2021年郴州市人间布鲁氏菌病流行特征及分离菌株种型鉴定
作者:
作者单位:

1.湘南学院公共卫生学院, 湖南 郴州 423000;2.郴州市第一人民医院检验医学中心, 湖南 郴州 423000;3.郴州市疾病 预防控制中心急性传染病防治科, 湖南 郴州 423000

作者简介:

通讯作者:

袁红霞  E-mail: 50460310@qq.com

中图分类号:

R516.7

基金项目:

湖南省教育厅科学研究项目(19A466);湖南省教育厅高校重点实验室项目(湘教通[2021]241号)


Epidemiological characteristics and species identification of isolated strains of human brucellosis in Chenzhou City in 2021
Author:
Affiliation:

1.School of Public Health, Xiangnan University, Chenzhou 423000, China;2.Laboratory Medical Center, Chenzhou First People's Hospital, Chenzhou 423000, China;3.Department of Acute Infectious Disease Prevention and Control, Chenzhou Center for Disease Control and Prevention, Chenzhou 423000, China

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    摘要:

    目的 了解2021年湖南省郴州市布鲁氏菌病(简称布病)患者的流行病学特征及菌株种型,为科学防控布病提供依据。 方法 收集并分析2021年郴州市布病病例临床及流行病学资料,对分离菌株采用AMOS聚合酶链式反应(AMOS-PCR)方法进行种型鉴定。 结果 2021年郴州市共报告布病32例,发病率为0.68/10万,男性26例、女性6例,年龄为(51.13±13.33)岁。临武县(3.72/10万)、桂阳县(0.99/10万)、嘉禾县(0.87/10万)的发病率居前三位。病例报告主要集中在3—9月,共29例;发病年龄以中青年为主;布病患者临床表现以发热、多汗、乏力、腰腿痛为主。14例布病患者血培养分离布鲁氏菌,AMOS-PCR进行种型鉴定结果均为羊种。 结论 2021年郴州市人间布病发病时间集中在春夏季,男性多于女性,发病年龄以中青年为主,分离菌株主要为羊种,对与羊牛等接触后出现发热伴有腰腿关节痛的患者,应考虑布病的可能性。

    Abstract:

    Objective To analyze the epidemic characteristics and species of brucellosis in patients in Chenzhou City, Hunan Province in 2021, and provide basis for the scientific prevention and control of brucellosis. Methods Clinical and epidemiological data of brucellosis cases in Chenzhou City in 2021 were collected and analyzed. The species of isolated strains were identified by AMOS polymerase chain reaction (AMOS-PCR). Results A total of 32 cases of brucellosis were reported in Chenzhou in 2021, with an incidence of 0.68/100 000. There were 26 males and 6 females, and the average age was (51.13±13.33) years old. The top three counties with the highest incidence were Linwu County (3.72/100 000), Guiyang County (0.99/100 000), and Jiahe County (0.87/100 000). The majority cases (29 in total) were reported between the months from March to September, and the age group most affected was middle-aged and young adults. Clinical manifestations of brucellosis patients were mainly fever, hyperhidrosis, fatigue, lumbago and leg pain. Brucella was isolated from the blood cultures of 14 patients with brucellosis, and identified as Brucella melitensis by AMOS-PCR. Conclusion The onset time of human brucellosis in Chenzhou City in 2021 is mainly concentrated in spring and summer, with more males than females. The onset age is mainly middle-aged and young adults. The isolated strains are mainly Brucella melitensis. The possibility of brucellosis should be considered in patients with fever accompanied by lumbago and leg pain after contact with sheep or cattle.

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谢群,胡琳,袁红霞,等.2021年郴州市人间布鲁氏菌病流行特征及分离菌株种型鉴定[J]. 中国感染控制杂志,2023,(4):463-467. DOI:10.12138/j. issn.1671-9638.20233719.
Qun XIE, Lin HU, Hong-xia YUAN, et al. Epidemiological characteristics and species identification of isolated strains of human brucellosis in Chenzhou City in 2021[J]. Chin J Infect Control, 2023,(4):463-467. DOI:10.12138/j. issn.1671-9638.20233719.

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  • 收稿日期:2022-12-27
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  • 在线发布日期: 2024-04-28
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