1例疑似皮肤炭疽流行病学调查

Epidemiological investigation of a suspected skin anthrax case

目的调查皮肤炭疽的发病原因,为制定预防措施提供依据。方法采用现场流行病学调查,采集病例血液、水疱液等标本进行检测,同时培养炭疽杆菌。对病例进行隔离治疗,对密切接触者进行医学管理和健康教育。结果保定市发生的疑似炭疽病例为临床诊断病例。结论经过流行病学调查,结合病例临床表现和实验室检测结果,证实为破损的皮肤被土壤中的炭疽芽孢感染导致的皮肤炭疽临床诊断病例。

Objective An investigation of the aetiological agent of skin anthrax has been carried out to provide evidence for preventive measures. Methods Field epidemiological investigation method has been adopted,at the same time samples like patient＇ s blood and blister fluid have been collected to analyze and culture Bacillus anthracis. Isolation method has been used for patient＇ s treatment,and medical management and healthcare education for close contacts. Results The suspected case in this city is a clinically diagnosed case. Conclusion With epidemiological investigation,clinical manifestation of the patients and testing result from the laboratory,this case was confirmed a skin anthrax clinically diagnosed case infected by Bacillus anthracis in the soil through broken skin.