【摘要】 [目的]了解福建省钩端螺旋体病(钩体病)流行特点与监测点疫源地情况,为防治提供科学依据。[方法]对2005—2008年全省的钩体病疫情报告及有关资料进行分析。采集鼠、猪和青蛙的双肾或血、尿标本进行钩体培养分离,人、鼠血清测定抗体,分析感染情况。[结果]共报告钩体病126例,年均发病率0.09/10万。7～10月病例数占57.1%;农民占49.2%。监测点野外鼠密度为5.4%,黄毛鼠占优势(52.6%),鼠标本培养阳性率1.9%,鼠血清抗体阳性率67.7%,感染菌群以爪哇群和波摩那群为主。健康人群钩体血清抗体阳性率31.4%,钩体菌群以秋季群和犬群为主。[结论]我省钩体病发病较平稳,主要分布在山区。夏秋季为高发季节,青壮年农民为重点人群。监测点人群携带菌群复杂,鼠感染率较高,贯彻综合性防控措施是防治关键。更多还原

【Abstract】 [Objective] To study epidemiological features and main leptospirosis focus for the disease control and prevention.[Methods] The surveillance data of leptospirosis in Fujian from 2005 to 2008 were descriptively analyzed.The kidney and urine of rats,pigs,frogs and serum of rats were collected and tested for the pathogen and antibody. [Results] Totally 126 cases were reported and the annual incidence was 0.09/100 000.The cases from July to October accounted for 57.1%,and the farmer patients accounted for 49.2%.The rat density was 5.4% and Rattus rattoides accounted for 52.6%.The positive rate of rat samples was 1.9% and that of serum antibody was 67.7%.The positive rate of common people was 31.4% and Javanica and Pomona constitute the dominating serotypes,the main serotypes were Autumnalis and Canicola. [Conclusion] The incidences of leptospirosis in Fujian remain stable,most cases are in mountainous area.The peak seasons are in summer and autumn,and high risk age groups are aged 20-55 man farmer.There are complex serotypes in people and high positive rate in rats.The integrative measures should be carried out for the disease control in Fujian.更多还原