自贡市羊肉汤馆员工布鲁菌病感染情况调查
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摘要
目的了解自贡市羊肉汤馆员工布鲁菌病(布病)感染率情况和危险因素,为采取防控措施提供参考。方法选取自贡市羊肉汤馆从业人员进行问卷调查和血清学检查。结果共调查332人,虎红平板实验(RBPT)初筛阳性16人,阳性率4.82%,试管凝集实验(SAT)检测滴度≥1∶100者4人。自贡市71%(5/7)的区县均有感染者分布。羊肉汤馆员工中20.2%同时承担了羊屠宰和生肉加工工作,感染率为8.96%。从业时间越久,感染风险越高。结论相关部门应禁止羊肉汤馆当街屠宰羊,将羊肉汤馆员工作为布鲁菌病高危人群进行管理。
Subjective To examine the brucellosis infection rate and risk factors of brucellosis infection of mutton restaurant workers in Zigong, so as to provide references for implementing prevention and control measures. Methods Questionnaire survey and serum test were made for mutton restaurant workers in Zigong. Results A total sample of 332 workers was investigated. 16 workers showed positive results in Rose-Bengal Plate agglutination test(RBPT); the positive rate was 4.82%. 4 of workers with positive results on RBPT detected titer ≥1∶100 on Standard tube agglutination test(SAT). The infected persons distributed in 71%(5/7)of districts of Zigong. 20.2%of mutton restaurant workers undertook sheep slaughtering and raw meat process work, with an infection rate of 8.96%. The infection risk of workers increased with their working duration in mutton restaurant. Conclusion The relevant departments should prohibit mutton restaurant slaughtering sheep on street. Mutton restaurant worker should be managed as brucellosis high risk group.
Subjective To examine the brucellosis infection rate and risk factors of brucellosis infection of mutton restaurant workers in Zigong, so as to provide references for implementing prevention and control measures. Methods Questionnaire survey and serum test were made for mutton restaurant workers in Zigong. Results A total sample of 332 workers was investigated. 16 workers showed positive results in Rose-Bengal Plate agglutination test(RBPT); the positive rate was 4.82%. 4 of workers with positive results on RBPT detected titer ≥1∶100 on Standard tube agglutination test(SAT). The infected persons distributed in 71%(5/7)of districts of Zigong. 20.2%of mutton restaurant workers undertook sheep slaughtering and raw meat process work, with an infection rate of 8.96%. The infection risk of workers increased with their working duration in mutton restaurant. Conclusion The relevant departments should prohibit mutton restaurant slaughtering sheep on street. Mutton restaurant worker should be managed as brucellosis high risk group.
引文
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[9]蒋华柏,黄艳,余春,等.贵州省人间布病影响因素的病例对照研究[J].贵州医药,2017,41(12):1325-1326.
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[11]赵锁花,杨建德.人感染布氏杆菌病的风险因素分析[J].天津农学院学报,2017,24(3):97-98,101.
[12]雷群建,杨亮,毛晓峰.重庆市长寿区首起羊群养殖户家庭聚集性布鲁菌病疫情调查[J].预防医学情报杂志,2018,34(1):31-33.
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[14]左顺武,周艳华,倪兆林,等.玉溪市布鲁菌病流行病学和临床特征分析[J].预防医学情报杂志,2018,34(3):370-374.
[2]廖新华,苟永慧,程江.2013-2015年新疆地区职业暴露高危人群布鲁氏菌病血清学检测结果分析[J].中国病原生物学杂志,2017,12(5):444-446.
[3]徐卫民,朱素娟,王衡,等.浙江省高危人群布鲁氏菌病监测结果分析[J].中国初级卫生保健,2010,24(02):81-82.
[4]陈艳伟,李锡太,何战英,等.2013-2015年北京市布鲁氏菌病流行特征及调查结果分析[J].首都公共卫生,2016,10(6):244-247.
[5]柯春荣,段炳华,杜正军,等.云南省大理州漾濞县首起布鲁菌病疫情报告[J].寄生虫病与感染性疾病,2017,15(2):108-110.
[6]刘小宁,张豪,谢仕兰,等.2009-2013年广州市职业人群布鲁氏菌病监测结果及防控策略分析[J].热带医学杂志,2015,15(1):95-98.
[7]陈英安,高春霖,吴石均,等.广州市牲畜交易市场从业人员布鲁氏菌感染现状及危险因素调查[J].医学动物防制,2012,28(11):1248-1251,1255.
[8]杨辉,柯春荣,段炳华,等.2012-2015年云南省巍山县人间布鲁菌病疫情分析[J].寄生虫病与感染性疾病,2017,15(2):117-119.
[9]蒋华柏,黄艳,余春,等.贵州省人间布病影响因素的病例对照研究[J].贵州医药,2017,41(12):1325-1326.
[10]肖东楼,江森林,王大力,等.布鲁氏菌病防治手册[J].
[11]赵锁花,杨建德.人感染布氏杆菌病的风险因素分析[J].天津农学院学报,2017,24(3):97-98,101.
[12]雷群建,杨亮,毛晓峰.重庆市长寿区首起羊群养殖户家庭聚集性布鲁菌病疫情调查[J].预防医学情报杂志,2018,34(1):31-33.
[13]陈淑英,张敬军,时朝辉,等.布鲁氏菌病防治研究进展[J].医学动物防制,2016,32(9):987-989.
[14]左顺武,周艳华,倪兆林,等.玉溪市布鲁菌病流行病学和临床特征分析[J].预防医学情报杂志,2018,34(3):370-374.