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[家畜分娩后兽医患脓疱性皮炎;一种职业病]

[Pustular dermatitis in veterinarians following delivery in domestic animals; an occupational disease].

作者信息

Visser I J

机构信息

Gezondheidsdienst voor Dieren, Drachten.

出版信息

Ned Tijdschr Geneeskd. 1996 Jun 1;140(22):1186-90.

PMID:8692355
Abstract

OBJECTIVE

To assess the prevalence of contact dermatitis after deliveries in cattle or sheep among veterinarians.

DESIGN

Retrospective.

SETTING

Provinces of Groningen, Friesland and Drenthe, The Netherlands.

METHODS

By means of a short inquiry 31O veterinarians were asked whether and how often they had experienced pustular dermatitis after deliveries in cattle and sheep and what course the dermatitis had run. They were also asked about details of the deliveries (type of animal, condition of the foetus, course of the partus), about microbiological investigation, preventive measurements and therapy.

RESULTS

The response to the questionnaires was 24.5%. One or more episodes of pustular dermatitis on an arm after a delivery in cattle or sheep was noticed by 6(2) (81.5%) of the 7(6) respondents. Sometimes it was associated with secondary symptoms like headache, fever and lymphadenitis. Listeria monocytogenes (7 times out of 13) and Salmonella dublin (4/13) were the agents cultured most often.

CONCLUSION

Contact dermatitis after deliveries in cattle or sheep occurs frequently as an occupational disease of veterinarians.

摘要

目的

评估兽医中牛或羊分娩后接触性皮炎的患病率。

设计

回顾性研究。

地点

荷兰格罗宁根省、弗里斯兰省和德伦特省。

方法

通过简短询问,向310名兽医询问他们是否以及多久经历过牛和羊分娩后的脓疱性皮炎,以及皮炎的发展过程。还询问了分娩的详细情况(动物类型、胎儿状况、分娩过程)、微生物学调查、预防措施和治疗情况。

结果

问卷回复率为24.5%。7(6)名受访者中有6(2)名(81.5%)注意到在牛或羊分娩后手臂上出现一次或多次脓疱性皮炎发作。有时会伴有头痛、发热和淋巴结炎等继发症状。产单核细胞李斯特菌(13次中有7次)和都柏林沙门氏菌(4/13)是最常培养出的病原体。

结论

牛或羊分娩后的接触性皮炎作为兽医的一种职业病很常见。

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