摘要
目的掌握云南省布鲁氏菌病(简称布病)的诊断情况。方法回顾性收集2006年1月至2022年12月"中国疾病预防控制信息系统"中云南省报告的所有布病病例的基本情况和临床诊断资料。分析不同特征和临床分期(急性期、亚急性期、慢性期)病例的诊断情况。结果2006-2022年云南省累计报告布病病例3892例,其中,急性期占92.09%(3584/3892),亚急性期占4.91%(191/3892),慢性期占3.01%(117/3892),发病-诊断时间间隔中位数为13 d。男性占69.63%(2710/3892),女性占30.37%(1182/3892)。病例年龄主要集中在40~59岁年龄组,占53.13%(2068/3892);发病-诊断时间间隔中位数最长为30~39岁年龄组(15 d),其次为0~9岁年龄组(14 d),其余年龄组均为13 d。职业分布,农民和牧民共占全部报告病例数的85.25%(3318/3892),分别占急性期、亚急性期、慢性期病例数的84.88%(3042/3584)、90.05%(172/191)、88.89%(104/117)。就诊地区分布,本县区就诊的病例有2120例,本地就诊率为54.47%(2120/3892),其中急性期1930例(91.04%)、亚急性期115例(5.42%)、慢性期75例(3.54%);异地就诊的病例有1772例,转诊率为45.53%(1772/3892),其中急性期1654例(93.34%)、亚急性期76例(4.29%)、慢性期42例(2.37%)。就诊科室分布,67.58%(542/802)的病例在感染科进行诊疗,32.42%(260/802)的病例在非感染科进行诊疗。结论2006-2022年云南省布病病例以急性期为主,发病-诊断时间间隔较短,以中老年男性农牧民为主要人群。
Objective To master the diagnostic status of brucellosis in Yunnan Province.Methods The basic information and clinical diagnosis data of all brucellosis cases reported in Yunnan Province from January 2006 to December 2022 in the China Disease Prevention and Control Information System were retrospectively collected.The diagnostic status of cases with different characteristics and clinical stages(acute,subacute,chronic)were analyzed.Results A total of 3892 cases of brucellosis were reported in Yunnan Province from 2006 to 2022,of which the acute phase accounted for 92.09%(3584/3892),the subacute phase accounted for 4.91%(191/3892),and the chronic phase accounted for 3.01%(117/3892).The median time interval between onset and diagnosis was 13 days.Males accounted for 69.63%(2710/3892),while females accounted for 30.37%(1182/3892).The age of the patients was mainly concentrated in the age group of 40-59 years,accounting for 53.13%(2068/3892).The median time interval between onset and diagnosis was the longest in the age group of 30-39 years(15 days),followed by the age group of 0-9 years(14 days),and 13 days in other age groups.In terms of occupational distribution,farmers and herdsmen together accounted for 85.25%(3318/3892)of the total reported cases;84.88%(3042/3584),90.05%(172/191)and 88.89%(104/117)of the total cases were in the acute,subacute and chronic phases,respectively.The distribution of medical treatment areas showed that there were 2120 cases seeking medical treatment in this county(district),with a local treatment rate of 54.47%(2120/3892),including 1930 cases(91.04%)in the acute phase,115 cases(5.42%)in the subacute phase,and 75 cases(3.54%)in the chronic phase.There were 1772 cases seeking medical treatment in different locations,with a referral rate of 45.53%(1772/3892),including 1654 cases(93.34%)in the acute phase,76 cases(4.29%)in the subacute phase,and 42 cases(2.37%)in the chronic phase.The distribution of visiting departments showed that 67.58%(542/802)of the cases were diagnosed and treated in the infectious disease department,and 32.42%(260/802)of the cases were diagnosed and treated in the non-infectious disease department.Conclusions From 2006 to 2022,brucellosis in Yunnan Province is mainly in the acute stage,with a short time interval between onset and diagnosis.The main population is middle-aged and elderly male farmers and herdsmen.
作者
张荣兵
陈莉华
何继波
于彬彬
Zhang Rongbing;Chen Lihua;He Jibo;Yu Binbin(Epidemic Monitoring/Emergency Public Health Response Center,Yunnan Center for Disease Prevention and Control,Kunming 650022,China;Department for Endemic and Parasitic Disease Prevention and Control,Kunming Center for Disease Prevention and Control,Kunming 650228,China;Department of Zoonosis,Yunnan Provincial Institute for Endemic Disease Control and Prevention,Dali 671099,China)
出处
《中华地方病学杂志》
CAS
北大核心
2024年第5期366-369,共4页
Chinese Journal of Endemiology
基金
云南省重点研发计划(202103AC100006)
关键词
布鲁氏菌病
诊断
回顾性调查
Brucellosis
Diagnosis
Retrospective investigation
