首页|2023年自贡市3例鹦鹉热衣原体病例调查处置

2023年自贡市3例鹦鹉热衣原体病例调查处置

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目的 对2023年自贡市3例鹦鹉热衣原体病例进行调查处置,为鹦鹉热防控提供参考依据.方法 回顾性分析自贡市2023年3-7月期间医疗机构确诊的3例鹦鹉热衣原体肺炎病例临床和流行病学特征,并对其密切接触者、周边职业人群及环境进行鹦鹉热衣原体核酸检测,利用ompA基因对阳性样本进行测序.结果 3名患者均存在禽类/鸟类接触史,且临床症状均以高热、肺炎为主,地理位置分布相对集中(直线距离4 km),病例的密切接触者及周围职业人群中无阳性检出,在病例1邻居家鸽子粪便(25.0%,3/12)、野生鸟/禽类活动区域污水(22.2%,2/9)检出环境样本阳性,利用3名病例呼吸道样本与阳性环境样本进行ompA测序,发现3名病例与鸽子粪便基因序列一致.结论 本起事件可能为接触鹦鹉热衣原体引起的3例病例,感染来源依旧与鸟/禽类活动存在密切关联.医务人员在接诊发热、肺炎病例时要主动询问相关暴露史,卫生部门应加强宣传,提示居民在接触禽类/鸟类时做好个人防护,同时积极与畜牧部门、林业部门做好联防联控,降低家禽感染鹦鹉热衣原体的风险.
Investigation and management of three cases of Chlamydia psittaci fever in Zigong City in 2023
Chlamydia psittaci is a zoonotic respiratory infection.To provide a reference basis for psittaciosis-specific pre-vention and control,we conducted a retrospective analysis reviewing the clinical and epidemiological characteristics of three pa-tients.All patients had a history of avian or bird contact,and their clinical symptoms were primarily high fever and pneumonia.Chlamydia psittaci nucleic acid testing was conducted on the patients'close contacts,surrounding occupational populations,and their living environments.No positive findings were observed among the cases'close contacts and surrounding occupational populations,whereas environmental positivity was detected in the feces of the patients'neighbors(25.0%,3/12)and in the ef-fluent(22.2%,2/9)of a wild bird activity area.Positive samples were subjected to ompA gene sequencing,which revealed that the strains in three patients were genetically sequence-identical to that found in pigeon feces.This study enhances under-standing of the epidemic caused by Chlamydia psittaci,elucidates its transmission mechanisms,and provides critical insights for subsequent investigations and management of the disease.

Chlamydia psittaciinvestigation and managementZigong

张洁、王斌、曾麟钦、明雪薇、陈曦、喻秀艳、刘慧慧

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自贡市疾病预防控制中心,自贡 643000

成都医学院,成都 610500

自贡市林业发展保护中心,自贡 643000

中国疾病预防控制中心,北京 102206

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鹦鹉热衣原体 调查处置 自贡

2024

中国人兽共患病学报
中国微生物学会

中国人兽共患病学报

CSTPCD北大核心
影响因子:0.814
ISSN:1002-2694
年,卷(期):2024.40(11)