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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。
Objective To analyze the prevalence of brucellosis (referred to as brucellosis) among occupational population in Guoyang area, Anhui Province, and provide a scientific basis for future prevention and treatment. Methods Blood samples were collected from major occupational groups in Guoyang County according to the requirements of the Clostridium Surgical Surveillance Program (RBPT) and Tubular Agglutination Test (SAT) in 2014-2015, and 42 cases diagnosed as occupational brucellosis Conduct epidemiological analysis. Results A total of 406 occupational populations were monitored during 2014-2015, and 42 cases of brucellosis were diagnosed. The incidence was 10.34%. The main symptoms of 42 confirmed cases were fever, followed by muscle pain and fatigue, the main complication of orchitis, all-year incidence, no obvious seasonal, acute onset of time mainly concentrated in May-June. There was no significant difference in the incidence of the disease between the sexes, ages and trades (P> 0.05). There was a significant difference in the occupational years (P <0.05), and the incidence of new employees was higher. Conclusion In recent years, the prevalence of brucellosis in Guoyang area has been on the rise. It needs to attach great importance to the monitoring of key populations.