某建设集团尼日利亚项目部建设工地疟疾和伤寒疫情的调查与处置  

Investigation and control of malaria and typhoid fever in construction site by a construction group in Nigeria

作　　者：贾玉新[1] 刘旭红[1] 何建[1] 李治平[1] 吴照[1] 

机构地区：[1]甘肃省疾病预防控制中心消毒与病媒生物防制科,兰州730000

出　　处：《中国媒介生物学及控制杂志》2016年第5期501-503,共3页Chinese Journal of Vector Biology and Control

摘　　要：目的通过对某建设集团尼日利亚项目部建设工地疟疾、伤寒疫情的调查与处置,为涉外建设项目传染病疫情的预防控制提供经验,尤其是对疟疾、伤寒疫情的处置提供指导。方法 2013年6月采用现场走访和回顾性调查等方法进行流行病学调查。采用疟疾实验室病原学镜检疟原虫、伤寒实验室血培养等方法确诊病例。结果建设工地74人中,患疟疾3例,同时患有疟疾和伤寒的4例,携带伤寒杆菌者26例,其中包括食堂仅有的3名厨师。在工作组专家的指导和帮助下,对疟疾患者进行规范治疗,对伤寒患者及伤寒杆菌携带者进行隔离和针对性治疗,对患有疟疾或伤寒伴有其他基础性疾病的工人接回国内进行规范性治疗。结论消灭蚊虫、清除蚊虫孳生地、加强个人防护和避免蚊虫叮咬是预防疟疾的重要措施,可以在尼日利亚疟疾流行区进一步推广。Objective Through malaria and typhoid fever outbreak investigation and control in foreign construction project site in Nigeria, experience and guidance were provided for the prevention and control of infectious diseases under the similar situations. Methods Procedures included field visits, retrospective investigation, etiology microscopy of Plasmodium falciparum, blood culture of typhoid fever cases in June, 2013. Results Among the 74 persons on the construction site, 3 was infected by malaria, and 4 by malaria and typhoid, 26 carrying Sahnonella typhi, including the 3 chefs. Under the guidance of the advisory group, malaria cases were treated by standard protocols. Cases of typhoid fever and pathogen carriers were isolated and treated. Patients with malaria and typhoid fever as well as other health issues were dispatched back to China for further medical care. Conclusion Elimination of mosquitoes and breeding sources, strengthening personal protection, avoidance of mosquito bites were effective important measures to prevent malaria. It may need further study in Nigeria.

关 键 词：建设工地 疟疾 伤寒 疫情处置 

分 类 号：R254.1[医药卫生—中医内科学] R254.5[医药卫生—中医学]