CAJ | 학술논문

目的了解河南省焦作市造店村布鲁杆菌病(简称布病)感染状况,分析感染来源和传播途径.方法采取访谈方式了解基本情况,采取普查方式搜索病例及收集有关信息,对重点人群采用试管凝集试验(SAT)进行血清学检测,了解感染状况,运用病例一对照分析确定感染来源和传播途径,多因素logistic回归分析确定危险因素.结果造店村重点人群布病感染阳性率为6.26%(27/431).自2003年以来共有病例32例,男女之比为7:1,发病年龄以30-40岁青壮年最多,占34.38%(11/32),职业主要是饲养和屠宰,传播途径主要是接触死羔犊,牲畜内脏,肉及血液.多因素logistic回归分析显示,接触死羔犊,宰杀,饲养为危险因素[比值比(OR)分别为8.28,5.85,2.96,P＜0.05].结论造店村布病疫情发生的主要原因是牲畜没有进行检疫,免疫,病畜作为传染源扩散蔓延和长期存在,群众缺乏布病自我防护意识,通过接触死羔犊,宰条和饲养过程接触感染,导致人间布病疫情的不断发生.
목적 료해하남성초작시조점촌포로간균병(간칭포병)감염상황,분석감염래원화전파도경.방법 채취방담방식료해기본정황,채취보사방식수색병례급수집유관신식,대중점인군채용시관응집시험(SAT)진행혈청학검측,료해감염상황,운용병례일대조분석학정감염래원화전파도경,다인소logistic회귀분석학정위험인소.결과 조점촌중점인군포병감염양성솔위6.26%(27/431).자2003년이래공유병례32례,남녀지비위7:1,발병년령이30-40세청장년최다,점34.38%(11/32),직업주요시사양화도재,전파도경주요시접촉사고독,생축내장,육급혈액.다인소logistic회귀분석현시,접촉사고독,재살,사양위위험인소[비치비(OR)분별위8.28,5.85,2.96,P＜0.05].결론 조점촌포병역정발생적주요원인시생축몰유진행검역,면역,병축작위전염원확산만연화장기존재,군음결핍포병자아방호의식,통과접촉사고독,재조화사양과정접촉감염,도치인간포병역정적불단발생.
Objective To investigate the status of infection of brucellosis in Zaodian village of Jiaozuo City,Henan Province and to analyze sources of intection and route of transmission.Methods The general information was collected through interview to search for cases and relevant information through census.infection stains of key crowd was determined through tube agglutination test(SAT)serum examination.Case-control method was used to analyze sources of infection and route of transmission.The risk factors were analyzed using logistic regressioa.Results Infectious rate of key crowd in Zaodian Village was 6.26%(27/431).Among 32 cases found since 2003,the proportion Was 7:1 between female and male.Brucellosis mainly occurred in the crowd aged 30 and 40[34.38%(11/32)].Most of them engaged in raising and slaughtering sheep.Contacting dead lamb.internal organs,meat,and blood were the main route of transmission,Contacting dead lamb,raising,and slaughtering were the risk factors showed by the logistic regression analysis(OR=8.28,5.85,2.96,P＜0.05).Condusions,Theprimary cause of brucellosis infection in Zaodian Village is due to failure of the necessary quarantine and immune on animals.The diseased animal as a constant source of infection,lack of self-protection awareness lead to continuous occurrence of the disease.