2013-2018年江苏省淮安市人间布鲁菌病流行病学和临床特征分析  

Epidemiological and clinical characteristics of human brucellosis in Huai'an of Jiangsu Province,2013-2018

作　　者：张正[1] 高强[1] 苏琦[1] 张文艺[1] 胡锦流[1] 周伟忠[2] Zhang Zheng;Gao Qiang;Su Qi;Zhang Wenyi;Hu Jinliu;Zhou Weizhong(Department of Infectious Disease,Huai'an Center for Disease Control and Prevention of Jiangsu Province,Huai'an 223001,China;Department for Acute Infectious Disease Control and Prevention,Jiangsu Center for Disease Control and Prevention,Nanjing 210009,China)

机构地区：[1]江苏省淮安市疾病预防控制中心传染病防治科,223001 [2]江苏省疾病预防控制中心急性传染病防制所,南京210009

出　　处：《中华地方病学杂志》2019年第12期959-962,共4页Chinese Journal of Endemiology

摘　　要：目的了解江苏省淮安市人间布鲁菌病(简称布病)的流行病学和临床特征,为制定防控措施提供依据.方法通过"传染病报告信息管理系统"收集相关数据,对淮安市2013-2018年布病发病情况进行描述性流行病学(人群分布、时间分布、地区分布)和临床特征分析.结果2013-2018年江苏省累计报告布病704例,年均发病率为0.1467/10万,其中淮安市报告32例,占全省总病例数的4.55%,年均发病率为0.1100/10万.各年度发病数(率)分别为2例(0.0416/10万)、4例(0.0834/10万)、6例(0.1247/10万)、6例(0.1232/10万)、8例(0.1636/10万)和6例(0.1221/10万).病例以男性居多(20例,62.5%),年龄主要集中在40~<60岁(20例,62.5%),职业主要是农民(21例,65.6%).接触动物以羊为主,接触方式多为饲养和屠宰.病例主要集中在3-9月发病(26例),除洪泽区外,各县区均有病例.临床表现主要是发热、乏力、多汗和关节肌肉痛,分别为30例(93.8%)、28例(87.5%)、25例(78.1%)和22例(68.8%),部分病例出现肝、脾、淋巴结和睾丸肿大等表现.结论淮安市布病发病总体呈上升趋势,人群分布、时间分布、地区分布特征明显;临床特征主要为发热、乏力、多汗.应加强对布病的监测,对高危人群开展健康教育,减少布病的发生.Objective To understand the epidemiological and clinical characteristics of human brucellosis in Huai'an of Jiangsu Province,and to provide evidence for the formulation of prevention and control measures.Methods Relevant data was collect through"Infectious Disease Report Information Management System".Descriptive epidemiology(population distribution,time distribution,regional distribution)and clinical characteristics analysis of brucellosis were conducted in Huai'an City from 2013 to 2018.Results Totally 704 cases of brucellosis had been reported in Jiangsu Province,with an average annual incidence of 0.1467/100000,among which 32 cases(4.55%)had been reported in Huai'an,with an average annual incidence of 0.1100/100000 from 2013 to 2018.The annual outcomes(incidence rates)were 2(0.0416/100000),4(0.0834/100000),6(0.1247/100000),6(0.1232/100000),8(0.1636/100000)and 6(0.1221/100000),respectively.Most of the cases were males(20 cases,62.5%),and aged mainly focused from 40-<60 years old(20 cases,62.5%).The occupation was mainly farmers(21 cases,65.6%).The contact with animals was mainly sheep,and the contact mode was feeding and slaughtering.The cases mainly occurred from March to September(26 cases),and all districts had cases except Hongze.The main clinical manifestations were fever,fatigue,hyperhidrosis and arthromyalgia,with 30 cases(93.8%),28 cases(87.5%),25 cases(78.1%)and 22 cases(68.8%),respectively.Some cases showed enlargement of liver,spleen,lymph nodes and testis.Conclusions The incidence of brucellosis in Huai'an City is on the rise,and the characteristics of population distribution,time distribution and regional distribution are obvious.The clinical features are mainly fever,fatigue,and hyperhidrosis.We should strengthen the monitoring of brucellosis,carry out health education for high-risk groups,and reduce the occurrence of brucellosis.

关 键 词：布鲁杆菌病 流行特征 临床特征 

分 类 号：R73[医药卫生—肿瘤]