福建省2011-2015年人间布鲁氏菌病疫情分析

发布时间：2018-05-12 18:41

本文选题：布鲁杆菌属 + 发病率　；参考：《中华疾病控制杂志》2017年08期

【摘要】：目的探讨福建省2011-2015年人间布鲁氏菌病疫情状况,为制定预防控制策略提供科学依据。方法对福建省卫生机构2011-2015年通过全国疾病监测系统报告的布鲁氏菌病例数据进行分析。结果福建省布鲁氏菌病报告数由2011年的15例增加到2015年的115例,五年间共报告249例,发病率为0.13/10万,呈快速上升态势(Z=10.45,P0.001)。漳州和南平发病率居前,分别为0.42/10万和0.18/10万。区县数由2011年的10个增加到2015年的37个(Z=25.86,P0.001)。农村和城市发病率分别为0.29/10万和0.03/10万,均呈逐年上升态势。5~8月份为发病高峰期。男性发病率(0.19/10万)大于女性(0.07/10万)(X~2=57.27,P0.001)。60~岁组发病率最高,为0.40/10万。农民和牧民是高发人群,占比65.46%。诊断时间小于7 d的病例占比30.52%,近5年间诊断时间趋势无统计学意义(Z=2.19,P=0.701)。福建省2011-2015年共报告14起布病突发事件,发病23人,无死亡病例。结论福建省布鲁氏菌病疫情逐年趋于严峻,医疗机构诊断不及时,误诊较多,相关部门应根据流行特征采取有效的预防控制措施。
[Abstract]:Objective to investigate the epidemic situation of human brucellosis in Fujian province from 2011 to 2015, and to provide scientific basis for making prevention and control strategy. Methods the data of brucella cases reported by the National Disease Surveillance system in Fujian Province from 2011 to 2015 were analyzed. Results the number of brucellosis reports in Fujian increased from 15 cases in 2011 to 115 cases in 2015. 249 cases were reported in five years. The incidence rate was 0.13 / 100 000. Zhangzhou and Nanping have the highest incidence rates of 0.42 / 100, 000 and 0.18 / 100, 000, respectively. The number of districts and counties increased from 10 in 2011 to 37 in 2015. The incidence rates in rural and urban areas were 0.29 / 100 000 and 0.03 / 100 000, respectively, which showed an increasing trend year by year. August was the peak period. The incidence rate of male (0.19 / 100,000) was higher than that of female (0.07 / 100,000). Farmers and herdsmen are high incidence population, accounting for 65.46%. The proportion of cases with diagnosis time less than 7 days was 30.52. There was no statistical significance in the trend of diagnostic time in recent five years. A total of 14 sudden cases of brucellosis were reported in Fujian Province from 2011 to 2015, with 23 cases and no death cases. Conclusion the epidemic situation of brucellosis in Fujian Province tends to be severe year by year, the diagnosis of medical institutions is not in time and the misdiagnosis is more frequent. The relevant departments should take effective preventive and control measures according to the epidemic characteristics.
【作者单位】：福建省疾病预防控制中心应急处置与疫情管理所福建省人兽共患病研究重点实验室;漳州市疾病预防控制中心传染病防制科;
【基金】：福建省卫生和计划生育委员会医学创新科研基金(2015-CXB-11)
【分类号】：R516.7

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