莱姆病的流行现状及防制措施

doi:10.11853/j.issn.1003.8280.2020.06.002

中国媒介生物学及控制杂志 ›› 2020, Vol. 31 ›› Issue (6): 639-642.DOI: 10.11853/j.issn.1003.8280.2020.06.002

莱姆病的流行现状及防制措施

郝琴

中国疾病预防控制中心传染病预防控制所螺旋体病控制室, 传染病预防控制国家重点实验室, 北京昌平 102206

收稿日期:2020-09-21 出版日期:2020-12-20 发布日期:2020-12-20
作者简介:郝琴,女,博士,研究员,主要从事莱姆病、回归热等相关研究工作,Email:haoqin@icdc.cn
基金资助:
国家科技重大专项（2018ZX10101002-002，2017ZX10303404-006-003）

Epidemic situation and control measures of Lyme disease

HAO Qin

State Key Laboratory of Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

Received:2020-09-21 Online:2020-12-20 Published:2020-12-20
Supported by:
Supported by the National Science and Technology Major Project of China (No. 2018ZX10101002-002, 2017ZX10303404-006-003)

摘要/Abstract

摘要： 莱姆病是一种重要的新发传染病，主要由蜱叮咬人、兽而传播。其病原体为伯氏疏螺旋体。人感染伯氏疏螺旋体的风险与蜱种的分布、地域因素、人为活动有关。该文对莱姆病的流行状况、基因型分布、主要传播媒介、动物宿主以及预防控制措施进行综述，为莱姆病的监测和防控提供参考。

关键词: 莱姆病, 伯氏疏螺旋体, 媒介, 宿主动物

Abstract: Lyme disease is an important emerging infectious disease, which is mainly transmitted by tick-biting in humans and animals. The pathogen of this disease is Borrelia burgdorferi. The risk of B. burgdorferi infection in humans is associated with the distribution of tick species, geographical factors, and human activities. This article reviews the epidemic situation, genotype distribution, main vectors, animal hosts, and prevention and control measures of Lyme disease, in order to provide a reference for the surveillance and control of Lyme disease.

Key words: Lyme disease, Borrelia burgdorferi, Vector, Host animal

中图分类号:

R377

郝琴. 莱姆病的流行现状及防制措施[J]. 中国媒介生物学及控制杂志, 2020, 31(6): 639-642.

HAO Qin. Epidemic situation and control measures of Lyme disease[J]. Chines Journal of Vector Biology and Control, 2020, 31(6): 639-642.

