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目的通过对布鲁氏菌病的血清学检测结果进行分析,了解该病的感染流行情况,为预防和控制布鲁氏菌病提供科学依据。方法对2014-2016年布鲁氏菌病重点人群采集静脉血,做虎红平板凝集和试管凝集试验,按《布鲁氏菌病诊断标准》(WS 269-2007)判定结果。结果 2014-2016年唐山市丰润区疾病预防控制中心共检测重点人群283人,阳性率达3.9%,其中2014年为3.8%,2015年为3.6%,2016年为4.2%,差异无统计学意义(χ~2=0.049,P>0.05)。按照性别进行比较,阳性率男性高于女性,差异有统计学意义(χ~2=4.629,P<0.05)。年龄分布情况显示大部分抗体阳性者年龄在40岁以上,占90.9%。重点筛查乡镇都有发病。结论唐山市丰润区布鲁氏菌病无明显上升趋势,应加强对男性高龄养殖人员、接触人员的健康教育,提高其自我防护意识。
Objective To analyze the serological test results of brucellosis to understand the prevalence of brucellosis and provide a scientific basis for the prevention and control of brucellosis. Methods Venous blood was collected from major brucellosis patients from 2014 to 2016, and then subjected to tiger red plate agglutination test and tube agglutination test. The results were judged according to the diagnostic criteria of brucellosis (WS 269-2007). Results From 2014 to 2016, Fengren District Center for Disease Control and Prevention in Tangshan City detected a total of 283 key patients with a positive rate of 3.9%, including 3.8% in 2014, 3.6% in 2015 and 4.2% in 2016, with no significant difference (χ ~ 2 = 0.049, P> 0.05). According to gender, the positive rate of male was higher than that of female, the difference was statistically significant (χ ~ 2 = 4.629, P <0.05). Age distribution showed that most of the antibody positive persons were over 40 years old, accounting for 90.9%. Focus on screening township incidence. Conclusion Brucellosis in Fengrun district of Tangshan City had no obvious upward trend, and health education should be strengthened for male aged breed and contact staff to raise their self-protection awareness.