2015年浙江省人间布鲁氏菌病监测结果分析

Surveillance for brucellosis in Zhejiang province,2015

目的了解浙江省人间布鲁氏菌病(布病)发病状况及流行规律,为制定防治策略提供依据。方法疫情资料来自国家疾病监测信息报告管理系统的疫情报告,采用描述流行病学和统计学方法分析数据;布病重点职业人群血清学检测采用虎红平板凝集试验和试管凝集试验。结果 2015年浙江省共报告布鲁氏菌病病例98例,发病率为0.18/10万,发病年龄主要集中在30~65岁年龄组,男女性发病数比例为2.63∶1;2015年全省检测重点人群6 815人,阳性160例,阳性者中新发患者84例,感染者35例,41例既往患者和感染者。发病到确诊平均间隔时间30 d。结论浙江省布病疫情呈稳定趋势,应加强医务人员培训和健康教育等工作以有效控制疫情,防止发生慢性化患者。

Objective To understand the incidence and prevalence of brucellosis in Zhejiang province and provide evidence for the prevention and control of brucellosis. Methods Descriptive epidemiological analysis and statistical analysis were conducted on the incidence data of brucellosis in Zhejiang obtained from national disease reporting information system. rosebengal plate agglutination test（RBPT） and standard tube agglutination test（SAT） were used for the serological detection in population with occupational Brucella exposure. Results A total of 98 cases of brucellosis were reported in 2015. The incidence of brucellosis was 0. 18/100 000. Most brucellosis cases were farmers aged 30 -65 years. The male to female ratio of the cases was 2. 63： 1. Among the 6 815 persons surveyed, 160 were Brucella positive, in whom 84 were diagnosed with brucellosis, 35 cases were bacteria carriers. The remaining 41 patients or carders had been diagnosed previously. The average interval between onset and diagnosis was 30 days. Condusion The incidence of brucellosis was stable in Zhejiang in 2015. It is necessary to strengthen the health education in the public and training in medical workers to prevent and control the incidence and prevalence of brucellosis.