摘要
目的分析延安市布鲁氏菌病(布病)流行特征及危险因素,为科学制定布病防控措施提供理论依据。方法描述性分析2019-2023年延安市第二医疗集团总医院确诊布病患者的一般信息、流行病学特征等。采用单因素和多因素logistic逐步回归模型,分析人群感染布病的危险因素。结果2019-2023年,共确诊布病患者301例,各年度病例数分别为1、7、85、85、123例。全部病例中,男性231例、女性70例,男女性别比为3.3∶1.0,患者年龄主要集中在15~64岁(88.70%,267/301),夏、秋季发病人数较多(36.55%,110/301;30.23%,91/301),职业以农民为主(62.98%,182/289),病例较多的地区为安塞区(20.67%,62/300)、其次为宝塔区(19.33%,58/300)和志丹县(17.67%,53/300)。多因素logistic分析结果表明,接触牲畜和接触未进行防护为感染布病的危险因素(OR=2.81、6.75,95%CI:1.14~5.98、1.23~15.72,均P<0.05)。结论2019-2023年,延安市布病病例数逐年上升,青壮年人群多发,夏、秋季为该病高发季节,安塞区、宝塔区和志丹县为延安市布病重点防控地区,人群与牲畜接触时未做防护会增加布病感染概率。
Objective To analyze the epidemiological characteristics and risk factors of brucellosis in Yan'an City,and to provide a theoretical basis for scientifically formulating prevention and control measures for brucellosis.Methods A descriptive analysis method was used to analyze the general information,epidemiological characteristics of confirmed brucellosis cases at General Hospital of Yan'an Second Medical Group from 2019 to 2023.Univariate and multivariate logistic regression models were used to analyze the risk factors for brucellosis infection in the population.Results From 2019 to 2023,a total of 301 cases of brucellosis were confirmed,and the number of cases in each year was 1,7,85,85 and 123 cases,respectively.There were 231 males and 70 females,with a gender ratio of 3.3∶1.0.The patients were mainly aged between 15 and 64 years old(88.70%,267/301),with a higher incidence in summer and autumn(36.55%,110/301;30.23%,91/301).The occupation was dominated by farmers(62.98%,182/289).The area with the highest number of cases was Ansai District(20.67%,62/300),followed by Baota District(19.33%,58/300)and Zhidan County(17.67%,53/300).The results of multivariate logistic analysis showed that contact with livestock and unprotected contact were risk factors for brucellosis infection(OR=2.81,6.75,95%CI:1.14-5.98,1.23-15.72,P<0.05).Conclusions From 2019 to 2023,the number of brucellosis cases in Yan'an has been increasing year by year,with a higher incidence among young and middle-aged people.Summer and autumn are the high incidence seasons for the disease,and Ansai District,Baota District,and Zhidan County are key areas for brucellosis prevention and control in Yan'an City.Failure to take protective measures when in contact with livestock can increase the probability of brucellosis infection.
作者
张晓艳
曹云
张遥
薛乐
闫晓琴
辛田田
Zhang Xiaoyan;Cao Yun;Zhang Yao;Xue Le;Yan Xiaoqin;Xin Tiantian(Department of Clinical Laboratory,Yan'an People's Hospital,Yan'an 716000,China;Yan'an Medical College of Yan'an University,Yan'an 716000,China;Department of Critical Medicine,Yan'an People's Hospital,Yan'an 716000,China)
出处
《中华地方病学杂志》
北大核心
2024年第11期912-915,共4页
Chinese Journal of Endemiology
基金
延安市科学技术协会青年人才托举计划项目(2023)
关键词
布鲁氏菌病
流行特征
危险因素
Brucellosis
Epidemic characteristics
Risk factor
