中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2009年
3期
342-344
,共3页
布鲁杆菌病%流行病学%结果评价
佈魯桿菌病%流行病學%結果評價
포로간균병%류행병학%결과평개
Brucellosis%Epidemiology%Outcome assessment
目的 分析山东省济南市人间布鲁杆菌病流行特征、疫情变化趋势及原因.方法 自国家疾病监测信息报告管理系统收集济南市2004-2007年人间布鲁杆菌病疫情资料;对济南市近3年曾发生布鲁杆菌病疫情的疫点内从事家畜养殖、贩卖和屠宰等职业的布鲁杆菌病高危人群,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;对2007年确诊病例进行流行病学调查.结果 2004-2007年济南市发生布鲁杆菌病共32例,其中2007年发生15例,发病人数为2004年的3.75倍(15/4).采集高危人群血液样品共178份,血清阳性检出率为11.24%(20/178).2007年发生的病例主要集中在济南市的章丘市,占93.33%(14/15),3-9月份发病占93.33%(14/15),农民发病占93.33%(14/15),50岁以上年龄段发病占66.67%(10/15),男女发病比为2.75:1(11:4);发病具有一定的家庭聚集性,有3个家庭分别发生2或3例;全部病例均有病牛、病羊接触史;病人从发病到确诊所需时间为17～529 d,中位数为70 d.由疾病预防控制机构在监测中发现的病例占86.67%(13/15).结论 济南市布鲁杆菌病疫情呈上升趋势,章丘市是济南市布鲁杆菌病主要疫区,春夏季是济南市布鲁杆菌病的高发季节,患者以老年男性农民为主.传染源没有彻底清除,外来家畜未得到有效检疫,从业人员自我防护意识淡薄是疫情上升的主要原因.
目的 分析山東省濟南市人間佈魯桿菌病流行特徵、疫情變化趨勢及原因.方法 自國傢疾病鑑測信息報告管理繫統收集濟南市2004-2007年人間佈魯桿菌病疫情資料;對濟南市近3年曾髮生佈魯桿菌病疫情的疫點內從事傢畜養殖、販賣和屠宰等職業的佈魯桿菌病高危人群,採用虎紅平闆凝集試驗(RBPT)和試管凝集試驗(SAT)進行血清學檢測;對2007年確診病例進行流行病學調查.結果 2004-2007年濟南市髮生佈魯桿菌病共32例,其中2007年髮生15例,髮病人數為2004年的3.75倍(15/4).採集高危人群血液樣品共178份,血清暘性檢齣率為11.24%(20/178).2007年髮生的病例主要集中在濟南市的章丘市,佔93.33%(14/15),3-9月份髮病佔93.33%(14/15),農民髮病佔93.33%(14/15),50歲以上年齡段髮病佔66.67%(10/15),男女髮病比為2.75:1(11:4);髮病具有一定的傢庭聚集性,有3箇傢庭分彆髮生2或3例;全部病例均有病牛、病羊接觸史;病人從髮病到確診所需時間為17～529 d,中位數為70 d.由疾病預防控製機構在鑑測中髮現的病例佔86.67%(13/15).結論 濟南市佈魯桿菌病疫情呈上升趨勢,章丘市是濟南市佈魯桿菌病主要疫區,春夏季是濟南市佈魯桿菌病的高髮季節,患者以老年男性農民為主.傳染源沒有徹底清除,外來傢畜未得到有效檢疫,從業人員自我防護意識淡薄是疫情上升的主要原因.
목적 분석산동성제남시인간포로간균병류행특정、역정변화추세급원인.방법 자국가질병감측신식보고관리계통수집제남시2004-2007년인간포로간균병역정자료;대제남시근3년증발생포로간균병역정적역점내종사가축양식、판매화도재등직업적포로간균병고위인군,채용호홍평판응집시험(RBPT)화시관응집시험(SAT)진행혈청학검측;대2007년학진병례진행류행병학조사.결과 2004-2007년제남시발생포로간균병공32례,기중2007년발생15례,발병인수위2004년적3.75배(15/4).채집고위인군혈액양품공178빈,혈청양성검출솔위11.24%(20/178).2007년발생적병례주요집중재제남시적장구시,점93.33%(14/15),3-9월빈발병점93.33%(14/15),농민발병점93.33%(14/15),50세이상년령단발병점66.67%(10/15),남녀발병비위2.75:1(11:4);발병구유일정적가정취집성,유3개가정분별발생2혹3례;전부병례균유병우、병양접촉사;병인종발병도학진소수시간위17～529 d,중위수위70 d.유질병예방공제궤구재감측중발현적병례점86.67%(13/15).결론 제남시포로간균병역정정상승추세,장구시시제남시포로간균병주요역구,춘하계시제남시포로간균병적고발계절,환자이노년남성농민위주.전염원몰유철저청제,외래가축미득도유효검역,종업인원자아방호의식담박시역정상승적주요원인.
Objective To evaluate the epidemiological characteristics of brucellosis in Jinan, Shandong Province, and to analyze epidemic trend and its cause. Methods Epidemic data of human brucellosis from 2004 to 2007 in Jinan were collected from National Disease Supervision Information Management System. The rose bengal plate agglutination test(RBPT) and standard tube agglutination test(SAT) were employed to detect brucellosis in the serum samples of high-risk exposure groups involved in livestock transaction, slaughter and raising where brucellosis had been outbreak in the last three years, and epidemiological survey was conducted on the confirmed patients in 2007. Results A total of 32 brucellosis cases occurred in 2004-2007 in Jinan, among which 15 cases in 2007, 3.75 times(15/4) of those in 2004. One hundred and seventy-eight blood samples were collected from high risk population, and positive detective rate was 11.24%(20/178). Most of the patients were found in Zhangqiu and in the months from March to September, accounting for 93.33% (14/15). Farmers accounted for 93.33% (14/15) in all cases. Sixty-six point six seven percent(10/15) of the patients were over 50 years old. Male to female was 2.75: 1(11: 4) in ratio. There was a tendency of family aggregation. Two or three cases occurred in each of 3 families. All cases had a contact history with cattle and sheep, and the diagnosis were confirmed between 17-529 days(median being 70 days), in which 86.67%(13/15) of the cases were confirmed by The Centers for Disease Control and Prevention. Conclusions Brucellosis epidemic of Jinan is in an upward trend. Zhangqiu is the main epidemic region. Spring and summer are the prevailing periods, most of the patients are old male farmers were the majority of the patients. It is believed that the epidemic is primarily due to potential infection sources, incompetent quarantine of imported livestock and poor awareness of self-protection among high-risk occupational groups.
