回归热流行病学研究进展及防控措施  

Progress in research of epidemiology of relapsing fever and prevention and control measures

作　　者：张琳[1] 侯学霞[1] 郝琴[1] Zhang Lin;Hou Xuexia;Hao Qin(National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases,Division of Spirochetosis Control,National Institute for Communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China)

机构地区：[1]中国疾病预防控制中心传染病预防控制所螺旋体病控制室/传染病溯源预警与智能决策全国重点实验室,北京102206

出　　处：《中华流行病学杂志》2023年第12期2012-2018,共7页Chinese Journal of Epidemiology

基　　金：国家科技重大专项(2017ZX10303404-006-003);中国疾病预防控制中心传染病预防控制所自主课题(32055);新疆地区莱姆病流行病学和病原学研究(32041)。

摘　　要：回归热是一种由回归热螺旋体引起的人感染性疾病。感染回归热一般会造成患者螺旋体血症和反复高热。为了全面了解该病的分类、分布及影响因素等相关内容,本文梳理了全球回归热流行病学研究进展,并提出了防制措施及建议。回归热的类型较为复杂,普遍认为有蜱传回归热、虱传回归热和禽回归热。蜱传回归热又分为软蜱传播和硬蜱传播两种,软蜱传播的回归热有明显的地域特点,而硬蜱传播的回归热在全球广泛分布;虱传回归热的传播媒介为体虱,发病一般与战乱、饥荒、难民、贫困和卫生条件差有关。防控措施的制定应根据当地情况而定。Relapsing fever,caused by Borreliae of the relapsing fever groups,is an infectious disease,which would cause spirochaetaemia and repeated fever in human.To comprehensively understand the classification and distribution of relapsing fever,as well as correlated factors,this paper summarizes the progress in research of epidemiology of relapsing fever in the world,and suggests prevention and control measures.The disease is heterogenous and can be divided into three groups according to vectors,i.e.tick-borne relapsing fever,louse-borne relapsing fever and the avian relapsing fever.Tick borne relapsing fever can be further divided into two types:soft tick transmission and hard tick transmission.Soft tick-borne relapsing fever generally has obvious geographical distribution characteristics,while hard tick-borne relapsing fever is widely distributed all over the world.Louse-borne relapsing fever,also known as epidemic forms of relapsing fever,is caused by body lice,and the incidence is usually associated with war,famine,refugees and poor sanitation.The prevention and control of relapsing fever should be based on local conditions.

关 键 词：回归热 螺旋体 防控措施 

分 类 号：R514.1[医药卫生—内科学]