广州市荔湾区2007～2012年霍乱监测结果分析  

Analysis of surveillance of Vibrio cholerae in Liwan District of Guangzhou City in 2007 -2012

作　　者：陈若恒[1] 张秋丽[1] 付丽[1] 

机构地区：[1]广州市荔湾区疾病预防控制中心,广东广州510176

出　　处：《中国热带医学》2014年第3期367-368,377,共3页China Tropical Medicine

摘　　要：目的分析广州市荔湾区2007—2012年霍乱监测情况，为预防控制提供依据。方法根据《广州市霍乱监测方案》以及《霍乱防治手册》（第5版），对腹泻病人和重点人群粪便、水产品、食品及外环境水体进行采样监测、分离和鉴定。结果2007—2012年荔湾区共监测霍乱标本20687份，阳性19份，总阳性率0．09％。其中检索腹泻病人16319份，阳性7份，阳性率0．04％；重点人群446份，无阳性；水产品等食品2104份，阳性8份，其中以蛙类为主，阳性率0．38％；外环境监测点共监测1818份，阳性4份，阳性率0．22％。在19份阳性标本中，血清学分型O1群稻叶型11株、小川型6株，0139群2株。霍乱主要毒力基因检测结果均为阴性。结论荔湾区外环境水体、水产品存在霍乱弧菌，应加强蛙类等水产品监测，及时了解其污染状况，以便采取有针对性的措施，预防控制霍乱的发生和流行。Objective To analyze the monitoring data of Vibro cholerae from 2007 to 2012 in Liwan District of Guangzhou City, and provide scientific basis for cholera prevention and control. Method In accordance of Surveillance Strategy of Cholera in Guangzhou and Manual of Vibrio Cholerae Control and Prevention （5th edition ）, the stool samples of diarrhea patients and focus groups, food, aquatic products and external environment water were detected, isolated and identified.Result Twenty thousand six hundred and eighty-seven samples were collected during 2007 to 2012 and Vibdo cholera was found in 19 samples （0.09%）. 7 samples in 16 319 diarrhea patients were detected （0.04%）, 0 of 446 samples in focus group （0.00%）, 8 of 2 104 fishery products （0.38%, mostly in bullfrogs）. 4 of I 818 samples of external environment water （0.22%）. Serotyping showed that there were 11 inaba strains, 6 ogawa strains and 2 O139 strains in the 19 positive samples. The results ofmajor virulence gene detection was negative. Conclusion V. cholera existed in external environmental and aquatic products in Liwan District, monitoring of the bullfrogs be strengthened for making control and preventive measure.

关 键 词：霍乱 监测 分析 

分 类 号：R181.8[医药卫生—流行病学]