Universidade Federal da Fronteira Sul , Campus Realeza, Realeza , Paraná , Brazil.
Universidade Estadual Paulista , Faculdade de Medicina Veterinária e Zootecnia , Botucatu , São Paulo , Brazil.
Rev Inst Med Trop Sao Paulo. 2022 Jun 6;64:e38. doi: 10.1590/S1678-9946202264038. eCollection 2022.
Brucellosis is one of the most important and widespread bacterial zoonotic diseases worldwide, and it is transmitted to humans from various sources, including direct contact with infected animals and the ingestion of contaminated products, including unpasteurized milk. There are only a few epidemiological studies on said disease in humans in Western Santa Catarina, a region instantiated by agriculture. Thus, the objective of this study was to characterize the epidemiological aspects of human brucellosis reported in Western Santa Catarina from 2013 to 2018. The data were provided by the Epidemiological Surveillance Board (Diretoria de Vigilancia Epidemiologica). The frequency of the disease in humans and the epidemiological profile of confirmed human cases were evaluated. Cases that were screened positive and those that were confirmed and submitted to the therapeutic protocol were analyzed. During the study period, 3,671 people were tested, of which 12.34% were screened positive (453/ 3,671) and 3.40% were confirmed (125/3,671). The year with the highest number of people testing positive was 2015 (123 cases), and 2018 was the year with the highest number of confirmed cases (39 cases). Confirmed cases predominated in males (48.8%), self-declared white (22.4%), aged 20-59 years old (60%), with incomplete primary education (22.4%), of rural origin (59.2%), with occupational contact with cattle (64.8%), engaged in professions directly linked to agricultural and livestock activities (55.5%), and who reported consumption of unpasteurized dairy products (59.2%). No seasonal variation was observed in case numbers. The results demonstrated that brucellosis is an endemic disease in Western Santa Catarina.
布鲁氏菌病是全球最重要和广泛传播的细菌性人畜共患病之一，可通过多种途径从动物传播给人类，包括直接接触受感染动物和摄入受污染的产品，包括未经过巴氏消毒的牛奶。在以农业为特色的圣卡塔琳娜西部地区，针对人类布鲁氏菌病的流行病学研究仅有少数。因此，本研究旨在描述 2013 年至 2018 年期间圣卡塔琳娜西部地区报告的人类布鲁氏菌病的流行病学特征。数据由流行病学监测委员会（Diretoria de Vigilancia Epidemiológica）提供。评估了人类疾病的发病率和确诊人类病例的流行病学特征。分析了筛查阳性病例、确诊病例和接受治疗方案的病例。在研究期间，对 3671 人进行了检测，其中 12.34%（453/3671）筛查阳性，3.40%（125/3671）确诊。检测阳性人数最多的年份是 2015 年（123 例），确诊人数最多的年份是 2018 年（39 例）。确诊病例以男性为主（48.8%），自报为白人（22.4%），年龄在 20-59 岁之间（60%），未完成小学教育（22.4%），来自农村（59.2%），与牛有职业接触（64.8%），从事与农业和畜牧业直接相关的职业（55.5%），并报告食用未经过巴氏消毒的乳制品（59.2%）。病例数量无季节性变化。结果表明，布鲁氏菌病是圣卡塔琳娜西部地区的地方性疾病。
