目的 了解江苏省重点地区职业人群布鲁氏菌病(布病)的感染现况及其危险因素.方法 选择江苏省重点地区规模较大的3家屠宰厂和牲畜交易市场、饲养场各1家238名从业人员开展布病感染状况的横断面调查并分析其危险因素.结果 调查发现感染者50例,感染率高达21％(50/238),感染率在性别、年龄、从业年限、工种上的差异均无统计学意义.危险因素分析结果显示屠宰是高危工种(RR=1.80,95％CI:1.1 ～ 3.1),其中从事家畜屠宰“放血”是高危岗位(RR=1.90,95％CI:1.1～3.3),进食前洗手是保护因素(RR=0.25,95％CI:0.14～0.44).结论 江苏省家畜屠宰、交易、饲养等场所职业人群存在布病感染,应采取相应控制措施.%Objective To study the status of infection and risk factors on Brucellosis among workers in Jiangsu province so as to provide related preventive and control measures.Methods A cross-sectional survey was conducted on 238 workers at three butcheries,one trading market and one stockyard.Related risk factors on the different exposures to the disease were also analyzed.Results 50 workers were identified to have had the infection,with a infection rate as 21％ (50/238).No significant differences in gender,age,working length and occupations were found.Jobs as slaughtering (RR=1.80,95％CI:1.1-3.1),particular on bleeding (RR=1.90,95％CI:1.1-3.3) were risk factors.Habit as hand-washing before eating was a protective factor (RR=0.25,95％ CI:0.14-0.44).Conclusion Workers from butcheries,trading markets and stockyards were seriously infected with Brucellosis in Jiangsu province and related.Control measures and education should be implemented to the workers in that trade.
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