首页|2019-2023年曲阜市人间布鲁氏菌病重点职业人群血清学监测及健康教育效果分析

2019-2023年曲阜市人间布鲁氏菌病重点职业人群血清学监测及健康教育效果分析

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目的 分析2019-2023年山东省曲阜市人间布鲁氏菌病重点职业人群血清学监测结果和健康教育效果,为布鲁氏菌病防控提供科学依据.方法 2019-2023年采集山东省曲阜市牛羊养殖户、屠宰人员、牛羊交易人员和兽医等布鲁氏菌病重点职业人群血清,先用虎红平板凝集试验初筛,虎红平板凝集阳性血清,用试管凝集试验(SAT)复检,滴度1:100++及以上判为阳性.对布鲁氏菌病重点职业人群开展基线调查,并进行布鲁氏菌病核心知识问卷调查,分析健康教育效果.结果 2019-2023年共监测布鲁氏菌病重点职业人群血清2 756份,虎红平板凝集试验阳性87份,阳性率为3.16%(87/2 756).阳性感染者主要集中在40~49、50~59、≥60岁3个年龄组,占93.10%(81/87),牛羊养殖、屠宰加工、畜产品交易人员等职业感染率分别为86.21%(75/87)、12.64%(11/87)、1.15%(1/87),不同职业布鲁氏菌病感染率比较,差异有统计学意义(x2=74.94,P<0.05).健康教育干预前后布鲁氏菌病核心知识知晓率分别为60.85%(1 380/2 268)和84.10%(2 052/2 440),牛羊分娩时或宰杀时皮手套的使用率分别为62.96%(357/567)和85.90%(524/610),二者比较差异均有统计学意义(x2值分别为321.65、82.14,P<0.05).结论 2019-2023年山东省曲阜市人间布鲁氏菌病报告发病率呈波动上升趋势,牛羊养殖户为布鲁氏菌病的高发人群.开展健康干预能够明显提高布鲁氏菌病重点职业人群的布鲁氏菌病防治知识知晓水平.
Serological monitoring and health education effect analysis on key occupations of human brucellosis in Qufu city,Shandong province from 2019 to 2023
Objective To analyze the serological monitoring results and health education effects of key occupational groups of human brucellosis in Qufu city,Shandong province from 2019 to 2023,so as to provide scientific basis for brucel-losis prevention and control.Methods From 2019 to 2023,serum samples were collected from key occupational groups such as cattle and sheep breeders,butchers,cattle and sheep traders,and veterinarians in Qufu city,Shandong prov-ince.The samples were initially screened using the Rose bengal plate agglutination test,and positive serum was detected u-sing the Rose bengal plate agglutination test.Then the positive samples were retested using the standard tube agglutina-tion test(SAT),and a titer of 1:100++or higher was considered positive.A baseline survey and a questionnaire on bru-cellosis were conducted to analyze the effect of health education.Results From 2019 to 2023,a total of 2 756 sera were monitored,and 87 were positive for tiger red plate agglutination test,with a positive rate of 3.16%(87/2 756).The posi-tive infections were mainly concentrated in 3 age groups of 40-49 and 50-59 and ≥60 years old,accounting for 93.10%(81/87).The occupational infection rates of cattle and sheep breeding,slaughtering and processing,and livestock product traders were 86.21%(75/87),12.64%(11/87)and 1.15%(1/87),respectively,and there was a statistically significant in the infection rate of brucellosis in different occupations(x2=74.94,P<0.05).The core awareness rate of brucellosis was 60.85%(1 380/2 268)and 84.10%(2 052/2 440),respectively,and the utilization rate of cattle and sheep was 62.96%(357/567)and 85.90%(524/610),with statistically significant difference(=321.65,82.14,P<0.05).Conclusion From 2019 to 2023,the reported incidence of human brucellosis in Qufu city,Shandong province showed a fluctuating upward trend,and cattle and sheep farmers were the high incidence population of brucellosis.Carrying out health interventions can significantly improve the knowledge level of brucellosis prevention and control among key occupational groups with brucellosis.

BrucellosisOccupational populationSurveillanceHealth education

翁建娥、兰玉杰、陈悦

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曲阜市疾病预防控制中心传染病防制科,山东济宁 273100

布鲁氏菌病 职业人群 监测 健康教育

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(7)