死亡病例等重點(diǎn)病例，由病例報告所在地的縣級疾控機構會(huì )同醫療機構開(kāi)展流行病學(xué)調查，及時(shí)采取針對性干預措施。</span></section></p><p style="margin-top: 0px; margin-bottom: 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二是非住院病例。醫療機構應告知病例自我隔離期間相關(guān)注意事項，包括減少與外界及家庭成員的近距離接觸，特別是避免與嬰幼兒和孕產(chǎn)婦等重點(diǎn)人群近距離接觸。如需外出應佩戴口罩，保持社交距離，避免前往人群密集場(chǎng)所。對于使用有效抗菌藥物治療的百日咳病例，自我隔離期限為臨床診斷后至有效抗菌藥物治療5天；對于未及時(shí)進(jìn)行有效抗菌藥物治療的病例，自我隔離期限為發(fā)病后21天。自我隔離期間如病情加重應及時(shí)就診。</span></p><p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">五、《方案》對聚集性疫情應對處置有哪些舉措？</span></strong></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一是病例搜索。在涉及聚集性疫情的集體單位、相關(guān)醫療機構開(kāi)展病例搜索，并評估疫情波及范圍。對發(fā)生聚集性疫情的托幼機構、學(xué)校，核查晨午檢記錄和因病缺勤缺課記錄；對發(fā)生聚集性疫情的其他集體單位，核查員工缺勤、請假記錄。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二是密切接觸者判定和管理?？h級疾控機構根據流行病學(xué)調查及聚集性疫情中的暴露風(fēng)險評估結果，對密切接觸者進(jìn)行判定。密切接觸者需做好自我健康監測，健康監測期限為最后近距離接觸病例之日起21天。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">三是預防接種。屬地疾控機構及時(shí)評估人群免疫狀況，做好適齡兒童含百日咳成分疫苗查漏補種工作。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">四是感染控制。發(fā)生聚集性疫情的單位，每日對單位內人員進(jìn)行健康監測。加強教室、辦公室、宿舍、食堂和衛生間等區域的通風(fēng)換氣和清潔消毒。集體單位內人員應盡可能減少或避免與發(fā)病人員接觸，避免較多人員的集會(huì )，加大健康宣教力度。</span></section></p><p style="margin-top: 0px; margin-bottom: 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">五是疫情評估。當地疾控部門(mén)組織開(kāi)展疫情形勢動(dòng)態(tài)評估，連續21天無(wú)新發(fā)病例，可判定聚集性疫情結束。</span></p><p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">六、《方案》對于強化重點(diǎn)機構疫情防控提出哪些要求？</span></strong></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一是月子中心。做好健康監測記錄和因病缺勤登記等工作。工作人員、產(chǎn)婦及新生兒出現百日咳疑似癥狀均應及時(shí)就診。產(chǎn)婦確診后應立即轉出隔離治療，新生兒確診后住院治療。工作人員確診后應立即離開(kāi)崗位，同時(shí)明確返崗后防控要求。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二是托幼機構。做好入托預防接種證查驗和查漏補種工作。落實(shí)晨午檢、因病缺勤缺課登記與追蹤等防控措施。托幼兒童出現咳嗽尤其是持續性咳嗽等癥狀，應密切關(guān)注、盡早就醫。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">三是中小學(xué)校。做好入學(xué)預防接種證查驗和查漏補種工作。落實(shí)晨午檢、因病缺勤缺課登記與追蹤等防控措施。學(xué)生確診百日咳后，在有效抗菌藥物治療5天后方可返校；教職員工確診百日咳后，有效抗菌藥物治療5天后方可返崗。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">四是兒童福利機構和未成年人救助保護機構。機構內兒童、未成年人確診百日咳后，非住院病例應遵醫囑治療，有效抗菌藥物治療5天期間應單人單間隔離，照護人員應佩戴口罩，做好個(gè)人防護，在臨床醫生指導下接受藥物預防。</span></section></p><p style="margin-top: 0px; margin-bottom: 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">五是醫療機構。收治百日咳患者的醫療機構應嚴格做好院內感染控制。加強醫院內消毒隔離和防護措施，做好病例預檢、分診工作，避免交叉感染和醫護人員自身感染。</span></p><p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">七、公眾如何有效預防百日咳？</span></strong></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">一是積極接種疫苗。接種百白破疫苗可以降低嬰幼兒發(fā)生百日咳重癥和死亡的風(fēng)險。按照國家免疫規劃疫苗兒童免疫程序要求，適齡兒童應盡早、全程接種百白破疫苗，未全程接種的適齡兒童應盡早補種。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">二是做好個(gè)人防護。佩戴口罩是預防百日咳等呼吸道傳染病的重要措施，可有效減少病原體傳播，特別是家長(cháng)出現咳嗽等呼吸道感染癥狀，近距離接觸照護嬰幼兒時(shí)應科學(xué)佩戴口罩，降低嬰幼兒的感染風(fēng)險。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">三是及時(shí)就診。公眾特別是嬰幼兒出現持續性咳嗽等疑似癥狀后應及時(shí)就診，通過(guò)及時(shí)規范治療，降低疫情傳播及重癥的風(fēng)險。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">四是保持良好的衛生習慣。公眾要保持良好的衛生習慣，勤洗手、常通風(fēng)，咳嗽或打噴嚏時(shí)用手肘或紙巾掩住口鼻，注意合理作息和適當的體育鍛煉。</span></section></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="color: #888888;">來(lái)源：國家疾控局</span><br/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; 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