2009年陕西省渭南市人间布鲁杆菌病监测结果分析  

Analysis of human brucellosis surveillance in Weinan city of Shaanxi province in 2009

作　　者：李广德[1] 侯兴佑 钱惠兰 张新桂[1] 周敏[1] 郭世红[1] 

机构地区：[1]陕西省渭南市疾病预防控制中心地方病科,714000

出　　处：《中国地方病学杂志》2011年第2期205-207,共3页Chinese Jouranl of Endemiology

基　　金：中央补助地方公共卫生专项资金地方病防治项目（2008）

摘　　要：目的了解陕西省渭南市布鲁杆菌病（简称布病）流行状况，为制订防治策略提供科学依据。方法根据《陕西省布鲁氏菌病监钡4工作实施方案》，2009年在渭南市选择澄城、大荔、合阳、潼关、韩城5个县（市）的固定监测点35个乡（镇）、非固定监测点24个乡（镇）开展人间布病监测工作，对7～60岁与家畜及畜产品有接触的重点人群进行临床检查，有症状者进行血清学检测（虎红平板凝集试验和试管凝集试验）。操作方法及判定标准均按《布鲁氏菌病诊断标准》（WS269—2007）进行。结果固定监测点共调查重点人群8664人，做虎红平板凝集试验1407人，阳性27人，阳性率为1．92％（27／1407）；做试管凝集试验27人．阳性27人．阳性率为100％（27／27）；确诊25例，确诊率为92．59％（25／27）。非固定监测点共调查重点人群3464人，做虎红平板凝集试验411人，阳性3人，阳性率为0．73％（3／411）；做试管凝集试验3人，均为阳性，且全部确诊。共确诊新发病例28例，人间布病感染率为0．25％（30／12128），发病率为2．06／10万（28／1361618）。结论渭南市人间布病疫情居高不下，建议政府加大经费投入，积极开展畜间和人间布病疫情监测工作，控制疫情扩大蔓延。Objective To survey and analyze characteristics of brucellosis epidemic in Weiuan city of Shaanxi province for the purpose of setting up prevention and control measures for the disease. Methods According to ＂The Executing Plan for the Work of Surveying Brucellosis Disease in Shaanxi Province＂, 35 villages （towns） of designated monitoring locations and 24 villages （towns） of randomized monitoring locations in five countries of Weinan were chosen to survey brucellosis disease. The five countries were Chengcheng, Dali, Heyang, Tongguan and Hancheng. High risk populations with a history of contacting livestock and livestock products aged between 7 and 60 underwent clinical and serology examinationlrose bengal plate agglutination test（RBPT） and standard tube agglutination test（SAT）]. All manipulation methods and judging standards were in accord with the ＂Diagnostic Standard for Brucellosis＂ （WS 269-2007）. Results In the designated monitoring location, a total of 8664 people at high risk were investigated, among whom 1407 people were tested by RBPT test and 27 people were positive, the positive rate was 1.92% （27/1407）; 27 people were tested by SAT test and 27 people were positive, the positive rate was 100% （27/27）; 25 people were diagnosed and the diagnosis rate was 92.59% （25/27）. In the randomized monitoring location, a total of 3464 people at high risk were investigated, among whom 411 people were tested by RBPT test and 3 people were positive, the positive rate was 0.73%（3/411 ）, 3 people were tested by SAT test which were all positive and made a definite diagnosis. Twenty-eight new cases were made a definite diagnosis and its incidence was 2.06 in a hundred thousand （28/1 361 618）. Conclusions The infection of human brucellosis in Weinan city stays at higher level. The governments should increase input for the monitoring, investigating and disinfecting to prevent the disease from increasing and outspreading.

关 键 词：布鲁杆菌病 血清学试验 数据收集 

分 类 号：R516.7[医药卫生—内科学]