安徽涡阳2014—2015年职业人群布鲁氏菌病监测分析
Investigation on brucellosis among occupational population in Guoyang County of Anhui Province during 2014 to 2015
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摘要: 目的 分析安徽涡阳地区职业人群布鲁氏菌病(简称布病)流行情况,为今后的防治工作提供科学依据。 方法 按照布病监测方案要求,2014-2015年采集涡阳县重点职业人群血样,进行虎红平板凝集试验(RBPT)和试管凝集试验(SAT),并对42例确诊为职业性布病的病例进行流行病学分析。 结果 2014-2015年共监测职业人群406人,布病确诊42例,发病率为10.34%。42例确诊病例主要症状为发热,其次为肌肉关节疼痛和乏力,主要并发症为睾丸炎,全年均可发病,未呈现出明显的季节性,急性发病时间主要集中在5-6月份。患者在性别、年龄、工种间的发病率差异均无统计学意义(P>0.05),在职业年限上的差异有统计学意义(P<0.05),新进员工发病率更高。 结论 涡阳地区近年布病感染率有上升趋势,需引起高度重视,做好重点人群的监测工作。Abstract: Objective Serological monitoring on brucellosis was carried out among occupational population in Guoyang County of Anhui Province. The epidemic of brucellosis cases was surveyed to provide scientific orientation for the prevention and control of brucellosis. Methods According to the surveillance standard for brucellosis,blood samples of professionals or staff related to sheep farming were collected for rose-bengal plate agglutination test (RBPT) and standard-tube agglutination test (SAT) during 2014 to 2015. The epidemic of diagnosed cases was surveyed. Results Totally 42 cases were diagnosed as brucellosis among 406 monitoring subjects. The main signs and symptoms of brucellosis cases were fever, muscle and/or joint pain and fatigue. The major complication was orchitis. The attack occurred throughout the year and there was no seasonal variation. Acute onset mainly occurred during May to June. The occurrence had no significant variation among groups with different gender,age and job category(P>0.05).The fresh men seemed to have higher infection rate(P<0.05). Conclusion We should pay attention to brucellosis infection in this county and more intervention measures should be taken.