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[韩国屠宰场工人布鲁氏菌病血清阳性率及危险因素]

[Seroprevalence and risk factors of brucellosis among slaughterhouse workers in Korea].

作者信息

Yoo Seok-Ju, Choi Young-Sill, Lim Hyun-Sul, Lee Kwan, Park Mi Yeoun, Chu Chaeshin, Kang Young-A

机构信息

Department of Preventive Medicine, Dongguk University College of Medicine, Korea.

出版信息

J Prev Med Public Health. 2009 Jul;42(4):237-42. doi: 10.3961/jpmph.2009.42.4.237.

Abstract

OBJECTIVES

The incidence of zoonoses in Korea has increased recently. However, the study of high risk groups for zoonoses has not been conducted to date in Korea. Thus, we did this study to obtain data on brucellosis among slaughterhouse workers in Korea.

METHODS

We evaluated the structure of slaughterhouses and the process of slaughtering by reviewing the relevant literature and doing field studies. We visited 73 slaughterhouses and 62 residual products handle houses across the country. In addition, we conducted a questionnaire survey of the work activities, and obtained blood samples in order to determine the seroprevalence and risk factors of brucellosis. The titers of brucellosis antibodies were measured using the standard tube agglutination test (SAT). We diagnosed subjects as seropositive for Brucellosis if the titers were more than 1:160. The data collected was evaluated using SPSS ver. 17.0.

RESULTS

We included 1,503 subjects and obtained 1,482 blood samples among them: 849 workers involved in slaughtering, 351 handlers of residual products, 190 inspectors and their assistants, and 92 grading testers and their assistants. The seroprevalence of brucellosis among the slaughterhouse workers was 0.8% (95% CI=0.4-1.5). Broken down, the seroprevalence of brucellosis among the workers involved in slaughtering was 0.7% (95% CI=0.3-1.6), the handlers of residual products was 1.7% (95% CI=0.7-3.9) respectively. Risk factors for contracting brucellosis among slaughterhouse workers were being splashed with cattle blood around the mouth, cattle secretions around the body and not putting on protective apron while at work.

CONCLUSIONS

An educational program is needed for high risk groups on zoonoses about the prevention of infection. Thus, effective working guidelines for workers who participate in the slaughter of animals must be developed in order to protect them from zoonoses.

摘要

目的

韩国人畜共患病的发病率最近有所上升。然而,韩国迄今尚未开展针对人畜共患病高危人群的研究。因此,我们开展了这项研究,以获取韩国屠宰场工人布鲁氏菌病的数据。

方法

我们通过查阅相关文献和进行实地研究,评估了屠宰场的结构和屠宰过程。我们走访了全国73家屠宰场和62家残余产品处理场。此外,我们对工作活动进行了问卷调查,并采集血样以确定布鲁氏菌病的血清阳性率和危险因素。使用标准试管凝集试验(SAT)测量布鲁氏菌病抗体滴度。如果滴度超过1:160,我们将受试者诊断为布鲁氏菌病血清阳性。使用SPSS 17.0版对收集的数据进行评估。

结果

我们纳入了1503名受试者,并采集了其中1482份血样:849名参与屠宰的工人、351名残余产品处理人员、190名检查员及其助手,以及92名分级测试员及其助手。屠宰场工人中布鲁氏菌病的血清阳性率为0.8%(95%CI = 0.4 - 1.5)。细分来看,参与屠宰的工人中布鲁氏菌病的血清阳性率为0.7%(95%CI = 0.3 - 1.6),残余产品处理人员为1.7%(95%CI = 0.7 - 3.9)。屠宰场工人感染布鲁氏菌病的危险因素包括口周被牛血溅到、身体周围接触牛分泌物以及工作时未穿戴防护围裙。

结论

需要为高危人群开展关于人畜共患病预防感染的教育项目。因此,必须制定有效的工作指南,以保护参与动物屠宰的工人免受人畜共患病的侵害。

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