[Investigation of a series of brucellosis cases in Gyeongsangbuk-do during 2003-2004].

[Investigation of a series of brucellosis cases in Gyeongsangbuk-do during 2003-2004].
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2003-2004年庆尚北道布鲁氏菌病系列病例调查[J].

DOI:
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发表时间:
2005
期刊:
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子:
--
通讯作者:
H. Lee
H. Lee
中科院分区:
--
文献类型:
--
作者:
Hyun;Young;H. Lee

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目标 为了了解布鲁氏菌病的传染源和传播途径,我们对2003-2004年庆尚北-做的14例布鲁氏菌病病例进行了调查。 方法 作者访问了每个卫生中心,我们检查了患者、他们的书面流行病学调查问卷和牛布鲁菌病的发生情况。我们探访了病人的居住和工作地方,查看他们的职业、出现病征的日期、病征的进展、有否接受治疗、现时的状况、有否进食生奶和生肉,以及他们的工作是否与养牛有关,以及有关详情。我们检查了血液测试和医疗记录的结果,我们检查了牛的谷仓。 结果 2003年有3名患者,2004年有11名患者。布鲁氏菌抗体效价均超过1:160。患者的症状为发热、肌痛、不适、寒战和流感样疾病,但病历上没有临床体征。从3例患者的血液样本中培养出流产布鲁氏菌。 结论 发现传播途径后,将其分为4类。第一种途径与牛的出生有关,例如患者接触感染布鲁氏菌的小牛或胎盘。第二种途径是对牛进行人工授精,并使用用于人工授精的精液。第三种途径是由于摄入生肉和牛奶。最后一种途径是患者之间的性交。
OBJECTIVES We conducted an investigation on 14 cases of brucellosis in Gyeongsangbuk-do during 2003-2004 to understand the source of infection and the transmission routes of brucellosis. METHODS The authors visited the each of the health centers and we examined the patients, their written epidemiologic questionnaire and the occurrence of bovine brucellosis. We visited the patients' living and work areas, and we examined their occupations, the date they developed symptoms, the progress of their symptoms, whether or not they were treated, their current status, whether or not they consumed raw milk and raw meat, and if their work was related to cattle breeding and the related details. We reviewed the results of the blood tests and medical records and we examined the cattle's barn. RESULTS There were 3 patients in 2003 and 11 patients in 2004. All of their brucella antibody titer exceeded 1:160. The patients' symptoms were fever, myalgia, malaise, chills and an influenza-like illness, but the clinical signs were absent on the medical records. Brucella abortus were cultured from 3 of the patients' blood samples. CONCLUSIONS When the authors discovered the transmission routes, they were divided into 4 different sorts. The first route was related to cattle birth such that patients touched the calves or placentas that were infected with the Brucella species. The second route was related to performing artificial insemination on the cattle and the semen that was used for artificial insemination. The third route was due to the ingestion of raw meat and milk. The last route was due to sexual intercourse between the patients.
DOI: 10.1017/s0950268804002833
发表时间: 2004-12-01
影响因子: 4.2
作者:
Roushan, MRH;Mohrez, M;Hajiahmadi, M
通讯作者: Hajiahmadi, M