2012-2014年广州市布鲁氏菌病疑似患者血清学检测结果分析

Serological tests of patients with suspected Brucellosis in Guangzhou from 2012 to 2014

  • 摘要: 目的 对广州市近3年来医院发热患者中布鲁氏菌病疑似患者进行血清学抗体检测,了解和掌握广州地区布鲁氏菌病流行趋势,为制定布鲁氏菌病的预防控制策略提供科学依据。方法 对2012-2014年中采集医院发热患者中诊断为疑似布鲁氏菌病患者进行血清学抗体检测,采集患者静脉血3~5 ml,分离血清做虎红平板凝集试验(RBPT)初筛和试管凝集试验(SAT)确认; 统计2012-2014年布鲁氏抗体检测阳性率,总结广州地区布鲁氏菌病流行趋势。结果 2012-2014年共收到患者血清样本1 182份,检出阳性血清共238份,阳性率为20.1%; 2012-2014年广州市布鲁氏菌病血清学检测阳性率分别为18.9%、19.6%、21.3%,总体呈逐年上升趋势; 男性疑似患者的血样比女性多,男性患者布鲁氏抗体阳性检出率也比女性高; 不同年龄组中布鲁氏菌病疑似患者血清学检出率不同,以40~50年龄组检出率为最高,为27.3%; 不同职业人群检出率不同,以畜牧从业人员居多,为23.9%。结论 广州市近3年布鲁氏菌病抗体检测阳性率逐年升高,布鲁氏菌病疫情有上升的趋势,男性病例多于女性,40~50年龄组病例相对较多,畜牧业从业人员病例较多; 要加强布鲁氏菌病疫情的预防控制,做好高危人群的监测,对从业人员多进行布鲁氏菌病的宣传教育。

     

    Abstract: OBJECTIVE To understand the prevalence of Brucellosis in Guangzhou area through the serological antibody test of fever patients with suspected Brucellosis in the past three years so as to provide scientific basis for prevention and control of Brucellosis. METHODS The serological antibody test was conducted for the fever patients who were conformed with suspected Brucellosis from 2012 to 2014, then 3-5 ml of venous blood samples were collected from the patients, the serum was separated and submitted to rose bengal plate agglutination test (RBPT) and standard agglutination test (SAT).The positive rates of detection of brucella antibodies were taken for statistics from 2012 to 2014, and the prevalence trend of Brucellosis in Guangzhou area was observed. RESULTS A total of 1 182 serum samples were collected from 2012 to 2014, of which 238 were tested positive, with the positive rate 20.1%.The positive rate of serological test of Brucellosis was 18.9% in Guangzhou in 2012, 19.6% in 2013, and 21.3% in 2014, showing an upward trend.The blood samples of the male patients with suspected Brucellosis were more than those of the female patients, and the positive rate of detection of brucella antibodies was higher in the male patients than in the female patients.The patients with suspected Brucellosis in the different age groups varied in the serological detection rate, the detection rate was the highest (27.3%) in the patients aged from 40 to 50 years old; the patients with different occupations varied in the detection rate, and the detection rate was 23.9% in the patients who engaged in the animal husbandry. CONCLUSION The positive rate of detection of Brucella antibodies is increased year by year in Guangzhou in the past three years, the prevalence of Brucellosis show an upward trend, the male patients are more than the female patients, the patients aged from 40 to 50 years old are dominant, and the patients who engage the animal husbandry are dominant.It is necessary to strengthen the prevention and control of epidemic of Brucellosis, monitor the high-risk populations, and conduct the publicity and education of Brucellosis among the practitioners.

     

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