2013-2015年新疆地區(qū)職業(yè)暴露高危人群布魯氏菌病血清學(xué)檢測(cè)結(jié)果分析
本文選題:布魯氏菌病 切入點(diǎn):職業(yè)暴露 出處:《中國(guó)病原生物學(xué)雜志》2017年05期 論文類型:期刊論文
【摘要】:目的探討2013-2015年新疆地區(qū)職業(yè)暴露高危人群布魯氏菌病的流行特征。方法采用琥紅平板凝集試驗(yàn)(RB-PT)及試管凝集試驗(yàn)(SAT)對(duì)新疆地區(qū)從事養(yǎng)殖、屠宰、擠奶、販賣(mài)、畜牧等職業(yè)暴露高危人群進(jìn)行布魯氏菌病血清學(xué)檢測(cè)。結(jié)果 5 608名職業(yè)暴露高危人群血清學(xué)檢測(cè)RB-PT陽(yáng)性率為1.52%;確診布魯氏菌病新發(fā)病例55例,感染者12例,平均發(fā)病率為0.98%。不同年份新疆地區(qū)職業(yè)暴露高危人群布魯氏菌病血清學(xué)RB-PT陽(yáng)性率及布魯氏菌病發(fā)病率差異均具有統(tǒng)計(jì)學(xué)意義(χ2值分別為8.705和9.512,P均0.05);男、女發(fā)病率差異無(wú)統(tǒng)計(jì)學(xué)意義(χ2=0.436,P0.05)。布魯氏菌病主要發(fā)生在每年的1-4月份,新發(fā)病例主要分布在牛羊養(yǎng)殖、屠宰、擠奶集中的街道,從事牛羊養(yǎng)殖、屠宰、擠奶者占總病例數(shù)的89.09%,發(fā)熱、乏力、多汗、肌肉關(guān)節(jié)疼痛是該病常見(jiàn)臨床表現(xiàn)。結(jié)論新疆地區(qū)職業(yè)暴露高危人群存在布魯氏菌病感染,因此應(yīng)加強(qiáng)對(duì)當(dāng)?shù)芈殬I(yè)暴露高危人群的布魯氏菌病健康教育,提高防護(hù)意識(shí),做好畜類的檢驗(yàn)檢疫工作,從而控制布魯氏菌病疫情。
[Abstract]:Objective to investigate the epidemic characteristics of brucellosis in high risk population of occupational exposure in Xinjiang from 2013 to 2015. Methods using RB-PTT and SAT in Xinjiang, we engaged in breeding, slaughtering, milking and selling. The serological detection of brucellosis was carried out in the high risk population of animal husbandry and other occupational exposure. Results the positive rate of RB-PT was 1.52in the 5608 high risk population of occupational exposure, 55 new cases of brucellosis were diagnosed, and 12 cases were infected with brucellosis. The average incidence of brucellosis was 0.98. There were significant differences in the serological RB-PT positive rate and brucellosis incidence of occupational exposure high risk population in Xinjiang (蠂 ~ 2 = 8.705 and 9.512 P respectively, male, male). The incidence of brucellosis mainly occurred in January and April of each year. The new cases were mainly distributed in cattle and sheep breeding, slaughtering and milking concentrated streets, engaged in cattle and sheep breeding, slaughtering, slaughtering, and the incidence of brucellosis. Milkers account for 89.09% of the total number of cases, fever, fatigue, sweating, muscle and joint pain are the common clinical manifestations of the disease. Conclusion Brucellosis infection exists in high risk population of occupational exposure in Xinjiang. Therefore, it is necessary to strengthen the health education of brucellosis in the high risk population of occupational exposure, improve the consciousness of protection, and do well in the inspection and quarantine of livestock, so as to control the epidemic situation of brucellosis.
【作者單位】: 石河子大學(xué)醫(yī)學(xué)院第一附屬醫(yī)院檢驗(yàn)科;
【分類號(hào)】:R446.1;R516.7
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