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希腊中部人类布鲁氏菌病的流行病学和临床特征

Epidemiological and clinical aspects of human brucellosis in Central Greece.

作者信息

Minas Markos, Minas Anastasios, Gourgulianis Konstantinos, Stournara Athanasia

机构信息

Department of Respiratory Diseases, Medical Faculty of Larissa, University of Thessaly, Larissa, Greece.

出版信息

Jpn J Infect Dis. 2007 Nov;60(6):362-6.

Abstract

The confirmed cases of human brucellosis in the area of Larissa in Central Greece from 2003 to 2005 were analyzed to assess the features of the affected population and to determine the factors influencing the acquisition of infection. Data of patients infected by Brucella spp. concerning age, gender, occupation, date of diagnosis and the observed symptoms were collected from regional hospitals, health centres and private practitioners. The incidence of human brucellosis in the area was 32.49 cases/100,000 inhabitants. Males, due to their professions, were affected more often by brucellosis than females. The majority of the cases were attributed to direct contact with animals or their products. Only in 8.49% of the cases was the infection attributed to the consumption of dairy products. The urban population is not at potential risk for acquiring brucellosis because all commercialized dairy products in Greece are produced from pasteurized milk. The occurrence of human brucellosis shows seasonality, with the majority of the cases diagnosed from December to May. Direct contact with animals, the season of the year and gender were the risk factors influencing the acquisition of infection. Fever, arthralgia, profuse sweating and anorexia were the symptoms most often observed.

摘要

对2003年至2005年希腊中部拉里萨地区确诊的人类布鲁氏菌病病例进行了分析,以评估受影响人群的特征,并确定影响感染获得的因素。从地区医院、健康中心和私人执业医生处收集了感染布鲁氏菌属的患者关于年龄、性别、职业、诊断日期和观察到的症状的数据。该地区人类布鲁氏菌病的发病率为32.49例/10万居民。由于职业原因,男性比女性更易感染布鲁氏菌病。大多数病例归因于与动物或其产品的直接接触。仅8.49%的病例感染归因于食用乳制品。希腊城市人口不存在感染布鲁氏菌病的潜在风险,因为希腊所有商业化乳制品均由巴氏杀菌乳生产。人类布鲁氏菌病的发生具有季节性,大多数病例在12月至次年5月被诊断出来。与动物的直接接触、一年中的季节和性别是影响感染获得的风险因素。发热、关节痛、多汗和厌食是最常观察到的症状。

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