CAJ | 학술논문

目的了解辽宁省城市布鲁杆菌病(简称布病)的再现情况,并分析其发生原因.方法 2010、2011年,对辽宁省网上直报的城市户籍的新发布病病例进行复核诊断[包括布病试管凝集实验(SAT)和布病病原体分离实验];对辽宁省城、乡人间布病新发病例数进行汇总分析;对城市新发布病病例进行接触史调查.结果共报告城市布病新发病例57例,追踪核实诊断24例,SAT检验结果均为阳性,其中2例患者的静脉血中分离到羊种Ⅲ型布鲁杆菌.2011年城市和农村的新发病例数(36、817)明显高于2010年(21、566),而农村与城市发病比呈现下降趋势(2010、2011年分别为26∶1、22∶1).24例城市新发病例均有牛羊肉接触史,无人传人现象发生.结论辽宁省城市人间布病已再现,呈散发状态,通过皮肤感染是导致城市疫情产生的重要原因.
목적 료해요녕성성시포로간균병(간칭포병)적재현정황,병분석기발생원인.방법 2010、2011년,대요녕성망상직보적성시호적적신발포병병례진행복핵진단[포괄포병시관응집실험(SAT)화포병병원체분리실험];대요녕성성、향인간포병신발병례수진행회총분석;대성시신발포병병례진행접촉사조사.결과 공보고성시포병신발병례57례,추종핵실진단24례,SAT검험결과균위양성,기중2례환자적정맥혈중분리도양충Ⅲ형포로간균.2011년성시화농촌적신발병례수(36、817)명현고우2010년(21、566),이농촌여성시발병비정현하강추세(2010、2011년분별위26∶1、22∶1).24례성시신발병례균유우양육접촉사,무인전인현상발생.결론 요녕성성시인간포병이재현,정산발상태,통과피부감염시도치성시역정산생적중요원인.
Objective To investigate the epidemic status of brucellosis in urban of Liaoning Province and to analyze the reason for its reoccurrence.Methods Diagnosed new cases that were directly reported via internet in 2010 and 2011 were re-checked [using brucellosis tube agglutination test (SAT) and pathogen separation test].The incidence of human brucellosis was analyzed and contact history of new cases was investigated in urban and rural areas of Liaoning Province.Results Fifty-seven new cases of brucellosis were reported in the cities and 24 of them were verified.All patients were positive in SAT test,and a type Ⅲ brucellosis bacillus was isolated from vein blood of two patients.The number of new cases in urban and rural areas in 2011 (36,817) was significantly higher than that in 2010(21,566).But the incidence ratio of rural areas showed a downward trend compared to that of urban areas(26 ∶ 1 and 22 ∶ 1 in 2010 and 2011,respectively).All the 24 new cases had a history of exposure to beef and mutton via skin,but no human-to-human infection occurred.Conclusions Brucellosis has reappeared in urban of Liaoning Province in a sporadic state.An important reason is that the infection is passed through skin.