背景:针对疾病管理的预防措施的开发和医疗保健提供系统的推广取决于检测疾病的发病率和重要的危险因素。本研究旨在确定2009年至2017年间伊朗人类布鲁氏菌病发病率的一些流行病学指标和趋势。
方法:描述性横断面研究。
方法:在目前的研究中,在线数据来自所有可能或明确诊断并在医疗中心登记的布鲁氏菌病病例,医院,实验室,以及伊朗所有地区的私人诊所。流行病学问卷用于收集有关人口统计学和背景特征的数据,危险因素,高风险行为,和实验室测试结果,分别,根据国家布鲁氏菌病控制计划。
结果:2009年至2017年在伊朗共研究了138,448例布氏杆菌病。最高(25.89)和最低(12.07)的发病率分别在2014年和2009年观察到。在这项为期九年的研究中,据报道,哈马丹的发病率最高,洛雷斯坦,Kordestan,和克尔曼沙省。不同变量的累积百分比按以下比率估计:按性别:男性为57.9%;按年龄组划分:25-44岁和16-24岁年龄组为36.2%和16.7%。分别;按职业划分:家庭主妇为33.2%;按居住面积划分:农村居民为75.7%。
结论:根据获得的结果,尽管自2015年以来,伊朗人类布鲁氏菌病的发病率有所下降,但病例数仍然很高.
BACKGROUND: The development of preventive measures and promotion of healthcare delivery systems for disease management is dependent on detecting the incidence rates of the diseases and important risk factors. The current study aimed to determine some epidemiological indices and trends of the human brucellosis incidence in Iran between 2009 and 2017.
METHODS: A descriptive cross-sectional study.
METHODS: In the current study, online data were gathered from all cases of brucellosis who were potentially or definitely diagnosed and registered in medical centers, hospitals, laboratories, and private clinics in all districts of Iran. Epidemiologic questionnaires were used to collect data on demographic and background characteristics, risk factors, high-risk behaviors, and lab test results, respectively, based on the national brucellosis control plan.
RESULTS: A total of 138,448 cases of brucellosis have been studied in Iran from 2009 to 2017. The highest (25.89) and the lowest (12.07) incidence rates were observed in 2014 and 2009, respectively. In this nine-year study, the highest incidences were reported in the Hamedan, Lorestan, Kordestan, and Kermanshah provinces. The cumulative percentages of the disease were estimated for different variables at the following rates: by gender: 57.9% for males; by age groups: 36.2% and 16.7% for the 25-44 and16-24 years age groups, respectively; by occupation: 33.2% for housewives; and by residential area: 75.7% for rural residents.
CONCLUSIONS: Based on the obtained results, although the incidence of human brucellosis in Iran has declined since 2015, the number of cases has remained high.