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目的分析新疆生产建设兵团第八师石河子垦区布鲁氏菌病感染的家庭聚集性,探讨布鲁氏菌病的防治策略,减少布鲁氏菌病的发生。方法按照《全国人间布鲁氏菌病监测方案》和《布鲁氏菌病诊断标准》WS 269-2007对职业人群和密切接触者进行检测和诊断。结果 2013—2014年职业人群布鲁氏菌病筛查阳性率为2.31%,临床症状以发热(143例、占93.46%)、乏力(94例、占61.44%)、多汗(85例、占55.56%)为主,4—9月为发病高峰,各月发病差异有统计学意义(χ2=87.49,P<0.05);布鲁氏菌病门诊阳性检出率为37.15%,其中23.26%(10/43户)的集体求诊养殖户家中出现2例及以上病例。结论健全家畜饲养管理制度,及时检疫牲畜,加大布鲁氏菌病防控资金投入,加强高危人群布鲁氏菌病防治知识普及,随时监测养殖者及接触者健康状况,是防止家庭布鲁氏菌病聚集性发生的有效措施。
Objective To analyze the agglomeration of brucellosis in Shihezi reclamation area, the eighth division of Xinjiang Production and Construction Corps, to discuss the prevention and treatment strategies of brucellosis and to reduce the occurrence of brucellosis. Methods According to “National Human Brucellosis Surveillance Program” and “Brucellosis Diagnostic Criteria” WS 269-2007, occupational groups and close contacts were tested and diagnosed. Results The positive rate of brucellosis screening among occupational population in 2013-2014 was 2.31%. The clinical symptoms were fever (143 cases, 93.46%), fatigue (94 cases, 61.44%), hyperhidrosis (85 cases, accounting for 55.56%), and peaked from April to September. The incidence of each month was statistically significant (χ2 = 87.49, P <0.05). The positive rate of brucellosis was 37.15%, of which 23.26% 10/43 households) collective consultation farmer households appear in 2 cases and above. Conclusion To improve the management system of domestic animal husbandry, quarantine livestock promptly, intensify the funding of prevention and control of brucellosis, strengthen the popularization of prevention and control of brucellosis in high-risk groups, monitor the health status of farmers and contacts at any time, Effective measures of aggregation of the diseased bacteria.