Choudat D, Le Goff C, Delemotte B, Paul G, Mady V, Fages J, Conso F
Département de Médecine du travail, Faculté Cochin-Port-Royal, Paris, France.
Br J Ind Med. 1987 Dec;44(12):829-33. doi: 10.1136/oem.44.12.829.
The relation between occupational exposure to cattle and prevalence of antibodies against Pasteurella multocida was evaluated in 680 workers. Three groups of exposed workers in abattoirs and slaughterhouses (S), in industrial breeding (I), and in traditional breeding (T) were compared with control workers not exposed to cattle or chicken (C). The prevalence of antibodies against capsular antigen A determined by indirect haemagglutination was significantly higher in the exposed groups (S: 26.2%; I: 29.0%; T: 32.1%) than in the control group (C: 14.0%). The prevalence of antibodies against capsular antigen D did not differ significantly between the groups. The prevalence of antibodies against one or more somatic antigens 1,2,3,7,8, or 9 was higher in the exposed groups with a significant difference only for group T versus group C (p less than 0.05). There was also a significant relation between antibodies against capsular antigen A and the contacts with pets. This high prevalence of antibodies against P multocida suggests that the infection is frequently subclinical and not only a disease associated with pets but also an occupationally related infection.
在680名工人中评估了职业性接触牛与多杀巴斯德菌抗体患病率之间的关系。将屠宰场和肉类加工厂(S)、工业化养殖(I)以及传统养殖(T)的三组接触工人与未接触牛或鸡的对照工人(C)进行比较。通过间接血凝法测定的抗荚膜抗原A抗体的患病率在接触组(S:26.2%;I:29.0%;T:32.1%)中显著高于对照组(C:14.0%)。抗荚膜抗原D抗体的患病率在各组之间无显著差异。接触组中抗一种或多种菌体抗原1、2、3、7、8或9的抗体患病率较高,仅T组与C组之间存在显著差异(p小于0.05)。抗荚膜抗原A抗体与接触宠物之间也存在显著关系。这种多杀巴斯德菌抗体的高患病率表明,该感染通常为亚临床感染,不仅是一种与宠物相关的疾病,也是一种职业相关感染。