Analysis of the diagnosis status of brucellosis in Yunnan Province from 2006 to 2022
10.3760/cma.j.cn231583-20230223-00033
- VernacularTitle:2006 - 2022年云南省布鲁氏菌病诊断情况分析
- Author:
Rongbing ZHANG
1
;
Lihua CHEN
;
Jibo HE
;
Binbin YU
Author Information
1. 云南省疾病预防控制中心疫情监测/突发公共卫生事件处置中心，昆明 650022
- Keywords:
Brucellosis;
Diagnosis;
Retrospective investigation
- From:
Chinese Journal of Endemiology
2024;43(5):366-369
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To master the diagnostic status of brucellosis in Yunnan Province.Methods:The basic information and clinical diagnosis data of all brucellosis cases reported in Yunnan Province from January 2006 to December 2022 in the China Disease Prevention and Control Information System were retrospectively collected. The diagnostic status of cases with different characteristics and clinical stages (acute, subacute, chronic) were analyzed.Results:A total of 3 892 cases of brucellosis were reported in Yunnan Province from 2006 to 2022, of which the acute phase accounted for 92.09% (3 584/3 892), the subacute phase accounted for 4.91% (191/3 892), and the chronic phase accounted for 3.01% (117/3 892). The median time interval between onset and diagnosis was 13 days. Males accounted for 69.63% (2 710/3 892), while females accounted for 30.37% (1 182/3 892). The age of the patients was mainly concentrated in the age group of 40 - 59 years, accounting for 53.13% (2 068/3 892). The median time interval between onset and diagnosis was the longest in the age group of 30 - 39 years (15 days), followed by the age group of 0 - 9 years (14 days), and 13 days in other age groups. In terms of occupational distribution, farmers and herdsmen together accounted for 85.25% (3 318/3 892) of the total reported cases; 84.88% (3 042/3 584), 90.05% (172/191) and 88.89% (104/117) of the total cases were in the acute, subacute and chronic phases, respectively. The distribution of medical treatment areas showed that there were 2 120 cases seeking medical treatment in this county (district), with a local treatment rate of 54.47% (2 120/3 892), including 1 930 cases (91.04%) in the acute phase, 115 cases (5.42%) in the subacute phase, and 75 cases (3.54%) in the chronic phase. There were 1 772 cases seeking medical treatment in different locations, with a referral rate of 45.53% (1 772/3 892), including 1 654 cases (93.34%) in the acute phase, 76 cases (4.29%) in the subacute phase, and 42 cases (2.37%) in the chronic phase. The distribution of visiting departments showed that 67.58% (542/802) of the cases were diagnosed and treated in the infectious disease department, and 32.42% (260/802) of the cases were diagnosed and treated in the non-infectious disease department.Conclusions:From 2006 to 2022, brucellosis in Yunnan Province is mainly in the acute stage, with a short time interval between onset and diagnosis. The main population is middle-aged and elderly male farmers and herdsmen.
