2008-2017年Bielsko-Biała及周边地区居民的疏螺旋体病

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摘要

莱姆病是一种多器官蜱传疾病,主要发生在北半球国家。它是由伯氏疏螺旋体细菌引起的,感染媒介是来自伊蚊科的蜱。近年来,人们注意到世界上莱姆病病例的数量有所增加。由于疾病的临床表现和并发症的可能性各不相同,莱姆病应及早诊断和适当治疗。该研究的目的是分析2008-2017年“别尔斯基”区和别尔斯科-比亚拉市居民中莱姆病的发病率。方法:根据别尔斯科-比亚拉卫生流行病学站收集的资料,对莱姆病的发生情况进行分析。结果:分析期内莱姆病确诊病例1450例,主要发生在人口超过1万的城市。该病最常见于51至60岁和61至70岁的妇女。蜱虫叮咬最常发生在夏季。最常见的感染症状为全身不适、发热和蜱叮咬部位出现红斑。结论:在2008-2017年分析期内,别尔斯科-比亚拉及周边地区居民莱姆病病例数保持在相似水平,2009年显著上升,2014-2015年下降。女性比男性更容易患莱姆病。莱姆病影响所有年龄段的人。然而,有风险的人群是五六十岁的人。蜱叮咬主要发生在7 - 11月,感染伯氏疏螺旋体,多发于夏季。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Borreliosis in the inhabitants of Bielsko-Biała and the surrounding area in the period 2008-2017
Introduction: Lyme disease is a multiorgan tick-borne disease which endemically occurs primarily in countries in the Northern Hemisphere. It is caused by the bacteria Borrelia burgdorferi, and the vector of infection are ticks from the Ixodes family. In recent years it has been noted that there is an increase in the number of Lyme disease cases in the world. Due to the varied clinical picture of disease and the possibility of complications, Lyme disease should be diagnosed early and properly treated. The objective of the research was an analysis of the occurrence of Lyme disease among inhabitants of “bielski” district and the city of Bielsko-Biala in years 2008-2017. Methods: The analysis of the occurrence of Lyme disease was based on data collected from the Sanitary Epidemiological Station in Bielsko-Biala. Results: In the analysed period there were 1450 cases of Lyme disease diagnosed, mostly among people living in the city which has a population of more than 10000 inhabitants. The disease most frequently afflicted women 51 to 60 and 61 to 70 years of age. Tick bites occurred most frequently during summer months. The most common symptom of infection was malaise, fever and erythema at the site of the tick bite. Conclusions: In the analysed period covering the years 2008-2017, the number of cases of Lyme disease among people living in Bielsko-Biala and the surrounding area remains on the similar level with a noticeable significant increase in 2009 and a decrease in 2014-2015. Women were suffering from Lyme disease more often than men. Lyme disease affected people of all ages. However, the group at risk consisted of people in their fifties and sixties. Tick bites, which resulted in bacterium Borrelia burgdorferi infection, occurred between July and November with the intensity in the summer months.
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