Applied Study and Case Report
Occupational characteristics and clinical manifestations of 245 cases of occupational brucellosis
Liang Chen, Wei Wei, Liang Xiuwen, Wang Lijun, Peng Li, De Enjin
Published 2018-10-20
Cite as Chin Ind Hyg Occup Dis, 2018,36(10): 755-758. DOI: 10.3760/cma.j.issn.1001-9391.2018.10.009
Abstract
ObjectiveTo analyse epidemiological, clinical characteristics and laboratory examination results of 245 occupational brucellosis form 2008 to 2018, which providing theoretical basis for prevention and control of occupational brucellosis.
MethodsBased on the China Center for Disease Control and Prevention Information System, a database of occupational brucellosis cases in HunlunBuir from January 2008 to July 2018 was established. The Epidemiological characteristics, Clinical manifestation, laboratory examination of 245 occupational brucellosis and 359 without occupational brucellosis were comparatively analyzed about the same period.
ResultsAmong the 245 patients, 219 were males, 254 in 359, malese were significantly higher than control group (χ2=21.331, P<0.05) . Fever, fatigue, hyperhidrosis and splenomegaly are common in patients with occupational brucellosis and non occupational brucellosis. Arthralgia (54.3%/44.8%) and CRP (81.2%/71.3%) were significantly also higher than control group (χ2=5.193, P<0.05; χ2=7.704, P<0.05) Fever, hyperhidrosis, fatigue and splenomegaly were common clinical manifestation and signs in the two groups. Brucellosis can cause a variety of complications, including osteoarticular hematological system and hepatic involvement, some patients with multiple system damage.
ConclusionThe incidence of occupational brucellosis in HulunBuir is concentrated in agriculture and animal husbandry. Veterinarians are the main occupational groups, Occupational health interventions should be strengthened for key occupational hazards, regular occupational health examination, avoid chronic brucellosis and protect the health of key occupational groups.
Key words:
Brucellosis; Occupational disease; Occupational characteristics; Clinical manifestation
Contributor Information
Liang Chen
HulunBuir People’s Hospital, Department of Brucellosis, HulunBuir Clinical Medical College, Inner Mongolia University for Nationalitie, HulunBuir 021008, China
Wei Wei
Liang Xiuwen
Wang Lijun
Peng Li
De Enjin