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目的分析汝州市人间布鲁氏菌病(简称布病)血清学监测结果,了解汝州市布鲁氏菌病的流行现状及特征,为制定防控策略提供依据。方法按照《布鲁氏菌病诊断标准》对2009~2013年到汝州市疾控中心就诊的疑似病例进行血清学监测。结果汝州市共检测标本2 573例,1 124例为阳性,阳性率为43.68%;发病有明显的季节分布,5月份为人间布病发病高峰;男性与女性阳性率比约为2.44:1(797/327),性别间差异有统计学意义(P<0.01);>50岁年龄组阳性率最高(49.44%,620/1 254),不同年龄组间阳性率差异有统计学意义(P<0.01);职业分布以农民感染率为最高(94.57%,1 063/1 124),不同职业间阳性率差异有统计学意义(P<0.01)。结论汝州市布鲁氏菌病疫情呈上升趋势,应加强畜间管理,开展重点职业人群布病防治知识健康教育,降低其发病水平。
Objective To analyze the serological surveillance results of human brucellosis in Ruzhou City and to understand the prevalence and characteristics of brucellosis in Ruzhou and to provide the basis for making prevention and control strategies. Methods According to the diagnostic criteria of Brucellosis, serological surveillance was performed on suspected cases from 2009 to 2013 in Ruzhou CDC. Results A total of 2 573 samples were detected in Ruzhou City, with 1 124 positive samples and 43.68% positive samples. The disease incidence was obviously seasonal, with the highest incidence of human brucellosis in May. The positive ratio of male to female was 2.44: 1 (797/327). There was a significant difference between the sexes (P <0.01). The highest positive rate was found in> 50 years old group (49.44%, 620/1 254), and the positive rates in different age groups were statistically significant (P <0.01). The occupational distribution was the highest among peasants (94.57%, 1063/1 124). There was significant difference in the positive rates among different occupations (P <0.01). Conclusion The epidemic situation of brucellosis in Ruzhou City is on the rise. Intensive care should be given to livestock management to carry out knowledgeable health education on prevention and treatment of brucellosis among key occupational groups, and to reduce the incidence of brucellosis.