内蒙古自治区锡林浩特市布鲁菌病高发区感染危险因素调查分析

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目的:调查分析锡林浩特市畜产品从业人员布鲁菌病(简称布病)暴露因子和危险因素,为有针对性地采取防控措施提供数据支撑。方法:2018年在内蒙古畜产品加工区的锡林浩特市,选择不同类型和规模牛羊屠宰加工相关企业的员工,以及从事畜产品收购、贩运、市场交易、街头屠宰等活动的个体从业人员作为调查对象,对抽中的企业进行整群调查,对个体从业人员采用市场内寻找和义诊招募的方式进行调查。调查内容重点包括基本情况、发病情况、工作工种以及工作习惯,并采集调查对象血清进行检测。对布病血清检测阳性病例的工作习惯进行危险因素分析。结果:共调查15家牛羊屠宰加工企业371名工人,其中24人血清检测阳性;调查个体从业人员219人,其中38人血清检测阳性。不同工种中,企业工人共涉及10个工种,其中死羔处理工人阳性检出率最高,为26.67%(4/15),其次是剔骨肉工人,阳性检出率为14.71%(15/102)。个体从业人员涉及10个工种,其中剔骨肉阳性检出率最高,为50.00%(6/12);其次是处理死羔,阳性检出率为33.82%(23/68)。危险因素调查结果,企业工人调查了13种工作习惯,有5种是感染布病的危险因素,分别为嘴刁工具、划伤皮肤、不戴帽子、污染全身和污染头面;对个体从业人员调查了12种工作习惯,有5种是感染布病的危险因素,分别为不戴口罩、下班后不洗澡、污染四肢、污染头面和饭前不洗手。结论:从事剔骨肉和死羔处理工种感染布病风险较高,个体和企业工人均有一些工作习惯,是感染布病的危险因素,今后应加强宣传教育以及行为干预措施。“,”Objective:To grasp the exposure factors and risk factors of brucellosis in animal products practitioners in Xilinhot, and provide data support for targeted prevention and control of the disease.Methods:In 2018, employees of different types and sizes of cattle and sheep slaughtering and processing related enterprises, as well as individual practitioners engaged in animal product acquisition, trafficking, market transactions, street slaughtering and other activities were selected as the target of the survey in Xilinhot City, Inner Mongolia Animal Products Processing Zone, to conduct a group survey on the selected enterprises, and conduct surveys on individual practitioners by means of searching in the market and recruiting free clinics. The survey was focused on basic conditions, incidence, types of work, and work habits. The sera of the survey subjects were collected for testing. Risk factors were analyzed for the work habits of seropositive cases with brucellosis.Results:A total of 15 cattle and sheep slaughter and processing enterprises were investigated, including 371 workers, of whom 24 were seropositive; 219 individual practitioners were surveyed, 38 of whom were seropositive. Among different types of work, enterprise workers were involved in a total of 10 types of work, of which dead lambs were the most dangerous, with a prevalence of 26.67% (4/15), followed by boning meat, with a prevalence of 14.71% (15/102); 11 individuals were involved in 10 types of work, of which eviscerate meat was the most dangerous, with a prevalence of 50.00% (6/12), followed by treatment of dead lambs, with a prevalence of 33.82% (23/68). As a result of the survey of risk factors, slaughtering and processing enterprises practitioners were surveyed 13 types of work habits, 5 of which were risk factors for brucellosis, including mouth tools, scratching the skin, not wearing a hat, contaminating the whole body, and contaminating the head and face. The individual pratitioners were investigated 12 work habits, 5 of which were risk factors for brucellosis, including not wearing a mask, not taking a bath after work, contaminating the limbs, contaminating the head and face, and not washing hands before meals.Conclusions:Workers engaged in boning meat and dead lamb processing are at higher risk of contracting brucellosis. Individuals and enterprise workers have some work habits, which are risk factors for contracting brucellosis. Publicity and education and behavior intervention measures should be strengthened in the future.
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