职业与健康 ›› 2026, Vol. 42 ›› Issue (20): 2875-2880.

• 综述 • 上一篇    

布鲁菌病流行特征及疾病负担研究进展

刘新宇1, 张丽杰2(), 陈禹存3(), 丁祎1, 孙宇婷1, 魏鑫1   

  1. 1 大连医科大学辽宁 大连 116044
    2 中国疾病预防控制中心(中国预防医学科学院)北京 100050
    3 大连市疾病预防控制中心辽宁 大连 116037
  • 收稿日期:2025-09-04 修回日期:2025-10-30 出版日期:2026-10-15 发布日期:2026-09-14
  • 通信作者: 张丽杰,E-mail:zhanglj@chinacdc.cn;陈禹存,E-mail:chenyucun@126.com
  • 作者简介:刘新宇,女,在读硕士研究生,研究方向为流行病学。
  • 基金资助:
    公共卫生人才培养支持项目(01063局)

Advances in brucellosis epidemic characterization and disease burden research

LIU Xinyu1, ZHANG Lijie2(), CHEN Yucun3(), DING Yi1, SUN Yuting1, WEI Xin1   

  1. 1 Dalian Medical UniversityDalianLiaoning 116044, China
    2 Chinese Center for Disease Control and PreventionBeijing l 00050, China
    3 Dalian Center for Disease Control and PreventionDalianLiaoning 116037, China
  • Received:2025-09-04 Revised:2025-10-30 Online:2026-10-15 Published:2026-09-14
  • Contact: ZHANG Lijie,E-mail:zhanglj@chinacdc.cn;CHEN Yucun,E-mail:chenyucun@126.com

摘要:

布鲁菌病(布病)是由布鲁菌属细菌引起的人兽共患传染病,在全球广泛流行,对公共卫生安全、动物健康构成严重威胁,且造成巨大经济损失。其具有传播途径多样、潜伏期长、易发展为慢性的特点,不仅严重影响患者生活质量与劳动能力,还对畜牧业生产造成显著冲击。布鲁菌可感染多种哺乳动物,羊、牛、猪是常见宿主,其中羊种布鲁菌致病性最强,传播以直接接触感染为主,也可通过消化道、呼吸道进行传播。所致病症在动物宿主与人类感染者中表现存在明显差异,人类在感染时常伴有寒颤、多汗、乏力、肌肉和关节疼痛等症状;牛羊等动物感染时,母畜在怀孕中后期突发流产、产死胎或虚弱幼崽、公畜感染后出现睾丸炎、附睾炎等症状。尽管目前评估疾病负担较为困难,但仍能发现布病的健康负担、流行病学负担、经济负担都较为沉重。本文就布病的病原学特征、流行病学现状、疾病负担等进行综述,为疾病负担和防控提供参考。

关键词: 布鲁菌病, 流行特征, 疾病负担, 综述, 人兽共患病, 研究进展

Abstract:

Brucellosis(abbreviated as brucellosis) is a zoonotic infectious disease caused by Brucella bacteria. It is widely prevalent in the world,posing a serious threat to public health safety and animal health,and causing huge economic losses. It has the characteristics of diverse transmission routes,long incubation period and easy to develop into chronic disease. It not only seriously affects the quality of life and labor ability of patients,but also has a significant impact on animal husbandry production. Brucella can infect a variety of mammals,with sheep,cattle and pigs being common hosts,and Brucella melitensis is the most pathogenic. The transmission is mainly direct contact infection,but also through the digestive tract and respiratory tract. There are significant differences between animal hosts and human infected patients. Human infection is often accompanied by chills,sweating,fatigue,muscle and joint pain and other symptoms;When cattle,sheep and other animals are infected,the female animals suddenly miscarry in the middle and late pregnancy,give birth to dead fetus or weak cubs,and the male animals are infected with orchitis,epididymitis and other symptoms. Although it is difficult to assess the disease burden at present,it can still be found that the health burden,epidemiological burden and economic burden of brucellosis are heavy. This paper reviews the etiological characteristics,epidemiological status and disease burden of brucellosis,so as to provide reference for disease burden and prevention and control.

Key words: Brucellosis, Epidemiological characteristics, Disease burden, Review, Zoonosis, Research progress

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