2005-2023年绍兴市布鲁氏菌病流行特征分析  

Epidemiological characteristics of brucellosis in Shaoxing City from 2005 to 2023

作　　者：赵棋锋 王吉玲[1] 马岩[1] 方益荣[2] ZHAO Qifeng;WANG Jiling;MA Yan;FANG Yirong(Department of Infectious Disease Control and Prevention,Shaoxing Center for Disease Control and Prevention,Shaoxing,Zhejiang 312000,China;Shaoxing Center for Disease Control and Prevention,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市疾病预防控制中心传染病预防控制科,浙江绍兴312000 [2]绍兴市疾病预防控制中心,浙江绍兴312000

出　　处：《预防医学》2024年第9期806-808,812,共4页China Preventive Medicine Journal

基　　金：绍兴市级科技计划项目(2023A14018)。

摘　　要：目的分析2005—2023年浙江省绍兴市布鲁氏菌病(布病)流行特征,为制定有针对性的防控措施提供依据。方法通过中国疾病预防控制信息系统监测报告管理系统收集2005—2023年绍兴市布病病例个案资料和流行病学调查资料,采用描述性流行病学方法分析流行特征,采用平均年度变化百分比(AAPC)分析布病发病趋势。结果2005—2023年绍兴市累计报告布病病例270例,年均发病率为0.29/10万,未见明显变化趋势(AAPC=0.812%,P>0.05)。发病高峰为2—3月,累计报告80例占29.63%。病例主要分布在上虞区,139例占51.48%;其次是嵊州市,74例占27.41%。男性病例188例,女性82例,男女性别比为2.29∶1;40~<70岁205例,占75.93%,其中50~<60岁组报告病例86例,占41.95%。职业以农民为主,187例占69.26%。发病至诊断间隔时间M(QR)为22.73(39.97)d,诊断延迟率为62.96%。通过饲养、贩卖和运输牛羊感染164例,占60.74%;收购和屠宰过程感染36例,占13.33%。2018年报告1起布病暴发疫情,发生在新昌县,有3例确诊病例。结论2005—2023年绍兴市布病的发病率变化不大,发病高峰在2—3月,病例主要分布在上虞区和嵊州市;50~<60岁、男性和农民是防控重点人群。Objective To analyze epidemiological characteristics of brucellosis in Shaoxing City,Zhejiang Province from 2005 to 2023,so as to provide the basis for developing targeted control measures.Methods Data of brucellosis cases and epidemiological investigation in Shaoxing City from 2005 to 2023 were collected from the Monitoring and Reporting Management System of the Chinese Disease Prevention and Control Information System.The epidemiological characteristics of brucellosis were descriptively analyzed,the trend in incidence of brucellosis was analyzed using average annual percent change(AAPC).Results A total of 270 cases of brucellosis were reported in Shaoxing City from 2005 to 2023,with an average annual incidence of 0.29/105.The AAPC was 0.812%,with no significant changing trend(P>0.05).The incidence of brucellosis peaked from February to March,with 80 cases(29.63%).The reported cases were mainly distributed in Shangyu District(139 cases,51.48%)and Shengzhou City(74 cases,27.41%).There were 188 male cases and 82 female cases,with a male-to-female ratio of 2.29∶1.The cases were primarily concentrated in the age group of 40 to<70 years,with 205 cases accounting for 75.93%.Among these,86 cases were reported in the 50 to<60 years of age group,accounting for 41.95%.The majority of the cases were farmers,with 187 cases accounting for 69.26%.The median interval from onset to diagnosis was 22.73(interquartile range,39.97)days,with a delayed diagnosis rate of 62.96%.Infections through breeding,selling and transporting cattle and sheep resulted in 164 cases(60.74%),and through buying and slaughtering resulted in 36 cases(13.33%).An outbreak of brucellosis was reported in Xinchang County in 2018,with three confirmed cases.Conclusions The incidence of brucellosis in Shaoxing City had no significant change from 2005 to 2023.The peak period was from February to March.The cases were mainly distributed in Shangyu District and Shengzhou City.People aged 50 to<60 years,males,and farmers were the key groups for prevention and cont

关 键 词：布鲁氏菌病 流行特征 发病率 

分 类 号：R516.7[医药卫生—内科学]