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目的及时掌握布鲁氏菌病的流行动态,为今后制定防制措施提供科学依据。方法对7例经临床诊断为布鲁氏菌病的患者进行流行病学个案调查,并对其临床资料进行分析;采用布鲁氏菌病特异性血清学进行抗体水平检测及细菌学培养与分型。结果在报告的7例布病患者中,其中本市户籍2例;外地户籍5例。男性3例;女性4例。分布在20～60岁年龄组。职业分布:实验室检验人员1例,牲畜屠宰、销售3例,其他3例(家庭主妇、商业服务、个体司机)。接触史:在牲畜屠宰、销售过程中或加工进食羊仔和羊胎盘及嗜食路边烧烤牛、羊肉串,与畜及畜产品有直接或间接接触史的占85.71%;实验室工作中不慎感染占14.29%。试管凝集试验:14∶00/2例,18∶00/3例,11∶600/3例。菌种鉴定:布鲁氏杆菌猪4型2例,羊种3型2例,另3例未上送菌种鉴定。7例布鲁氏菌病患者经治疗后痊愈。结论应提高对布鲁氏杆菌病的认识,减少误诊漏诊,在转入慢性期前及时治疗最为理想。
Objective To grasp the prevalence of brucellosis in time and provide a scientific basis for the formulation of control measures in the future. Methods 7 cases of clinically diagnosed brucellosis patients were investigated by epidemiological investigation and their clinical data were analyzed. The antibody levels of brucellosis-specific serological tests and bacteriological culture were compared type. Results In the report of 7 cases of brucellosis patients, of which 2 cases of household registration in the city; 5 cases of permanent residence. 3 males and 4 females. Distribution in the 20 to 60 age group. Occupational distribution: 1 laboratory staff, livestock slaughter and sale of 3 cases, the other 3 cases (housewives, business services, individual drivers). Contact history: 85.71% of the history of direct or indirect contact with livestock and livestock products during the process of slaughtering and selling livestock or processing sheep and sheep placenta and street-side roasting beef and mutton skewers, and inadvertent laboratory work Infection accounted for 14.29%. Tube agglutination test: 14:00 / 2 cases, 18:00 / 3 cases, 11:600 / 3 cases. Identification of strains: Brucella abortus pig type 4 in 2 cases, sheep type 3 in 2 cases, the other 3 cases did not send species identification. Seven patients with brucellosis recovered after treatment. Conclusions The diagnosis of brucellosis should be improved, the misdiagnosis and missed diagnosis should be reduced, and the prompt treatment should be the best before it is transferred to chronic phase.