Clinical epidemiological analysis of 141 brucellosis cases in Shanxi Province / 中华地方病学杂志

ABSTRACT

Objective To analyze the clinical epidemiological situation and trend of brucellosis in Shanxi Province in order to provide the basis for diagnosis. Methods Brucellosis cases admitted to the First Hospital of Shanxi Medical University during January 2013 to December 2015 were included in the study. A retrospective investigation was undertaken and patient files were reviewed for general situation, clinical and laboratory findings, the process of diagnosis and treatments. Results The data of 141 patients were collected, including 100 males and 41 females, the male to female ratio was 2.44 1.00; the majority were 51 - 60 years old, 49 cases, accounting for 34.75％; the peak incidence was July and August each year, a total of 51 cases, accounting for 36.17％; of the 141 patients, 112 (79.43％) were professional, 29 (20.57％ ) were non -professional; and the clinical performance was diverse, 114 (80.85％) patients with irregular heat type, only 17 cases (12.06％) showed typical migratory joint pain; 31 cases (21.99％) were first diagnosed with only brucellosis, the shortest misdiagnosis time was 1 week, and the longest 18 month, the average misdiagnosis time was 3 months, and the total misdiagnosis rate was as high as 78.01％ (110/141). Conclusions Significant changes have happened in the clinical epidemiological characteristics of brucellosis in Shanxi Province. Various forms of prevention knowledge propaganda and education should be continually carried out, so as to strengthen the awareness and attention of the clinical workers on the disease.