游旅, 田克诚, 姚光海, 聂炜, 邹志霆. 2005年贵州省健康人群和病例密切接触者流脑病原菌带菌状况调查[J]. 疾病监测, 2006, 21(3): 120-123. DOI: 10.3784/j.issn.1003-9961.2006.3.120
引用本文: 游旅, 田克诚, 姚光海, 聂炜, 邹志霆. 2005年贵州省健康人群和病例密切接触者流脑病原菌带菌状况调查[J]. 疾病监测, 2006, 21(3): 120-123. DOI: 10.3784/j.issn.1003-9961.2006.3.120
YOU Lu, TIAN Ke-cheng, YAO Guang-hal, NIE Wei, ZOU Zhi-ting. Inve stigafion on the status of healthy population carrying bacterial pathogens of epidemic cerebrospinal meningitis in Guizhou Province in 2005[J]. Disease Surveillance, 2006, 21(3): 120-123. DOI: 10.3784/j.issn.1003-9961.2006.3.120
Citation: YOU Lu, TIAN Ke-cheng, YAO Guang-hal, NIE Wei, ZOU Zhi-ting. Inve stigafion on the status of healthy population carrying bacterial pathogens of epidemic cerebrospinal meningitis in Guizhou Province in 2005[J]. Disease Surveillance, 2006, 21(3): 120-123. DOI: 10.3784/j.issn.1003-9961.2006.3.120

2005年贵州省健康人群和病例密切接触者流脑病原菌带菌状况调查

Inve stigafion on the status of healthy population carrying bacterial pathogens of epidemic cerebrospinal meningitis in Guizhou Province in 2005

  • 摘要: 目的了解贵州省健康人群流脑病原菌带菌状况,为流脑的防治工作提供科学依据。方法采集健康人群和病例密切接触者的咽拭标本进行培养、鉴定和分析。结果从904份健康人群标本和56份病例密切接触者的咽拭标本中分别培养出17株和6株脑膜炎奈瑟菌,其中19株(82.61%)为 A 群,平均检出率分别为1.88%和10.71%。10~14岁年龄组学生的带菌率最高,为5.56%。从44份病人脑脊液标本培养出5株脑膜炎奈瑟菌,均为 A 群。结论目前贵州省流脑的流行菌群仍然以 A 群为主,高危人群主要以14岁以下学生为主。提示今后贵州省预防控制流脑的重点应该是加强流脑疫苗的预防接种和流脑病原学监测。

     

    Abstract: Objective The present study was conducted to get an insight into the status of healthy population carrying bacterial pathogens of epidemic cerebrospinal meningitis and provide a scientific basis for the prevention and control of epidemic cerebrospinal meningitis in Guizhou Province.Methods Throat swab specimens from healthy people and those who had had close contact with the patients were collected for culture,identification and analysis.Results Nine hun-dred and four specimens from healthy population and 56 from those who had had close contact with the patients were cultured and 17 strains of Neisseria meningitides were isolated from the former and 6 strains from the later.With the average detection rate being 1.88%and 10.71%,respectively.Of the isolated,there were 19 strains of group A Neisseria meningitides,accounting for 82.61%.It was found that students in the age group from 10 to 14 years had the highest car- rier rate(5.56%).The five strains of Neisseria meningitides isolated from cerebrospinal fluid spec-imens of 44 patients were all of group A.Conclusion It is seen that epidemic cerebrospinal meningitis is predominantly caused by group A Neisseria meningitides with students under age of 14 years being at high risk.It is suggested that strengthening the prevention of epidemic cere-brospinal meningitis through vaccination and etiological surveillance should be given top priority in the prevention and control of epidemic cerebrospinal meningitis in Guizhou Province.

     

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