Popugaĭlo V M, Podkin Iu A, Gurvich V B, Kuperman E F, Zhukova L N
Zh Mikrobiol Epidemiol Immunobiol. 1983 Oct(10):46-9.
An outbreak of erysipeloid among the workers of a shoe factory is described. The spread of infection occurred due to contact with infected raw materials, which was confirmed by the isolation of Erysipelotrix rhusiopathiae from washings made from chrome and Russia leather supplied by different tanneries, as well as from casein glue. The raw materials could be additionally infected by rodents, in particular by common voles; the above-mentioned infective agent had been repeatedly isolated from these animals on the territory of this region. Leather was also infected in the process of soaking: the infective agent was isolated from the water of soaking baths. For the first time the routes of the spread of erysipeloid infection among shoe factory workers were bacteriologically confirmed. The recommended complex of sanitary, medical and antiepidemic measures led to the liquidation of the outbreak and thus proved to be effective. The authors draw the attention of epidemiologists, sanitary inspectors, occupational pathologists and heads of medical centers at shoe factories to the necessity of preventing the spread of occupational erysipeloid infection among the workers, as well as to the necessity for dermatologists, surgeons and infectionists, most frequently dealing with erysipeloid patients, to be correctly oriented in respect to this infection.
本文描述了一家鞋厂工人中发生的丹毒样皮炎暴发事件。感染传播是由于接触受感染的原材料所致，这一点通过从不同制革厂供应的铬革和俄罗斯皮革以及酪蛋白胶的洗涤液中分离出猪红斑丹毒丝菌得到证实。原材料可能还受到啮齿动物的额外感染，特别是普通田鼠；在该地区的领土上，上述病原体已多次从这些动物身上分离出来。皮革在浸泡过程中也受到感染：从浸泡池水中分离出了病原体。首次通过细菌学方法证实了丹毒样皮炎感染在鞋厂工人中的传播途径。所推荐的卫生、医疗和防疫措施综合方案导致疫情得到控制，从而证明是有效的。作者提请流行病学家、卫生检查员、职业病理学家和鞋厂医疗中心负责人注意预防职业性丹毒样皮炎感染在工人中传播的必要性，以及提醒最常诊治丹毒样皮炎患者的皮肤科医生、外科医生和传染病专家正确认识这种感染。
