*案例分析*2021年辽宁省大连市一起人间布鲁氏菌病暴发疫情调查分析陈禹存1,2，杨世宏1，潘立阳1，李璐1，秦世娟3，张小雨3，李晓枫4摘要：目的对2021年大连市某羊汤馆一起布鲁氏菌病（布病）暴发疫情进行调查与分析，探讨布病发病原因及流行特点，为布病疫情防控与预防类似事件提供建议。方法制定个案调查表，开展现场流行病学调查，实验室进行试管凝集试验，采用描述性流行病学方法对调查内容和实验结果进行分析。结果此次疫情共发现6例确诊病例及3例隐性感染者。病例发病时间为2021年8月11日至10月2日，呈现持续同源的暴发模式。临床表现主要为发热、肌肉关节痛、乏力等。6例确诊病例中，5例从事帮厨工作，1例帮忙宰杀处理病羊，可疑暴露因素为处理加工病羊羊肉以及食用未煮熟的羊肉。结论大连市此次疫情为一起因加工和食用布鲁氏菌污染的羊肉及制品导致的布病暴发疫情，应加强对职业人群的宣传教育，提高防护意识，以控制和减少布病疫情的发生。关键词：布鲁氏菌病；暴发疫情；调查分析中图分类号:R211;R516.7文献标志码:A文章编号:1003−9961（2023）05−0622−03EpidemiologicalinvestigationofabrucellosisoutbreakinDaliancity,Liaoningprovince,2021ChenYucun1,2,YangShihong1,PanLiyang1,LiLu1,QinShijuan3,ZhangXiaoyu3,LiXiaofeng4.1.DalianCenterforDiseaseControlandPrevention,Dalian116021,Liaoning,China;2.ChinaFieldEpidemiologyTrainingProgram,ChinsesCenterforDiseaseControlandPrevention,Beijing100050,China;3.GanJingziCenterforDiseaseControlandPrevention,Dalian116000,Liaoning,China;4.SchoolofPublicHealth,DalianMedicalUniversity,Dalian116044,Liaoning,ChinaCorrespondingauthor:LiXiaofeng,Email:lxf_chen@163.comAbstract:ObjectiveToinvestigatethecausesandepidemiccharacteristicsofanoutbreakofbrucellosisinasheepsouprestaurantinDaliancity.Toprovidesuggestionsforbrucellosisepidemicpreventionandcontrolandpreventionofsimilarevents.MethodsCarriedoutfieldepidemiologicalinvestigationandcollectedbloodsamplefortubeagglutinationtest.Descriptiveepidemiologicalmethodwasusedtoanalyzethecaseinvestigationandexperimentalresults.ResultsAfterinvestigation,atotalofsixcasesandthreelatentinfectioncaseswerefound.TheonsetofthecasewasfromAugust11toOctober2in2021,andrepresentedahomo...
