State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China.
Inner Mongolia Autonomous Region Comprehensive Center for Disease Control and Prevention, Huhhot, People's Republic of China.
Emerg Microbes Infect. 2020 Jan 30;9(1):263-274. doi: 10.1080/22221751.2020.1720528. eCollection 2020.
In the present study, a total of 1102304 serum samples were collected to detected human brucellosis between the years 2012 and 2016 in Inner Mongolia. Overall, an average of 3.79% anti-Brucella positive in Inner Mongolia was presented but the range of positive rates were among 0.90 to 7.07% in 12 regions. Seroprevalence of human brucellosis increased gradually from 2012 to 2016. However, the incidence rate of human brucellosis showed a declining trend. One hundred and seven Brucella strains were isolated and identified as species, and biovar 3 was the predominant biovar. MLVA-11 genotypes 116 was predominant and had crucial epidemiology to the human population. All 107 strains tested were sorted into 75 MLVA-16 genotypes, with 54 single genotypes representing unique isolates. This result revealed that these Brucellosis cases had epidemiologically unrelated and sporadic characteristics. The remaining 21 shared genotypes among two to four strains, confirming the occurrence of cross-infection and multiple outbreaks. Extensive genotype-events were observed between strains from this study and Kazakhstan, Mongolia, and Turkey, these countries were key members of the grassland silk road. Long-time trade in small ruminants (sheep) in these countries has possibly promoted the spread of . in these regions.
在本研究中,共收集了 2012 年至 2016 年内蒙古的 1102304 份血清样本,以检测人类布鲁氏菌病。总体而言,内蒙古的平均抗布鲁氏菌阳性率为 3.79%,但 12 个地区的阳性率范围在 0.90%至 7.07%之间。人类布鲁氏菌病的血清流行率从 2012 年到 2016 年逐渐增加。然而,人类布鲁氏菌病的发病率呈下降趋势。从分离和鉴定的 107 株布鲁氏菌中, 种和 3 生物型是主要的生物型。MLVA-11 基因型 116 是主要的基因型,对人群具有重要的流行病学意义。所有 107 株受试菌株被分为 75 种 MLVA-16 基因型,其中 54 种为单一基因型,代表独特的分离株。这一结果表明,这些布鲁氏菌病病例具有流行病学上无关和散发的特征。其余 21 株分离株存在于 2 至 4 株之间的共享基因型,证实了交叉感染和多次暴发的发生。本研究与哈萨克斯坦、蒙古和土耳其的菌株之间观察到广泛的基因型事件,这些国家是草原丝绸之路的关键成员。这些国家之间长期的小反刍动物(绵羊)贸易可能促进了 在这些地区的传播。