崔峰, 王玲, 张玲, 杨淑霞, 张寿峰, 王加坤, 姜祥坤, 袁慧, 陈秀英, 耿兴义, 刘军, 郭威, 吕涛, 周健, 马友祥, 孟祥鹏, 董庶军, 陈玉瑞, 程允堂, 吴杰, 李波, 张晓丽, 王昆, 王艳, 袁杨, 吕同玉, 王瑞成, 雷杰. 山东省沂源县人粒细胞无形体病现场流行病学调查[J]. 疾病监测, 2009, 24(6): 412-415. DOI: 10.3784/j.issn.1003-9961.2009.06.011
引用本文: 崔峰, 王玲, 张玲, 杨淑霞, 张寿峰, 王加坤, 姜祥坤, 袁慧, 陈秀英, 耿兴义, 刘军, 郭威, 吕涛, 周健, 马友祥, 孟祥鹏, 董庶军, 陈玉瑞, 程允堂, 吴杰, 李波, 张晓丽, 王昆, 王艳, 袁杨, 吕同玉, 王瑞成, 雷杰. 山东省沂源县人粒细胞无形体病现场流行病学调查[J]. 疾病监测, 2009, 24(6): 412-415. DOI: 10.3784/j.issn.1003-9961.2009.06.011
CUI Feng*, WANG Ling, ZHANG Ling, YANG Shu-xia, ZHANG Shou-feng, WANG Jia-kun, JIANG Xiang-kun, YUAN Hui, CHEN Xiu-ying, GENG Xing-yi, LIU Jun, GUO Wei, LV Tao, ZHOU Jian, MA You-xiang, MENG Xiang-peng, DONG Shu-jun, CHEN Yu-rui, CHENG Yun-tang, WU Jie, LI Bo, ZHANG Xiao-li, WANG Kun, WANG Yan, YUAN Yang, LV Tong-yu, WANG Rui-cheng, LEI jie. Field epidemiological survey of human granulocytic anaplasmosis in Yiyuan county, Shandong province[J]. Disease Surveillance, 2009, 24(6): 412-415. DOI: 10.3784/j.issn.1003-9961.2009.06.011
Citation: CUI Feng*, WANG Ling, ZHANG Ling, YANG Shu-xia, ZHANG Shou-feng, WANG Jia-kun, JIANG Xiang-kun, YUAN Hui, CHEN Xiu-ying, GENG Xing-yi, LIU Jun, GUO Wei, LV Tao, ZHOU Jian, MA You-xiang, MENG Xiang-peng, DONG Shu-jun, CHEN Yu-rui, CHENG Yun-tang, WU Jie, LI Bo, ZHANG Xiao-li, WANG Kun, WANG Yan, YUAN Yang, LV Tong-yu, WANG Rui-cheng, LEI jie. Field epidemiological survey of human granulocytic anaplasmosis in Yiyuan county, Shandong province[J]. Disease Surveillance, 2009, 24(6): 412-415. DOI: 10.3784/j.issn.1003-9961.2009.06.011

山东省沂源县人粒细胞无形体病现场流行病学调查

Field epidemiological survey of human granulocytic anaplasmosis in Yiyuan county, Shandong province

  • 摘要: 目的分析山东省沂源县人粒细胞无形体病发生的危险因素及感染途径。方法对2002-2006年报告的34例可疑人粒细胞无形体病病例进行个案调查,并进行描述性分析,对部分病例进行实验室检测。选择年龄相近、未患过人粒细胞无形体病、同性别、同村居民为对照组,进行1∶2配比的病例对照研究。结果通过单因素分析和非条件logistic回归分析:是否经常从事林间劳动(IOR/I=4.4901,95%ICI/I: 1.4348~14.0518,IP/I0.05)、每日平均劳动时间是否超过1 h (IOR/I=4.0408,95%ICI/I: 1.3083~12.4806,IP/I0.05)、居住院内是否有牲畜圈(IOR/I=3.3707,95%ICI/I: 1.2883~8.8191,IP/I0.05)为沂源县感染人粒细胞无形体病的暴露危险因素。结论根据病例临床资料、现场流行病学调查以及病例对照研究,与牲畜(尤其是羊)接触、林间劳动、接触草地等危险因素为该疾病可能的感染途径。对于人粒细胞无形体病有待于进行更加深入的调查和实验室研究。

     

    Abstract: ObjectiveTo analyze the risk factors and infection routes of human granulocytic anaplasmosis occurred in Yiyuan county. MethodsThe survey and descriptive analysis were conducted for 34 suspected human granulocytic anaplasmosis cases reported from 2002 to 2006,and the laboratory test was performed for the selected cases. The control group well matched by age, gender and address was selected to conduct 1∶2 case control study. ResultsSingle factor analysis and logistic regression analysis indicated that the frequent forest work (IOR/I=4.4901, 95%ICI/I: 1.4348-14.0518, IP/I0.05), the average work time was more than 1 hour (IOR/I=4.0408, 95%ICI/I: 1.3083-12.4806, IP/I0.05) and livestock shed in residential area (IOR/I=3.3707, 95%ICI/I: 1.2883-8.8191, IP/I0.05) were the risk factors of human granulocytic anaplasmosis in Yiyuan county. ConclusionAccording to the clinical data, field epidemiological survey and case control study, the possible infection routes of human granulocytic anaplasmosis included contacting livestock (especially sheep), forest work and contacting grassland. Further survey and study are needed for human granulocytic anaplasmosis.

     

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