泸水县一起细菌性痢疾暴发的流行病学调查与检测结果分析

Epidemiological investigation and detection result analysis of a bacillary dysentery outbreak in Lushui County

目的:了解和掌握细菌性痢疾疫情暴发的原因及规律,采取应对措施,有效控制疫情扩散及蔓延。方法:对所有的发病病例进行流行病学个案调查,根据细菌性和阿米巴性痢疾诊断标准WS287-2008、食品微生物学检验GB4789.5-2012,对疑似细菌性痢疾病例,采集大便及肛拭标本,进行志贺菌的分离培养。结果:调查40人,发病19例,罹患率47.5%。其中1例检出福氏志贺菌Ⅵ型。结论:应对周围环境进行喷杀和灭蝇工作。宣传肠道传染病的防治知识,不断提高自我防护意识,才能有效预防传染病的暴发与流行。

Objective:To understand and grasp the reasons and rules of outbreak,to take countermeasures,and effectively control the epidemic diffusion and spread.Methods:All cases were given epidemiology case survey.According to the bacillary and amebic dysentery diagnostic criteria WS287-2008,food microbiology inspection GB4789.5-2012,suspected bacterial dysentery cases were collected stool and anal swab specimens,and given shigella isolated culture.Results:40 people were investigated.19 cases were morbidity,and the attack rate was 47.5%.Among 1 case was detected with shigella flexneri type Ⅵ.Conclusion:The surrounding environment should be given the spray and kill flies work.The propaganda of intestinal infectious diseases prevention and control knowledge and continuously improving the self-protection awareness can effectively prevent the outbreak and popular of infectious disease.