圭亚那中国矿工荚膜组织胞浆菌病暴发疫情的流行病学调查分析  

Epidemiological analysis of an outbreak of Histoplasma among Chi-nese miners in Guyana

作　　者：张新蕾 魏彦芳 王鑫[2] 周蕾[3] 吕娜 CHI Yichao LIU Na ZHANG Xinlei;WEI Yanfang;WANG Xin;ZHOU Lei;CHI Yichao;LIU Na(Beijing Red Cross Emergency Treatment Center,Beijing 100192,China)

机构地区：[1]北京市红十字会急诊抢救中心,北京100192 [2]中国疾病预防控制中心传染病预防控制所,北京102206 [3]中国疾病预防控制中心卫生应急中心,北京102206 [4]北京市红十字会紧急救援中心应急办,北京100192

出　　处：《中国急救复苏与灾害医学杂志》2021年第7期736-739,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的调查分析圭亚那中国锰矿开采工人荚膜组织胞浆菌病暴发疫情的流行病学特征及原因,为今后荚膜组织胞浆菌病暴发疫情处置提供经验参考。方法收集该暴发疫情全部病例,分析暴发原因,并提出有针对性的防控措施。结果该起荚膜组织胞浆菌病暴发疫情总病例数为15例,罹患率为38.46%(15/39);年龄23~56岁,全部为男性;在15例病例中,死亡2例,重症4例,轻症9例。结论此次暴发荚膜组织胞浆菌病,疾病发生和严重程度与环境暴露强度和剂量依赖性有关。对于当地居民和旅行者去到类似环境时应进行有效的宣教和沟通,做好呼吸道防护是预防和控制疾病的有效措施。Objective To investigate and analyze the epidemiological characteristics and causes of Histoplasma out‐break among Chinese manganese miners in Guyana,and to provide reference for the management of Histoplasma out‐break in the future.Methods Collected the data of all cases to analyze the causes of the outbreak and offered targeted prevention and control measures.Results A total of 15 cases was reported in the Histoplasma outbreak and the inci‐dence rate was 38.46%(15/39).All the cases were male and the age was 23-56 years old.In 15 cases,2 of them died,4 severe cases and 9 mild cases.Conclusion The occurrence and severity of Histoplasma in this outbreak are associat‐ed with environmental exposure intensity and dose dependence.For local residents and travellers visiting the similar environment should carry out effective education and communication and the well respiratory protection is an effective measure to prevent and control diseases.

关 键 词：荚膜组织胞浆菌 暴发 圭亚那 

分 类 号：R519[医药卫生—内科学]