208例布鲁氏菌病高危从业人员感染现况调查  

Cross-sectional survey of human brucellosis in 208 cases of high-risk occupation

作　　者：张正 高礼勇[3] 谈忠鸣 祖荣强[1,4] 周伟忠 ZHANG Zheng;GAO Li-yong;TAN Zhong-ming;ZU Rong-qiang;ZHOU Wei-zhong(Jiangsu Field Epidemiology Training Program, Nanjing 210009, China;Huai'an Center for Disease Control and Prevention, Huai'an 223001, China;Rugao Center for Disease Control and Prevention, Rugao 226500, China;Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China)

机构地区：[1]江苏省现场流行病学培训项目,南京210009 [2]淮安市疾病预防控制中心,淮安223001 [3]如皋市疾病预防控制中心,如皋226500 [4]江苏省疾病预防控制中心,南京210009

出　　处：《中国人兽共患病学报》2019年第5期472-474,共3页Chinese Journal of Zoonoses

摘　　要：目的了解职业人群布鲁氏菌病的感染现况和可能的影响因素,为制定布鲁氏菌病防治对策提供科学依据。方法对羊交易市场内的从业人员开展流行病学调查和血清学检查,探讨布鲁氏菌病感染的影响因素。结果共调查208例从业人员,以本地中年男性为主,文化程度较低,个人防护不到位,涉及多个高危岗位。检查发现布鲁氏菌感染阳性11例,总感染率为5.29%。影响因素关联性分析结果显示,屠宰是可能的危险因素(OR=4.07, 95%CI:1.05～15.81),工作中戴手套是可能的保护因素(OR=0.25, 95%CI:0.07～0.85)。结论建议开展通俗易懂的宣传教育,引导从业人员做好自身防护,改正不良行为,加强布病防控力度。To understand the infection status and possible influencing factors of brucellosis in occupational groups,and to provide scientific basis for formulating prevention and control strategies of brucellosis,epidemiological investigation and serological examination were carried out among the occupational groups in the mutton market,so as to explore the influencing factors of brucellosis infection.Results showed that a total of 208 staffs were surveyed.They are mainly local middle-aged men with low educational level and inadequate personal protection.The occupational groups involve most high-risk positions.The eleven cases of Brucella infection were found.The infection rate was 5.29%.Relevance analysis showed that slaughter was a possible risk factor(OR=4.07,95%CI:1.05-15.81),and glove wearing at work was a possible protective factor(OR=0.25,95%CI:0.07-0.85).In conclusion,Easy-to-accept propaganda and education,guiding to do well in personal protection and right behaviors are effective measures to prevent and control brucellosis.

关 键 词：布鲁氏菌病 感染特征 影响因素 

分 类 号：R378.5[医药卫生—病原生物学]