首页|安康市恙虫病流行情况与自然宿主及媒介特征分析

安康市恙虫病流行情况与自然宿主及媒介特征分析

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目的 分析安康市恙虫病疫情流行和自然宿主与传播媒介监测情况,为恙虫病防控提供技术支持.方法 通过中国疾病预防控制信息系统收集2014-2023年安康市恙虫病报告病例信息,应用描述性流行病学方法进行时空分析,根据恙虫病高发地区选择监测点,开展鼠类及恙螨监测.采用SPSS 17.0软件处理数据,采用x2检验进行组间分析.应用实时荧光定量聚合酶链式反应检测法检测采集的鼠血及鼠脏器混合物中恙虫病东方体.结果 2014-2023年,安康市共报告恙虫病病例342例,年报告病例数及地区分布呈上升及扩散趋势,女性发病高于男性,年龄集中于45~70岁,以农民为主,发病集中在4-10月.2023年捕获啮齿动物452只,鼠密度为12.55%,小家鼠、褐家鼠、黄胸鼠为优势鼠种;带恙螨鼠类91只,恙螨1 484只,鼠带恙螨率为20.13%,恙螨指数为3.28,恙螨指数较高为普通纤恙螨、地里纤恙螨、东方纤恙螨.对452份鼠血及鼠脏器混合物进行检测,有1份样本恙虫病东方体阳性.结论 安康市为恙虫病过渡疫源地,近年病例呈上升及扩散趋势.相关机构应做好恙虫病病例救治,加强恙虫病诊疗培训;开展恙虫病病例监测与鼠及恙螨监测工作;强化恙虫病防病知识宣传,增强农民个人防护,有效降低病例发生.
Epidemiological characteristics,natural host and vectors of tsutsugamushi disease in Ankang City
Objective To analyze the epidemic situation and vector monitoring of tsutsugamushi disease in Ankang City,so as to provide technical support for prevention and control of tsutsugamushi disease.Methods Case information of tsutsugamushi disease was collected and analyzed from China Disease Prevention and Control Information System from 2014 to 2023.According to the high incidence of areas and terrain characteristics,the rodent monitoring and chigger mites were carried out.The data were statistically processed using SPSS 17.0 softwares and analyzed by Chi-square test between groups.The blood and organ mixture of rodents was detected by real-time fluorescence quantitative polymerase chain reaction.Results A total of 342 cases of tsutsugamushi disease were reported in Ankang City from 2014 to 2023,and the number of annual reported cases and regional distribution showed an increasing and spreading trend.The cases in females were higher than that in males.The cases were mainly aged 45-70 years old,mainly employed as farmers.The peak was during April to October.452 small mammals were captured in 2023,with a rodent density of 12.55%,Mus musculus,Rattus norvegicus and Rattus flavipectus were the dominant rodent species.A total of 1 484 chigger mites were collected from 91 mice,the rate of carrying chigger mites in rodents was 20.13%,and the index of chigger mites was 3.28.The higher index of chigger mites were Leptotrombidium gemiticulum,L.deliense and L.scutellare.A total of 452 of rodent blood and organ mixture were tested,and one sample was positive for Orientia tsutsugamushi.Conclusion The Ankang City was a transitional source of tsutsugamushi disease,and the overall cases are on the rise and spreading in recent years.It is necessary to strengthen the training of tsutsugamushi disease diagnosis and treatment,promote health education and publicity,ensure farmers personal protection,and carry out monitoring and detection of rodents and chigger mites,so as to reduce the incident of tsutugamushi disease.

tsutsugamushi diseaseepidemiological characteristicschigger mitesvector

原凌云、陈果、陈元慧、杨敏、李明刚、邹好、屈娅荣、杨力

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安康市疾病预防控制中心,陕西 安康 725000

恙虫病 流行特征 恙螨 媒介

2024

中华卫生杀虫药械
南京军区疾病预防控制中心

中华卫生杀虫药械

CSTPCD
影响因子:0.566
ISSN:1671-2781
年,卷(期):2024.30(6)