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目的:通过淄博市1994~2007年疑似布氏菌病患者的血清学监测结果分析,探讨淄博市布氏菌病疫情的流行特点与发病趋势,为布氏菌病疫情预防控制工作提供科学依据。方法:1994~2007年全市各区县送检疑似布氏菌病患者的血清,采用瑞特氏试管凝集试验检测布氏杆菌抗体。结果:检测标本1063份,布氏杆菌抗体阳性199人,阳性率为18.72%;男性848人,男性占总样本数的79.77%,阳性151人,阳性率为17.81%,男性发病高于女性;发病年龄以青壮年为主,15~59岁组924例,阳性161人,阳性率为17.42%%,农民占624例,阳性103人,阳性率16.51%%。结论:针对疫情回升原因,建议今后加强传染源管理工作,切断病菌传播途径,加强畜间检疫与预防接种、病畜的隔离与淘汰工作及污染环境的消毒处理和三管工作,加大对职业人群的宣传力度,使群众对此病深入了解,增强自我防护意识,得病后及时就诊,达到控制疫情上升,降低发病率的目的。
OBJECTIVE: To analyze the epidemiological characteristics and trend of the outbreaks of brucellosis in Zibo city through serological monitoring results of patients with suspected brucellosis from 1994 to 2007 in Zibo, and to provide a scientific basis for the prevention and control of the epidemic situation of brucellosis. Methods: Serum samples of patients with suspected brucellosis were sent to the districts and counties of the city from 1994 to 2007, and the brucella antibodies were detected by Reiter ’s tube agglutination test. Results: 1063 samples were detected, 199 strains of brucellosis were positive, the positive rate was 18.72%; 848 males, male accounted for 79.77% of the total samples, 151 were positive, the positive rate was 17.81% The age of onset was mainly young and middle-aged. There were 924 cases aged 15-59 years with 161 positives, the positive rate was 17.42%, and the peasants accounted for 624 cases. The positive rate was 103 and the positive rate was 16.51%. Conclusion: In response to the reasons for the rebound in the outbreak, it is suggested to strengthen the management of infection sources in the future, to cut off the route of transmission of germs, to strengthen quarantine and vaccination of livestock, isolation and elimination of sick animals, disinfection of polluted environment and three-tube work, The publicity efforts of the crowd will enable the masses to gain a better understanding of the disease, enhance their awareness of self-protection and promptly seek medical attention after getting sick so as to control the rise of the epidemic and reduce the incidence.