CAJ | 학술논문

目的分析青海省人间布鲁杆菌病(简称布病)疫情态势,为布病防治提供理论依据.方法 2010年,选择青海省平安县、海晏县、天峻县、达日县、河南县5个县作为监测县,每个县选择3～4个乡作为监测点,监测7～60岁与牲畜接触密切的人群,采用虎红平板凝集试验(RBPT)和试管凝集试验(SAT)进行血清学检测.布病诊断依据《布鲁氏菌病诊断标准》(WS 269-2007).结果 5个县共监测2021人,检出RBPT阳性76人,平均阳性率为3.76％(76/2021)；检出SAT阳性15人,平均阳性率为0.74％(15/2021)；确定感染人数15人,平均感染率为0.74％(15/2021)；发现新发病例3人.布病发病有明显的季节性,发病高峰为2-6月,与牲畜屠宰和皮毛加工有关.结论传染源没有彻底清除,从业人员自我防护意识淡薄等是疫情上升的主要原因.应加强检疫,做好职业人群的监测和疫情通报工作,开展职业培训,加强宣传教育、提高防护意识,切实控制布病疫情.
목적 분석청해성인간포로간균병(간칭포병)역정태세,위포병방치제공이론의거.방법 2010년,선택청해성평안현、해안현、천준현、체일현、하남현5개현작위감측현,매개현선택3～4개향작위감측점,감측7～60세여생축접촉밀절적인군,채용호홍평판응집시험(RBPT)화시관응집시험(SAT)진행혈청학검측.포병진단의거《포로씨균병진단표준》(WS 269-2007).결과 5개현공감측2021인,검출RBPT양성76인,평균양성솔위3.76％(76/2021)；검출SAT양성15인,평균양성솔위0.74％(15/2021)；학정감염인수15인,평균감염솔위0.74％(15/2021)；발현신발병례3인.포병발병유명현적계절성,발병고봉위2-6월,여생축도재화피모가공유관.결론 전염원몰유철저청제,종업인원자아방호의식담박등시역정상승적주요원인.응가강검역,주호직업인군적감측화역정통보공작,개전직업배훈,가강선전교육、제고방호의식,절실공제포병역정.
Objective To analyze the epidemic situation of human brucellosis in Qinghai province,in order to provide a theoretical basis for prevention and treatment of brucellosis.Methods Five counties in Qinghai province(Ping'an county,Haiyan county,Tianjun county,Dari county and Henan county) were selected as monitoring counties in 2010,and three or four townships were selected as monitoring points in each county.People aged 7 to 60 close contacted with livestock were monitored.The methods of rose bengal plate agglutination test(RBPT) and standard tube agglutination test (SAT) were used for serological testing.Brucellosis diagnosis was based on "Brucellosis Diagnostic Criteria"(WS 269-2007).Results A total of 2021 high-risk subjects from 5 counties were examined for brucellosis,and 76(by RBPT) of them were serologically confirmed with a positive rate of 3.76％ (76/2021),SAT positive 15 persons,the average positive rate was 0.74％ (15/2021).The number of infections was 15 cases,average prevalence was 0.74％(15/2021 ),and 3 new eases were discovered.The seasonal peak of incidence was from February to June.Most of the eases were reported dealing with slaughtering and fur processing.Conclusions The main reasons for epidemic rise are that the source of infection is not completely clear and weak awareness of self-protection in employees.So we must strengthen the quarantine,do surveillance on occupational groups and epidemic reporting work,carry out vocational training,strengthen publicity and education,and enhance the protection awareness.Thus brucellosis epidemic will be effectively controlled.