摘要
目的对厦门市集美区2011—2018年霍乱监测结果进行分析,了解集美区水产品和外环境水体中霍乱弧菌的污染状况,尽早发现霍乱病例,为采取有效的防治措施提供依据。方法采集水产品、外环境水体及腹泻病人粪便标本,根据《全国霍乱监测方案》《霍乱诊断标准》(WS 289-2008)和《霍乱防治手册(第6版)》的规定进行检测分析。结果集美区2011—2018年共检测4 509份标本,检出霍乱弧菌6份,阳性率0.13%,其中水产品阳性率0.19%,外环境水体阳性率0.14%,腹泻病人粪便标本未检出霍乱弧菌。检出的霍乱弧菌中4份为O1群稻叶型,2份为O1群小川型,未检出O139群霍乱弧菌,均为非产毒株。结论集美区水产品和外环境水体存在O1群霍乱弧菌,应继续加强监测,适当提高蛙类及其养殖池水的监测比重,同时做好肠道门诊监测,及时发现致病菌和传染源,以便采取相应预防控制措施。
Objective To understand the contamination status of Vibrio cholerae in aquatic products and external environment water body in Jimei District of Xiamen City through analyzing the monitoring results of cholera prevalence in Jimei District from 2011 to 2018 for early detection of this infection and evidence to plan effective prevention and control measures.Methods Samples were collected from aquatic products,external environment water and patients with diarrhea,and detected and analyzed in accordance with the procedures and standards specified in the National Cholera Surveillance Program,Diagnostic Criteria for Cholera(WS 289-2008)and Manual for Cholera Prevention and Control(6 th Edition).Results Of the totally 4509 samples detected in Jimei District from 2011 to 2018,six were positive(0.13%).The positive rate was 0.19%and 0.14%,respectively for aquatic products and external environment water.No Vibrio cholerae was detected in stool samples of diarrhea patients.In the 6 positive samples,4 were Vibrio choler O1 serotype Inaba,and 2 were O1 serotype Ogawa.No O139 Vibrio cholerae was detected.All strains were non-toxin producing.Conclusion O1 Vibrio cholerae occurs in the aquatic products and external environment water body in Jimei District,suggesting that surveillance of this infection should be strengthened.In addition,monitoring should be weighed in frogs and their aquaculture pond water besides well surveillance over the intestinal outpatient in order to timely discover pathogenic bacteria and infectious sources for corresponding prevention and control measures.
作者
邱艺燕
欧秀华
陈嘉祥
QIU Yi-yan;OU Xiu-hua;CHEN Jia-xiang(Jimei District Center for Disease Control and Prevention,Xiamen 361022,Fujian Province,China)
出处
《热带病与寄生虫学》
CAS
2021年第2期95-97,共3页
Journal of Tropical Diseases and Parasitology
关键词
霍乱
疾病控制
卫生监测
Cholera
Disease control
Hygiene monitoring
