Méndez Martínez C, Páez Jiménez A, Cortés-Blanco M, Salmoral Chamizo E, Mohedano Mohedano E, Plata C, Varo Baena A, Martíinez Navarro F
Programa de Epidemiología Aplicada de Campo, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
Euro Surveill. 2003 Jul;8(7):164-8. doi: 10.2807/esm.08.07.00421-en.
Eleven brucellosis cases were identified in three municipalities of Cordoba (Andalucia, Spain). A case-control study was conducted, selecting three cases per control. Persons having eaten unpasteurized raw goat cheese produced in a farmhouse located in the epidemic territory, were at higher risk for presenting brucellosis (OR=21.6, IC95%=1.6-639.8). Brucella melitensis serovar 3 was identified in clinical specimens and in goat tissue and milk samples from the herd's farmhouse. Preventive measures were implemented and the outbreak was stopped after the withdrawal of all suspicious cheeses from the market, additional sanitation of the farmhouse and health promotion activities.
在科尔多瓦省(西班牙安达卢西亚)的三个市发现了11例布鲁氏菌病病例。开展了一项病例对照研究,每个对照组选取三个病例。食用了产自疫区一家农舍的未经巴氏杀菌的生山羊奶酪的人,患布鲁氏菌病的风险更高(比值比=21.6,95%置信区间=1.6-639.8)。在临床标本以及该农场山羊组织和牛奶样本中鉴定出了羊种布鲁氏菌3型。实施了预防措施,在将所有可疑奶酪撤出市场、对农舍进行额外卫生处理以及开展健康促进活动后,疫情得到了控制。