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苏丹东部动物及与动物接触人群中的布鲁氏菌病

Brucellosis among animals and human contacts in eastern Sudan.

作者信息

El-Ansary E H, Mohammed B A, Hamad A R, Karom A G

机构信息

Faculty of Medicine and Health Services, University of Kassala, Kassala State, Sudan.

出版信息

Saudi Med J. 2001 Jul;22(7):577-9.

Abstract

OBJECTIVE

To study the relative frequency of brucellosis among domestic animals in Kassala State, Sudan, in the year 1999 and compare the results of previous studies since 1908. Also to study the frequency rates of the disease in animal contacts in the area.

METHODS

Sero-survey for Brucella melitensis and Brucella abortus was carried out on sera of animals brought for slaughter to Kassala abattoir and on sera of occupational contacts of animals. All sera were tested by the slide agglutination test. The positive reactors were confirmed by tube agglutination test.

RESULTS

A total of 1225 sera were tested - 1038 were animal sera and 187 were human sera. Four percent of goats sera, 1% of sheep sera and 5% of cattle sera were found to be positive. Of the 64 camel sera tested, none were positive reactors. Of the occupational contacts, which included butchers, slaughterhouse workers, milkers and cow attendants, (1%) reacted positively.

CONCLUSION

The study showed low frequency rates of brucellosis among animals in the Kassala area compared with other parts of Sudan. Occupational contacts showed very low frequency rates of the disease. This is often over-looked by medical practitioners due to the overwhelming problem of malaria in the area. We draw the attention of practitioners to think of brucellosis in the differential diagnosis of fever especially in rural communities.

摘要

目的

研究1999年苏丹卡萨拉州家畜中布鲁氏菌病的相对发病率,并比较自1908年以来以往研究的结果。同时研究该地区动物接触者中该病的发病率。

方法

对送到卡萨拉屠宰场宰杀的动物血清以及动物职业接触者的血清进行布鲁氏菌和流产布鲁氏菌的血清学调查。所有血清均通过玻片凝集试验进行检测。阳性反应者通过试管凝集试验进行确认。

结果

共检测了1225份血清——1038份为动物血清,187份为人类血清。发现4%的山羊血清、1%的绵羊血清和5%的牛血清呈阳性。在检测的64份骆驼血清中,无一为阳性反应者。在包括屠夫、屠宰场工人、挤奶工和奶牛饲养员在内的职业接触者中,有1%呈阳性反应。

结论

研究表明,与苏丹其他地区相比,卡萨拉地区动物中布鲁氏菌病的发病率较低。职业接触者中该病的发病率非常低。由于该地区疟疾问题严重,这一点常常被医生忽视。我们提请医生注意,在发热的鉴别诊断中,尤其是在农村社区,要考虑到布鲁氏菌病。

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