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目的了解宜兴市职业人群布鲁氏菌病的流行情况,为制定预防控制措施提供依据。方法选择从事养殖、屠宰、皮毛乳肉加工等与布鲁氏菌病传播有职业关系的200人作为调查对象,填写认知情况调查表并采集血液样品,分别进行虎红平板凝集试验(RBPT)和试管凝集试验(SAT)。结果 200名高危职业人群提供的血液样品中22例RBPT初筛阳性,阳性率11.0%。养殖、屠宰、皮毛乳肉加工、畜产品交易及其他血清阳性率分别为5.0%、10.6%、14.3%、13.8%、8.3%。接受调查职业人群对布病的临床表现以长期发热知晓率最高(44.5%),皮疹知晓率最低(2.5%);明确知晓通过经呼吸道、消化道和皮肤及粘膜传播布病的占22.0%,相比去年的11.2%有明显提高(P<0.05);接触患病动物会感染布病的知晓率为47.0%,其中病羊可传播布病知晓率最高(50.0%)。结论本市职业人群对布病的认知相比去年有所提高,加大职业人群布鲁氏菌病防治知识宣传教育,采取有效防护措施,减少职业因素感染。
Objective To understand the prevalence of brucellosis among occupational population in Yixing, and to provide the basis for making prevention and control measures. Methods A total of 200 people who had professional relationship with brucellosis such as breeding, slaughtering, fur milk processing and so on were selected as survey subjects. The cognitive status questionnaire was filled in and blood samples were collected. The tiger plate agglutination test (RBPT) and Tube Agglutination Test (SAT). Results Totally 22 RBPT positive blood samples were obtained from 200 high-risk occupational groups, the positive rate was 11.0%. Breeding, slaughtering, fur milk processing, animal products trading and other seroprevalence were 5.0%, 10.6%, 14.3%, 13.8% and 8.3%, respectively. Occupational exposure to brucellosis was the highest in the occupational population (44.5%) and lowest in rash (2.5%). It was clearly known that 22.0% of the patients were infected with bursal disease through the respiratory tract, digestive tract, skin and mucous membranes, Compared with 11.2% of last year (P <0.05). The rate of awareness of brucellosis in contact with sick animals was 47.0%, of which the prevalence of transmitted brucellosis in sick sheep was the highest (50.0%). Conclusion The occupational groups in this city have a better cognition on brucellosis than last year, and they have increased the propaganda and education on the prevention and control of brucellosis among occupational groups and taken effective protective measures to reduce the infection of occupational factors.