Clinical features of 219 cases of measles

Objective To guide the diagnosis,prevention and control of measles through analysis of clinical features of patients with measles in different age groups and by comparing epidemiologic features of measles during different periods.Methods Clinical data of 219 patients with measles who were hospitalized between December,2007 and May,2009 were analyzed retrospectively,and data of 150 patients with measles in the same hospital 5 years ago were compared.Results Among 219 patients with measles,the majority(78.54%,172/219) were between 6 months-5 years old,the manifestations were typical:96.35%(211 cases) had fever,72.99%of whom had body temperature 39℃;all patients had skin rash,skin rash presenting at the 3rd or 4th day of the disease course mainly occurred in patients who were between 6 months-5 years old,which accounting for 82.56%;147 patients (67.12%) had mucous patch.Pneumonia was the main complication,which accounting for 73.52%;complication rate was high in children who were 5 years old,81.18%of complications were pneumonia.The vaccination rate of measles vaccine was only 8.22%(18 cases).Conclusion Measles mainly occurs in children under 5 years old, clinical manifestations are typical,and incidence of complications are high.Planned immunization in children and intensifying immunization in adults should be strengthened to reduce the incidence of measles.