参考文献

[1] Steere AC,Strle F,Wormser GP,et al. Lyme borreliosis[J]. Nat Rev Dis Primers,2016,2:16090. DOI:10.1038/nrdp.2016.90.
[2] Steere AC,Malawista SE,Snydman DR,et al. Lyme arthritis:an epidemic of oligoarticular arthritis in children and adults in three connecticut communities[J]. Arthritis Rheum,1977,20(1):7-17. DOI:10.1002/art.1780200102.
[3] Burgdorfer W,Barbour AG,Hayes SF,et al. Lyme disease a tick-borne spirochetosis?[J]. Science,1982,216(4552):1317-1319. DOI:10.1126/science.7043737.
[4] Mead PS. Epidemiology of Lyme disease[J]. Infect Dis Clin North Am,2015,29(2):187-210. DOI:10.1016/j.idc.2015.02.010.
[5] Pritt BS,Respicio-Kingry LB,Sloan LM,et al. Borrelia mayonii sp. nov.,a member of the Borrelia burgdorferi sensu lato complex,detected in patients and ticks in the upper midwestern United States[J]. Int J Syst Evol Microbiol,2016,66(11):4878-4880. DOI:10.1099/ijsem.0.001445.
[6] 艾承绪. 黑龙江省海林地区发现1种新的蜱传螺旋体病:莱姆病(Lyme disease)[J]. 中国公共卫生:基础版,1987,2:6-7. Ai CX. A new tick-borne spirochete disease found in Hailin area of Heilongjiang province:Lyme disease[J]. Chin J Publ Heal,1987,2:6-7.
[7] 张哲夫,万康林,张金声,等. 我国莱姆病的流行病学和病原学研究[J]. 中华流行病学杂志,1997,18(1):8-11. Zhang ZF,Wan KL,Zhang JS,et al. Studies on epidemiology and etiology of Lyme disease in China[J]. Chin J Epidemiol,1997,18(1):8-11.
[8] 张哲夫,张金声,朱桂凤,等. 我国东北林区莱姆病的调查[J]. 中华流行病学杂志,1989,10(5):261-264. Zhang ZF,Zhang JS,Zhu GF,et al. Investigation on Lyme disease in Northeast of China[J]. Chin J Epidemiol,1989,10(5):261-264.
[9] 万康林. 中国莱姆病的研究进展[J]. 中华流行病学杂志,2002,23增刊:19-22. DOI:10.3760/j.issn:0254-6450.2002.z1.008. Wan KL. Research progress of Lyme disease in China[J]. Chin J Epidemiol,2002,23 Suppl:19-22. DOI:10.3760/j.issn:0254-6450.2002.z1.008.
[10] Zhang L,Zhu X,Hou XX,et al. Test of 259 serums from patients with arthritis or neurological symptoms confirmed existence of Lyme disease in Hainan province,China[J]. Int J Clin Exp Med,2015,8(6):9531-9536.
[11] 万康林,张哲夫,窦桂兰,等. 中国莱姆病螺旋体主要生物媒介的调查研究[J]. 中华流行病学杂志,1998,19(5):263-266. DOI:10.3760/j.issn:0254-6450.1998.05.002. Wan KL,Zhang ZF,Dou GL,et al. Investigation on primary vectors of Borrelia burgdorferi in China[J]. Chin J Epidemiol,1998,19(5):263-266. DOI:10.3760/j.issn:0254-6450.1998.05.002.
[12] 万康林,张哲夫,张金声,等. 中国20个省、区、市动物莱姆病初步调查研究[J]. 中国媒介生物学及控制杂志,1998,9(5):366-370. DOI:10.3969/j.issn.1003-4692.1998.05.015. Wan KL,Zhang ZF,Zhang JS,et al. Preliminary investigation on Lyme disease in animals in 20 provinces,cities and autonomous regions of China[J]. Chin J Vector Biol Control,1998,9(5):366-370. DOI:10.3969/j.issn.1003-4692.1998.05.015.
[13] 耿震,侯学霞,万康林,等. 中国六省蜱中莱姆病螺旋体分离与鉴定[J]. 中华流行病学杂志,2010,31(12):1346-1348. DOI:10.3760/cma.j.issn.0254-6450.2010.12.005. Geng Z,Hou XX,Wan KL,et al. Isolation and identification of Borrelia burgdorferi sensu lato from ticks in six provinces in China[J]. Chin J Epidemiol,2010,31(12):1346-1348. DOI:10.3760/cma.j.issn.0254-6450.2010.12.005.
[14] 侯学霞,张琳,李国华,等. 山西省吕梁地区莱姆病自然疫源地调查研究[J]. 中国媒介生物学及控制杂志,2017,28(6):550-552. DOI:10.11853/j.issn.1003.8280.2017.06.008. Hou XX,Zhang L,Li GH,et al. Investigation on natural foci of Lyme disease in Lyuliang area,Shanxi province[J]. Chin J Vector Biol Control,2017,28(6):550-552. DOI:10.11853/j.issn.1003.8280.2017.06.008.
[15] Hou XX,Xu JM,Hao Q,et al. Prevalence of Borrelia burgdorferi sensu lato in rodents from Jiangxi,southeastern China region[J]. Int J Clin Exp Med,2014,7(12):5563-5567.
[16] Mediannikov OY,Ivanov L,Zdanovskaya N,et al. Diversity of Borrelia burgdorferi sensu lato in Russian far east[J]. Microbiol Immunol,2005,49(3):191-197. DOI:10.1111/j.1348-0421.2005. tb03717.x.
[17] Masuzawa T,Hashimoto N,Kudeken M,et al. New genomospecies related to Borrelia valaisiana,isolated from mammals in Okinawa archipelago,Japan[J]. J Med Microbiol,2004,53(5):421-426. DOI:10.1099/jmm.0.05337-0.
[18] Margos G,Fedorova N,Kleinjan JE,et al. Borrelia lanei sp. nov. extends the diversity of Borrelia species in California[J]. Int J Syst Evol Microbiol,2017,67(10):3872-3876. DOI:10.1099/ijsem.0.002214.
[19] Ivanova LB,Tomova A,González-Acuña D,et al. Borrelia chilensis,a new member of the Borrelia burgdorferi sensu lato complex that extends the range of this genospecies in the Southern Hemisphere[J]. Environ Microbiol,2014,16(4):1069-1080. DOI:10.1111/1462-2920.12310.
[20] Hou J,Ling F,Chai CL,et al. Prevalence of Borrelia burgdorferi sensu lato in ticks from eastern China[J]. Am J Trop Med Hyg,2015,92(2):262-266. DOI:10.4269/ajtmh.14-0587.
[21] Hao Q,Hou XX,Geng Z,et al. Distribution of Borrelia burgdorferi sensu lato in China[J]. J Clin Microbiol,2011,49(2):647-650. DOI:10.1128/JCM.00725-10.
[22] Chu CY,Liu W,Jiang BG,et al. Novel genospecies of Borrelia burgdorferi sensu lato from rodents and ticks in southwestern China[J]. J Clin Microbiol,2008,46(9):3130-3133. DOI:10.1128/JCM.01195-08.
[23] Fang LQ,Liu K,Li XL,et al. Emerging tick-borne infections in mainland China:an increasing public health threat[J]. Lancet Infect Dis,2015,15(12):1467-1479. DOI:10.1016/S1473-3099(15)00177-2.
[24] David LH. Control of communicable diseases manual[M]. 18th ed. Washington DC,USA:American Public Health Association,2004:345-349.

莱姆病的流行现状及防制措施

Epidemic situation and control measures of Lyme disease

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