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目的探讨2013-2015年新疆地区职业暴露高危人群布鲁氏菌病的流行特征。方法采用琥红平板凝集试验(RB-PT)及试管凝集试验(SAT)对新疆地区从事养殖、屠宰、挤奶、贩卖、畜牧等职业暴露高危人群进行布鲁氏菌病血清学检测。结果 5 608名职业暴露高危人群血清学检测RB-PT阳性率为1.52%;确诊布鲁氏菌病新发病例55例,感染者12例,平均发病率为0.98%。不同年份新疆地区职业暴露高危人群布鲁氏菌病血清学RB-PT阳性率及布鲁氏菌病发病率差异均具有统计学意义(χ2值分别为8.705和9.512,P均<0.05);男、女发病率差异无统计学意义(χ2=0.436,P>0.05)。布鲁氏菌病主要发生在每年的1-4月份,新发病例主要分布在牛羊养殖、屠宰、挤奶集中的街道,从事牛羊养殖、屠宰、挤奶者占总病例数的89.09%,发热、乏力、多汗、肌肉关节疼痛是该病常见临床表现。结论新疆地区职业暴露高危人群存在布鲁氏菌病感染,因此应加强对当地职业暴露高危人群的布鲁氏菌病健康教育,提高防护意识,做好畜类的检验检疫工作,从而控制布鲁氏菌病疫情。
Objective To investigate the prevalence of brucellosis in high-risk occupational occupational groups in Xinjiang during 2013-2015. Methods The brucellosis serological tests were carried out in high risk population of occupational exposure such as breeding, slaughtering, milking, selling, livestock husbandry in Xinjiang using RB-PT and SAT. Results The positive rate of serotonin RB-PT in 5 608 high-risk occupational groups was 1.52%. 55 new cases of brucellosis were diagnosed and 12 cases were infected with the average incidence of 0.98%. Serum RB-PT positive rate and brucellosis incidence of brucellosis in high-risk occupational groups in Xinjiang in different years were all statistically significant (χ2 = 8.705 and 9.512, P <0.05). Male There was no significant difference in the incidence of female (χ2 = 0.436, P> 0.05). Brucellosis occurs mainly in January-April each year. The newly-occurring cases are mainly distributed in the streets where cattle and sheep are cultured, slaughtered and milky concentrated, engaged in the breeding of cattle and sheep, slaughtering, and 89.09% , Fever, fatigue, sweating, muscle and joint pain is a 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 high risk population of local occupational exposure, raise the awareness of protection and do the inspection and quarantine of livestock, Mycosis disease.