深圳市两起鹦鹉热疫情的流行病学调查和感染路径分析

doi:10.19871/j.cnki.xfcrbzz.2023.04.008

新发传染病电子杂志 ›› 2023, Vol. 8 ›› Issue (4): 36-40.doi: 10.19871/j.cnki.xfcrbzz.2023.04.008

深圳市两起鹦鹉热疫情的流行病学调查和感染路径分析

刘威^1,2, 万佳¹, 陈亿雄³, 段利娜⁴, 徐仲良⁵, 黄宇城⁶, 高世同¹, 张振¹, 孔东锋¹

1.深圳市疾病预防控制中心传染病预防控制所（寄生虫病预防控制所）,广东深圳 518055;
2.湖南师范大学医学院预防医学系,湖南长沙 410013;
3.深圳市宝安区疾病预防控制中心传染病防治科,广东深圳 518101;
4.深圳市福田区疾病预防控制中心应急与基层业务管理科,广东深圳 518040;
5.深圳市南山区疾病预防控制中心艾滋病防治科,广东深圳 518054;
6.河源市疾病预防控制中心应急与传防所,广东河源 517001

收稿日期:2023-05-27 出版日期:2023-08-31 发布日期:2023-09-26
通讯作者: 孔东锋,Email：kongdongfeng@wjw.sz.gov.cn
基金资助:
1.国家科技基础资源调查专项（2022FY100904）; 2.深圳市医学重点学科建设经费资助项目（SZXK064）; 3.深圳市医疗卫生三名工程项目（SZSM202011008）

Epidemiological investigation and infection route analysis of two psittacosis outbreaks in Shenzhen

Liu Wei^1,2, Wan Jia¹, Chen Yixiong³, Duan Lina⁴, Xu Zhongliang⁵, Huang Yucheng⁶, Gao Shitong¹, Zhang Zhen¹, Kong Dongfeng¹

1. Department of Communicable Disease Control and Prevention, Shenzhen Center for Disease Control and Prevention, Guangdong Shenzhen 518055, China;
2. Department of Preventive Medicine, School of Medicine, Hunan Normal University, Hunan Changsha 410013, China;
3. Department of Communicable Disease Control and Prevention, Shenzhen Baoan Center for Disease Control and Prevention, Guangdong Shenzhen 518101, China;
4. Department of Emergency and Primary Operations Management, Shenzhen Futian Center for Disease Control and Prevention, Guangdong Shenzhen 518040, China;
5. Department of AIDS Prevention and Control, Shenzhen Nanshan Center for Disease Control and Prevention, Guangdong Shenzhen 518054, China;
6. Department of Emergency and Communicable Disease Prevention, Heyuan Center for Disease Control and Prevention, Guangdong Heyuan 517001, China

Received:2023-05-27 Online:2023-08-31 Published:2023-09-26

摘要/Abstract

摘要： 目的分析深圳市两起鹦鹉热疫情的流行病学特征和影响因素,为制定防控措施提供科学依据。方法采用现场流行病学方法收集深圳市两起鹦鹉热疫情处置相关资料,应用描述性流行病学分析方法了解病例发生情况及流行病学特征。结果 2023年深圳市宝安区、福田区相继出现两起人感染鹦鹉热衣原体疫情,共有2例病例,无死亡病例。2例病例均居家饲养鹦鹉,有发热、四肢肌肉酸痛等症状,暴露时长分别为15d和33d。共同暴露者调查分析显示,宠物店养鸟职业人群中未发生感染情况（0/13）,家庭同住人员或亲朋好友非职业人群中有2例出现发热、肌肉酸痛症状,但拒绝采样。外环境中鹦鹉热衣原体阳性检出率是58.0%（29/50）。结论鹦鹉热衣原体感染为偶发感染,近距离长期无防护亲密接触是主要感染方式,暂未发现人传人。建议加强鹦鹉热环境和相关人群健康监测工作,以预防和控制鹦鹉热疫情。

关键词: 鹦鹉热, 衣原体, 发热, 流行病学调查, 感染路径, 深圳

Abstract: Objective To analyze the epidemiological characteristics and influencing factors of two psittacosis outbreaks in Shenzhen, and to provide scientific basis for formulating prevention and control measures. Method The data of two outbreaks of psittacosis in Shenzhen were collected by field epidemiological method, and the incidence and epidemiological characteristics were analyzed by descriptive epidemiological method. Result There were two outbreaks of human infection with chlamydia psittaci in Baoan District and Futian District of Shenzhen in 2023, with a total of two cases and no death. The two cases were all home-raised parrots, with symptoms such as fever and limb muscle soreness, the exposure time was 15 days and 33 days, respectively. The investigation of co-exposed persons showed that no infection occurred in the occupational population of pet shop birds (0/13), and there were two cases of fever and muscle soreness in the non-occupational population such as family members or friends, but sampling was refused. The positive rate of chlamydia psittaci in external environment was 58.0% (29/50). Conclusion Chlamydia psittaci infection is an occasional infection. Long-term unprotected close contact is the main mode of infection, and no human-to-human transmission has been found. In order to prevent and control psittacosis, it is suggested to strengthen the environmental and related population health monitoring.

Key words: Psittacosis, Chlamydia, Fever, Epidemiological investigation, Infection path, Shenzhen

中图分类号:

R183.5

刘威, 万佳, 陈亿雄, 段利娜, 徐仲良, 黄宇城, 高世同, 张振, 孔东锋. 深圳市两起鹦鹉热疫情的流行病学调查和感染路径分析[J]. 新发传染病电子杂志, 2023, 8(4): 36-40.

Liu Wei, Wan Jia, Chen Yixiong, Duan Lina, Xu Zhongliang, Huang Yucheng, Gao Shitong, Zhang Zhen, Kong Dongfeng. Epidemiological investigation and infection route analysis of two psittacosis outbreaks in Shenzhen[J]. Electronic Journal of Emerging Infectious Diseases, 2023, 8(4): 36-40.

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深圳市两起鹦鹉热疫情的流行病学调查和感染路径分析

Epidemiological investigation and infection route analysis of two psittacosis outbreaks in Shenzhen

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