2013-2014年安阳市就诊人员布鲁氏菌病流行现状分析

发布时间：2018-04-01 09:15

本文选题：布鲁氏菌病　切入点：现状分析　出处：《现代预防医学》2015年16期

【摘要】：目的分析安阳市2013年6月1日-2014年6月1日人间布鲁氏菌病的流行特征及流行趋势,为制定预防控制措施提供参考依据。方法采用流行病学现况调查的方法,对来自安阳市疾病控制中心的就诊人员进行调查分析,以发现河南省安阳市布鲁氏菌病的流行病学特征;通过对调查人员进行血清学检测,获得当地职业人群的布病感染率;通过对不同暴露状况下人群的感染情况的比较,进行危险因素的筛选,探索影响疾病发生的相关危险因素。结果共调查689例,其中布鲁氏菌病阳性120例,阳性率为17.42%;性别和各年龄组间阳性率不同,差异均有统计学意义(P0.05);调查人群的职业共分为8类,其中农牧民阳性例数占的比例最多,占总数的70.00%,其次为畜产品收购人员,比例为18.33%;布鲁氏菌病的发病具有季节性,发病时间主要集中在3-7月份;阳性率最高的就诊地区为林州,其次为安阳县;经多重Logistic回归分析,食用未煮熟畜肉(OR=4.61,95%CI:1.79~11.85)、畜产品收购(OR=6.31,95%CI:2.53~15.75)、接触家畜流产物(OR=3.86,95%CI:1.50~8.98)、接触排泄物(OR=3.52,95%CI:2.37~7.56)、幼羔在卧室喂养(OR=9.45,95%CI:5.92~15.07)均是布病感染的危险因素(P0.05)。结论本研究为布鲁氏菌病的预防和临床治疗提供了科学依据,为布鲁氏菌病的病因预防提供了理论支持。
[Abstract]:Objective to analyze the epidemic characteristics and epidemic trend of human brucellosis from June 1, 2013 to June 1, 2014 in Anyang City, and to provide reference basis for making prevention and control measures.Methods Epidemiological survey was used to investigate and analyze the epidemiological characteristics of brucellosis in Anyang City, Henan Province, and to detect the serological characteristics of brucellosis in Anyang City, Henan Province.The infection rate of brucellosis in local occupational population was obtained and the risk factors were screened by comparing the infection status of the population under different exposure conditions to explore the related risk factors affecting the occurrence of the disease.Results A total of 689 cases were investigated, of which 120 cases were brucellosis positive, the positive rate was 17.42%, the positive rates of sex and age groups were different, the differences were statistically significant (P 0.05).Among them, farmers and herdsmen accounted for the largest proportion of positive cases, accounting for 70.00th of the total, followed by livestock product buyers, the proportion was 18.33. Brucellosis was seasonal, and the time of onset was mainly in March and July. The highest positive rate was in Linzhou.Conclusion this study provides a scientific basis for the prevention and clinical treatment of brucellosis and provides theoretical support for the etiological prevention of brucellosis.
【作者单位】：河南护理职业学院基础医学部;
【分类号】：R516.7

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