CAJ | 학술논문

目的：及时发现人群中霍乱病例和被霍乱污染的水体及食物，尽早采取预防控制措施，防止疫情扩散。方法：采取全市常规监测和疫点监测相结合的方法。结果：常德市2009-2013年共发生3起霍乱疫情；常规外环境监测样品21349份，检出霍乱弧菌阳性78份，均为海产品；疫点检测3份，检出带菌者1例；来自病人、带菌者、甲鱼中分离的O139群霍乱弧菌高度同源。结论：甲鱼等水产品是常德市发生霍乱的主要因素，因此应加强水产品的监测和卫生管理，同时要做好农村聚餐的卫生指导。
목적：급시발현인군중곽란병례화피곽란오염적수체급식물，진조채취예방공제조시，방지역정확산。방법：채취전시상규감측화역점감측상결합적방법。결과：상덕시2009-2013년공발생3기곽란역정；상규외배경감측양품21349빈，검출곽란호균양성78빈，균위해산품；역점검측3빈，검출대균자1례；래자병인、대균자、갑어중분리적O139군곽란호균고도동원。결론：갑어등수산품시상덕시발생곽란적주요인소，인차응가강수산품적감측화위생관리，동시요주호농촌취찬적위생지도。
To promptly find the cases of cholera in crowd,the food and water body contami nated by Vibriocholerae,and to take effective preventive measures as early as possible to avoid the growing epidemic.Methods:Both the regular monitoring and spots surveilance were taken.Results:Totaly 3 outbreaks were reported from 2009 to 2013.21349 samples from environment were tested by regular monitoring.78 sanples were positive,which al came from the seafood. 3 samples were tested in the epidemic spots,and 1 carrier were found.The Vibrio cholera O139 strains isolated from soft-sheled turtles enjoyed a high homology with those of both patients and carriers.Conclusions:Thecontaminated sea food such as contaminated soft-sheled turtles was the main factor of the cholera O139 epidemic in Changde City.We should strengthen the monitoring of sea food and its hygiene management,and give good guidance for rural gathering-dinner.