王圣聪. 2004 - 2009年山西省浑源县布鲁氏菌病流行状况分析[J]. 疾病监测, 2010, 25(11): 897-899.
引用本文: 王圣聪. 2004 - 2009年山西省浑源县布鲁氏菌病流行状况分析[J]. 疾病监测, 2010, 25(11): 897-899.
WANG Sheng-cong. Epidemiology of brucellosis in Hunyuan county in Shanxi province,2004 - 2009[J]. Disease Surveillance, 2010, 25(11): 897-899.
Citation: WANG Sheng-cong. Epidemiology of brucellosis in Hunyuan county in Shanxi province,2004 - 2009[J]. Disease Surveillance, 2010, 25(11): 897-899.

2004 - 2009年山西省浑源县布鲁氏菌病流行状况分析

Epidemiology of brucellosis in Hunyuan county in Shanxi province,2004 - 2009

  • 摘要: 目的 通过对2004 - 2009年山西省浑源县布鲁氏菌病(布病)发病情况的总结,分析布病在本地区的流行状况和趋势,为本地区布病防控提供参考意见。 方法 选取2004 - 2009年本地区布病疫情资料,对发病地、性别、年龄、职业等指标进行分析。对2008 - 2009年79份布病门诊患者血清进行虎红平板凝集试验(RBPT)和试管凝集试验(SAT)检测分析,并对11份正在发热患者血液进行细菌培养分离。 结果 2004 - 2009年发病人数分别为58、99、158、232、188和171例,总数为906例。30~60岁患者共639例,占69.76%。其中以50~60岁最多,共286例,占31.22%。男性733例,占80.02%,女性173例,占19.09%。农民805例,占87.89%。永安和沙圪坨两地发病人数分别为143和112例,明显多于其他乡镇。餐饮工作者和学生人数分别从0例和1例增长至7例和8例。79份血清中57份RBPT和SAT均为阳性,59份RBPT阳性,58份SAT阳性。11份血培养分离到2株布鲁氏菌,经中国疾病预防控制中心传染病所鉴定全部为羊种Ⅲ型。 结论 2004 - 2009年,本地区布病发病人数总体上呈增长趋势。全县18个乡镇均有新发病例,个别乡镇各年发病人数均明显高于其他乡镇。各年龄段均有发病,以中年为主,50~60岁最多,男性多于女性。农民占绝大多数,学生和餐饮工作者发病呈增长趋势。菌种以羊种Ⅲ型为主。

     

    Abstract: Objective To understand the epidemiological characteristics of brucellosis in Hunyuan from 2004 to 2009 and provide evidence for the local prevention and control of brucellosis. Methods The analysis on incidence data of brucellosis during this period was conducted to know the regional, age, sex and occupation distributions of the disease. Rose bengal plate agglutination test (RBPA) and standard tube agglutination test (STA) were performed to detect 79 serum samples collected from outpatients, and bacterial culture was performed for 11 blood samples collected from fever patients. Results From 2004 to 2009,58,99,158,232,188 and 171 cases were detected respectively (the total:906). Up to 639 cases occurred in the people aged 30-60 years, accounting for 69.76%, and 286 cases occurred in the people aged 50 to 60 years, accounting for 31.22%. The case number was 733 for males (80.02%) and 173 for females (19.09%). Totally 805 cases were farmers (87.89%). The case numbers in Yongan and Shagetuo were 143 and 112 respectively, which were significantly higher than other townships. The case numbers in restaurant workers and students increased from 0 and 1 to 7 and 8 respectively. Among the 79 serum samples 57 were both RBPT and STA positive,59 were RBPT positive and 58 were STA positive respectively. Two strains of Brucella melitensis Ⅲ were isolated from the 11 blood samples, which were identified by Institute for Communicable Disease Control and Prevention, China CDC. Conclusion The overall incidence of brucellosis increased in all 18 townships in Hunyuan county from 2004 to 2009. The disease affected all age groups, but mainly middle-age group. More cases were reported in males than females. Farmers were the mostly affected population. The cases in students and restaurant workers had increased. Brucella melitensis Ⅲ is the prevalent strain in Hunyuan.

     

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