玉林市2005-2010年霍乱弧菌监测结果分析  

Detection Result Analysis of Vibrio Cholerae Monitoring in Yulin(2005-2010)

作　　者：罗铭[1] 梁炯明[1] 叶瑞国[1] 宋斌[1] 全信斌[1] 张剑兰[1] 陆运龙[1] 

机构地区：[1]广西玉林市疾病预防控制中心,37000

出　　处：《中外妇儿健康（学术版）》2011年第7期8-9,共2页

摘　　要：目的:及时发现霍乱病例,掌握疫情动态,早期识别暴发疫情,分析流行因素,掌握我市霍乱型别、分布、毒力等变化情况,监测菌型变化与流行的关联性,为制订防治策略和措施提供科学依据。方法:2005-2008年采用GB15984-1995《霍乱防治手册》(第五版),2009-2010年采用WS289-2008作为检验依据对外环境水体及海、水产品,以及腹泻病人粪便进行检验。结果:6年来腹泻病人均没有检出霍乱弧菌。外环境水体监测样品共2339份,检出霍乱弧菌7株,检出率为0.30%;海、水产品监测样品共4887份,检出霍乱弧菌21株,检出率为0.43%;外环境样品总检出率为0.39%。结论:这几年玉林虽然没有暴发霍乱疫情,也没有检出霍乱病人,但在外环境水体及水产品中连续几年均检出霍乱弧菌,且在水体中检出3株0139群霍乱弧菌肠毒素(CT)阳性菌株。因此,我市仍然存在霍乱的威胁以及发生霍乱病例或暴发流行的可能,应提高警惕,加大监测力度,预防和控制霍乱的发生和流行。Objective ： to detect cases of cholera timely ; grasp the epidewSc situation ; identify the outbreak of epidemic early and analyse its factors ; grasp changes of the cholera＇ s types,its distributions and virulence; monitor the relevance between the transforming of bacterial type and epidemic so as to provide scientific basis for developing control strategies. Methods： for the dates of 2005 -2008 period, take ＂Guidelines for Cholera Control＂ （GB15984 - 1995, 5th edition） and for the dates of 2009 -2010 period, take WS289 -2008 as the test basis to conduct assays on samples of external environmental water, aquatic products and diarrheal patients＇ stool. Result ： no vibrio cholerae was detected from samples of diarrheal patients＇ stool during the 6 years. Five strains of vibrio cholerae were detected among 2339 samples from external environmental water; the positive detection rate was 0.30% ： 21 strains of vibrio cholerae were detected among 4887 marine and aquatic products with the detection rate of 0.43%. Conclusion： these years, although there are no cholera outbreaks and no detected cases of cholera, strains of vibrio cholerae have been detected among external environmental water and fishery products in the last consecutive years, especially three strains of enterotoxin vibrio cholerae were found in water samples. So in Yulin, the threat of cholera and the possibilities of cholera outbreak still remains. We should beth increase monitoring and take vigilance in it to prevent and oontrol the incidence and prevalence of cholera.

关 键 词：霍乱弧菌 海 水产品 

分 类 号：R516[医药卫生—内科学]