中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2015年
11期
840-842
,共3页
布鲁杆菌病%爆发%控制
佈魯桿菌病%爆髮%控製
포로간균병%폭발%공제
Brucellosis%Outbreak%Control
目的 调查了解毕节市首起报告人间布鲁杆菌病(布病)爆发疫情的感染来源和传播范围,以便采取针对性控制措施.方法 选择贵州省毕节市首次报告布病病例所在的七星关区放珠镇作为调查点.①基本情况调查:对调查点居民人口数,牲畜养殖情况进行调查;②个案调查:利用统一的个案调查表通过电话对首例病例进行异地个案调查;③人间疫情:对调查点所有养羊户居民进行病例搜索,按知情同意原则,采集与羊密切接触人群的血清进行实验室检测;④畜间疫情:由农业部门采集部分羊血清标本,进行实验室检测.血清实验室检测采用虎红平板凝集试验(RBPT)和试管凝集试验(SAT).结果 放珠镇现有居民6 338户,共28 682人,共有养羊户70户,存栏羊2 184只.首例病例于2014年5月10日发病,2014年7月17日转至云南省第一人民医院住院治疗,7月25日确诊为布病.共检测牲畜养殖人员血清标本85份,SAT阳性17份,其中确诊病例10例,隐性感染病例7例,感染率为20.00％(17/85),检出率为11.76％(10/85),隐性感染率为8.24％(7/85).共检测羊血清339份,RBPT阳性133份,阳性率为39.23％(133/339).结论 毕节市人间、畜间存在布病疫情,且感染状况较为严重,应加强养羊人群布病防控知识宣传教育.
目的 調查瞭解畢節市首起報告人間佈魯桿菌病(佈病)爆髮疫情的感染來源和傳播範圍,以便採取針對性控製措施.方法 選擇貴州省畢節市首次報告佈病病例所在的七星關區放珠鎮作為調查點.①基本情況調查:對調查點居民人口數,牲畜養殖情況進行調查;②箇案調查:利用統一的箇案調查錶通過電話對首例病例進行異地箇案調查;③人間疫情:對調查點所有養羊戶居民進行病例搜索,按知情同意原則,採集與羊密切接觸人群的血清進行實驗室檢測;④畜間疫情:由農業部門採集部分羊血清標本,進行實驗室檢測.血清實驗室檢測採用虎紅平闆凝集試驗(RBPT)和試管凝集試驗(SAT).結果 放珠鎮現有居民6 338戶,共28 682人,共有養羊戶70戶,存欄羊2 184隻.首例病例于2014年5月10日髮病,2014年7月17日轉至雲南省第一人民醫院住院治療,7月25日確診為佈病.共檢測牲畜養殖人員血清標本85份,SAT暘性17份,其中確診病例10例,隱性感染病例7例,感染率為20.00％(17/85),檢齣率為11.76％(10/85),隱性感染率為8.24％(7/85).共檢測羊血清339份,RBPT暘性133份,暘性率為39.23％(133/339).結論 畢節市人間、畜間存在佈病疫情,且感染狀況較為嚴重,應加彊養羊人群佈病防控知識宣傳教育.
목적 조사료해필절시수기보고인간포로간균병(포병)폭발역정적감염래원화전파범위,이편채취침대성공제조시.방법 선택귀주성필절시수차보고포병병례소재적칠성관구방주진작위조사점.①기본정황조사:대조사점거민인구수,생축양식정황진행조사;②개안조사:이용통일적개안조사표통과전화대수례병례진행이지개안조사;③인간역정:대조사점소유양양호거민진행병례수색,안지정동의원칙,채집여양밀절접촉인군적혈청진행실험실검측;④축간역정:유농업부문채집부분양혈청표본,진행실험실검측.혈청실험실검측채용호홍평판응집시험(RBPT)화시관응집시험(SAT).결과 방주진현유거민6 338호,공28 682인,공유양양호70호,존란양2 184지.수례병례우2014년5월10일발병,2014년7월17일전지운남성제일인민의원주원치료,7월25일학진위포병.공검측생축양식인원혈청표본85빈,SAT양성17빈,기중학진병례10례,은성감염병례7례,감염솔위20.00％(17/85),검출솔위11.76％(10/85),은성감염솔위8.24％(7/85).공검측양혈청339빈,RBPT양성133빈,양성솔위39.23％(133/339).결론 필절시인간、축간존재포병역정,차감염상황교위엄중,응가강양양인군포병방공지식선전교육.
Objective This study was designed to investigate the infection sources and transmission range of the first brucellosis outbreak in human in Bijie City in order to take specific control measures.Methods Fangzhu Town of Qixingguan District was selected as the investigation site where the first medical case was reported.① Basic conditions investigation:the population and the livestock conditions were investigated;②Specific investigation:remote specific investigation of the first case was made through telephone by using unified specific investigation form;③Epidemic situation in human:based on the rule of informed consent,serum samples of all sheep raising people were collected for examination;④Epidemic situation in livestock:sheep's serum samples were collected by agricultural sector.Rose-bengal plate agglutination test (RBPT) and standard agglutination test (SAT) were used to test the serum samples.Results There were 6 338 households with 28 682 residents in Fangzhu County totally,including 70 households feeding 2 184 herds of sheep.The fast case had attacked on May 10th,2014,who was transferred to the first people's hospital of Yuanan Province on July 17th,2014,and was diagnosed as brucellosis on July 25th,2014.There were 85 serum specimens from livestock feeders tested totally,17 specimens showed SAT positive,10 cases were confirmed,recessive infection were 7 cases,the infection rate was 20.00％ (17/85),the detection rate was 11.76％ (10/85),and the recessive infection rate was 8.24％ (7/85).A total of 339 sheep serum samples were tested,133 specimens showed RBPT positive.The positive rate was 39.23％ (133/ 339).Conclusion Brucellosis epidemic was exisited in Bijie City among human and animals,and the situations of infection is serious.The prevention and control of brucellosis should be publicity and education on the sheep flocks.
