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目的了解慈溪市职业人群布鲁氏菌病(布病)流行特征,为制定防治策略提供依据。方法采用虎红平板凝集和试管凝集试验对全市涉及牛羊养殖、屠宰、贩买、挤乳、兽医等职业人群进行血清学检测。结果 2005—2013年共监测职业人群4230人,检出血清学阳性56例,阳性率为1.32%,其中病例31例,感染者25例;患者和感染者主要分布在周巷镇和掌起镇;2013年发现布病感染者和病例最多,分别为11人和6人。患病与当地贩卖屠宰肉羊产业和奶牛饲养有关;高发与牛、羊输入来源地布病疫情高发有关;发病与确诊平均间隔时间为3.5个月。结论慈溪市职业人群布病疫情呈逐年上升,应对职业人群综合防控,提高医务人员布病诊治水平。
Objective To understand the epidemiological characteristics of brucellosis (brucellosis) among occupational population in Cixi City, and to provide the basis for making prevention and treatment strategies. Methods Serum tests were conducted in the occupational population involving cattle and sheep raising, slaughtering, selling, milking, veterinarian and other occupational groups using tiger red plate agglutination test and tube agglutination test. Results A total of 4230 occupational groups were monitored during 2005-2013. 56 seropositive cases were detected, the positive rate was 1.32%, of which 31 cases were cases and 25 cases were infected. The patients and patients were mainly found in Zhouxiang and Zhangqi In 2013, brucellosis was most frequently reported in 11 cases and 6 cases were found. Illness and local trafficking slaughter and sheep industry and dairy farming related; high incidence of bovine and sheep origin of brucellosis epidemic; the average interval between onset and diagnosis of 3.5 months. Conclusion The epidemic situation of brucellosis in occupational population in Cixi City has been increasing year by year, and should be integrated with prevention and control of occupational groups to improve the diagnosis and treatment of brucellosis among medical personnel.