2015—2022年济南市布鲁氏菌病流行特征  

Epidemic characteristics of brucellosis in Jinan City,2015-2022

作　　者：陈星 崔亮亮[2] 常彩云[2] 周成超[1,3] CHEN Xing;CUI Liangliang;CHANG Caiyun;ZHOU Chengchao(Center for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong 250012,China;Jinan Municipal Center for Disease Control and Prevention,Jinan,Shandong 250021,China;The National Health Commission Key Laboratory of Health Economics and Policy Research(Shandong University),Jinan,Shandong 250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]济南市疾病预防控制中心,山东济南250021 [3]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250012

出　　处：《实用预防医学》2024年第11期1328-1331,共4页Practical Preventive Medicine

摘　　要：目的 了解2015—2022年济南市人间布鲁氏菌病(简称布病)流行特征,为制定布病防治策略提供依据。方法通过收集2015—2022年济南市布病病例资料和个案流行病学调查资料,采用描述性流行病学方法分析布病的流行特征。结果 2015—2022年济南市累计报告布病2 015例,其中2015—2016年发病率呈上升趋势,2016—2022年发病率整体呈现逐年下降趋势(趋势Z=6.514,P<0.001),年均发病率为3.34/10万;无死亡病例。各月均有病例报告,春夏季为发病高峰期,3—8月共报告1 380例,占病例总数的68.49%。病例主要分布在章丘区、历城区、长清区、商河县、平阴县,共报告1 591例,占病例总数的78.96%。男性发病人数多于女性,男女性别比为2.7∶1;发病年龄中位数为53岁。农民1 722例,占85.46%。发病至确诊时间间隔中位数为16 d。结论 济南市应进一步落实综合防治措施,加强布病防治工作,切实控制疾病流行。Objective To understand the epidemic characteristics of human brucellosis in Jinan City from 2015 to 2022,and to provide a basis for the development of brucellosis prevention and control strategies.Methods We collected the data on brucellosis cases and case epidemiological surveys in Jinan City during 2015-2022,and descriptive epidemiological methods were used to analyze the epidemic characteristics of brucellosis.Results A total of 2,015 cases of brucellosis were reported in Jinan City from 2015 to 2022,among which the incidence rates in 2015-2016 showed an increasing trend,while the incidence rates in 2016-2022 showed an overall decreasing trend year by year(Trend Z=6.514,P<0.001).The average annual incidence rate was 3.34/100,000.No death case was found.Cases were reported in each month,the peak incidence season was in spring and summer,and a total of 1,380 cases were reported in March-August,accounting for 68.49%of the total number of the cases.The cases were mainly distributed in Zhangqiu District,Licheng District,Changqing District,Shanghe County and Pingyin County,with a total of 1,591 cases reported,accounting for 78.96%of the total number of the cases.The number of male cases was more than that of female cases,with a male-to-female sex ratio of 2.7∶1.The median of age of onset was 53 years.Farmers accounted for 85.46%of the total cases(1,722/2,015).The median of time interval between onset and confirmed diagnosis was 16 days.Conclusion Comprehensive prevention and control measures should be further implemented in Jinan City,and brucellosis prevention and treatment should be enhanced so as to effectively control the epidemic of the disease.

关 键 词：布鲁氏菌病 流行特征 分析 

分 类 号：R516.7[医药卫生—内科学] R181.3[医药卫生—临床医学]