论文部分内容阅读
目的掌握甘肃省张掖市布鲁氏菌病流行态势,为有效控制人间布鲁氏菌病提供科学依据。方法按照《甘肃省人间布鲁氏菌病监测方案》要求,采用回顾性分析法对张掖市牧区和半农半牧区重点职业人群开展流行病学调查和血清学监测。结果 2006—2014年每年抽查牧区和半农半牧区30个乡(镇),共调查重点职业人群54 352人,采集静脉血9 450份,做虎红平板凝集实验和试管凝集实验,检出阳性血清155份,阳性率1.64%,结合流行病学调查和临床症状共确诊布鲁氏菌病患者86例,患病率158.23/10万;其中新发病例9例,发病率16.56/10万,慢性期病例77例。结论2006—2014年张掖市均有布鲁氏菌血清学阳性血清检出,布鲁氏菌病确诊病例散在发生,布鲁氏菌病疫情呈死灰复燃态势,应重视并加强人间布鲁氏菌病的监测和防控。
Objective To grasp the epidemic situation of brucellosis in Zhangye city of Gansu province and provide a scientific basis for the effective control of brucellosis in the world. Methods According to the requirements of monitoring program of human brucellosis in Gansu Province, a retrospective analysis method was used to carry out epidemiological investigation and serological surveillance on key occupational groups in pastoral areas and semi-agricultural and semi-pastoral areas in Zhangye City. Results From 2006 to 2014, 30 townships (towns) in pastoral areas and semi-agricultural and semi-pastoral areas were randomly selected. A total of 54 352 key occupational groups were investigated. Blood samples of 9 450 venous blood samples were collected for tiger red plate agglutination test and tube agglutination test. Serum 155 copies, the positive rate of 1.64%, combined with epidemiological investigation and clinical symptoms were diagnosed in 86 cases of brucellosis patients, the prevalence of 158.23 / 100,000; of which 9 cases of new cases, the incidence rate of 16.56 / 100000, 77 cases of chronic cases. Conclusions The positive serum of brucella seropositivity was detected in Zhangye City from 2006 to 2014. The confirmed cases of brucellosis occurred randomly and the epidemic situation of brucellosis was resurgent. The human brucellosis should be emphasized and strengthened Monitoring and prevention.