| 李俐,陆振豸,韩藕儿,张我东,赵忠利.我国类鼻疽流行病学调查[J].Chinese journal of Epidemiology,1994,15(5):292-295 |
| 我国类鼻疽流行病学调查 |
| Epidemiology of Melioidosis in China |
| Received:June 10, 1993 Revised:December 17, 1993 |
| DOI： |
| KeyWord: 类鼻疽 类鼻疽菌 疫源地 血清学调查 |
| English Key Word: Melioidosis P.pseudomallei Native foci Serological investigation |
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| Abstract: |
| 笔者于1975~1989年对我国南方琼、粤、桂、湘四省区不同纬度的13个县市进行类鼻疽菌分离,从10个县市的水样品和人、畜病理标本中共获得73株鼻疽假单胞菌。血清学调查发现抗体阳性率与病菌的分布呈相关关系。并证实疫源地分布于粤、桂、琼的南亚热带和边缘热带地区。疫区人群抗体阳性率为3.8%~15.2%,马为9.1%~18.4%,牛为6.6%~33.0%,感染猪群阳性率高达35.0%,屠宰猪标本分离率为13%。类鼻疽的危害调查表明,马、骡感染后会干扰鼻疽检疫。病菌污染肉品,危害公共卫生。在1989年9至10月份的一次临床病例调查中,在湛江和海南三亚发现3例患者,2例因败血症死亡,1例为慢性下肢溃疡,可能还有显性感染患者被漏诊或误诊。 |
| English Abstract: |
| From 1975 to 1989, a total of 73 strains of P.pseudomallei was isolated from the water samples and the pathological samples of human and domestic animals in 13 counties and cities located different latitute from four provinces Qiong, Yue, Gui and Xiang in China. Serological investigation demonstrated that the geographical distribution of the organism had a significant correlation with the positive rate of antibodies against P.pseudomallei and the native foci of the organisms distributed over the southern subtropical zone and the edge of tropical zone in Qiong, Yue and Gui. In endemic areas, the positive rates of antibodies against P.pseudomallei in human-beings, horses, oxen and pigs are 3.8%~15.2%, 9.1%~18.4%, 6.6%~33.0% and 35% respectively. The investigation results showed the horses and mules infected by the organism would interfer with guarantine of the animals, meanwhile, the meat contaminated by the bacterium would endanger the public health. In Sept. and Oct.of 1989, three cases in Zhanjiang and Sanya of Hainan were reported, two cases died of acute melioidosis with septicemia, another case was the chronic leg ulcers. So, it was predicated that there could have some cases of melioidosis which were misdiagnosed or missed out. |
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