河北省邢台市2012-2014年2277例人布鲁氏杆菌病疑似病例血清学分析

Analysis of 2277 brucellosis Suspected cases of serological in Xingtai in Hebei Province from 2012 to 2014

目的对2012-2014年邢台市人布鲁氏杆菌病疑似病例血清学结果进行分析,为做好预防控制工作提供依据。方法参照《布鲁氏菌病防治手册》、传染病WS 269-2007国家标准方法进行布鲁氏杆菌试管凝集试验、血培养试验。结果 2012-2014年邢台市疾病预防控制中心共接诊疑似布鲁氏杆菌病患者2 277例,其中布鲁氏杆菌试管凝集试验阳性774例。2012-2014年接诊数分别为523例、701例和1 053例,阳性数分别为146例、230例和398例,接诊数和检出阳性数逐年增加,以布菌羊3型为主。春、夏、秋、冬四季的阳性率分别为35.40%、39.85%、29.03%和28.98%,不同季节的阳性率差异有统计学意义(χ~2=21.866,P<0.05)。男性阳性率高于女性,差异有统计学意义(χ~2=80.495,P<0.05)。结论 2012-2014年邢台市接诊疑似布鲁氏杆菌病病例数逐年增加,阳性病例也呈现逐年增加的趋势,应做好高危人群的预防和控制工作。

Objective Analysis of brucellosis Suspected cases of serological in Xingtai from 2012 to 2014,provided as a scientific base for prevention and controll. Methods Blood cases of suspected brucellosis were detected by the brucellosis handbook WS 269- 2007 national standard method for brucella tube agglutination test and blood culture test. Results Xingtai center for disease control and prevention,altogether had accepted suspected brucella 2 277 cases of patients from 2012 to 2014,and the number of 523 cases,700 cases and 1 057 cases respectively,among of them,there are 146 cases,230 cases and 398 cases of positive number respectively. With the consequence,the positive number accepted and checked out has increased year by year,the brucella melitensis biovar 3 would be gave priority. The positive rates are 35. 40%,39. 85%,29. 03% and 28. 98% in spring,summer,autumn and winter, respectively. The positive rate is seasonal differences with significant different（ χ^2=21. 866,P〈0. 05）. The male patient was significantly higher than female（ χ^2= 80. 495,P〈0. 05）. Conclusion Xingtai center for disease control and prevention,the numbers of suspected cases of brucella have increased every year from 2012 to 2014,should do a good job of prevention and control with the high risk population.