山东省利津县一起皮肤炭疽疫情的调查检测与处置  

Detection and disposal of an outbreak of cutaneous anthrax in Lijin county,Shandong province

作　　者：曹付龙 侯庆丽 CAO Fulong;HOU Qingli(Department of Clinical Laboratory,Lijin County Center for Disease Control and Prevention,Dongying Shandong,257400,China;Department of Infectious Disease Prevention and Control,Lijin County Center for Disease Control and Prevention)

机构地区：[1]利津县疾病预防控制中心检验科,山东东营257400 [2]利津县疾病预防控制中心传染病预防与控制科

出　　处：《质量安全与检验检测》2025年第2期15-17,共3页QUALITY SAFETY INSPECTION AND TESTING

摘　　要：根据对2022年8月山东省东营市利津县一起皮肤炭疽疫情的现场调查处置,查明疫情原因,采取控制措施,规范处置流程,总结防控经验,为类似疫情的处置提供参考。本次疫情处置采用了现场流行病学方法,追踪消灭传染源,排查可疑病例,对疫源地开展采样检测,现场消杀,对涉及畜牧养殖、屠宰销售等重点人群开展防控知识宣传及健康教育,总结完善皮肤炭疽疫情综合防控方案。经调查发现,此次疫情为1例女性皮肤炭疽病例,其参与了病牛的养殖屠宰,采集患者皮肤涂抹拭子2份,疱疹液1份,炭疽杆菌核酸检测均为阳性。采集患者家及牛肉收购商家等共6处场所环境、物品样本45份,共检测出阳性样本22份。追回销毁涉疫产品,排除可疑病例,开展防控宣传及消毒效果评价。本次疫情传染源为病牛,传播途径为宰杀感染炭疽芽孢杆菌的病牛后,通过皮表创口接触病菌污染的环境造成感染。According to the on-site investigation and treatment of a cutaneous anthrax outbreak in Lijin,Dongying,Shandong in August 2022,we find out the cause of the outbreak,take control measures,standardize the treatment process,summarize the prevention and control experience,and provide reference for the treatment of similar outbreaks.The treatment of this outbreak adopted the field epidemiological method to track and eliminate the source of infection,investigate suspicious cases,conduct sampling and detection in the epidemic area,conduct on-site sterilization,carry out prevention and control knowledge publicity and health education for key populations involved in livestock breeding,slaughtering and sales,and summarize and improve the comprehensive prevention and control program for cutaneous anthrax.After investigation,this outbreak was caused by a female case of cutaneous anthrax,who participated in the breeding and slaughtering of sick cattle.Two skin swabs and one herpes fluid were collected from the patient,and nucleic acid tests for Bacillus anthracis were positive.Forty-five environmental and object samples were collected from the patient and beef purchasing businesses,and 22 positive samples were detected.The epidemic-related products were recovered and destroyed,suspicious cases were excluded,and prevention and control publicity and disinfection effect evaluation were carried out.The source of infection in this outbreak was sick cattle,and the transmission route was through skin wounds contacting the environment contaminated by the pathogen after slaughtering the sick cattle infected with Bacillus anthracis.

关 键 词：皮肤炭疽 疫情 联防联控 

分 类 号：R183[医药卫生—流行病学]