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疾病概览

细菌性

耶尔森菌病

Yersiniosis

有证据支持的资料英文 5/7 个适用章节 · 中文 5/7 个适用章节更新于 2026年9月3日

耶尔森菌病是一种由耶尔森菌属(除鼠疫耶尔森菌外)引起的胃肠道人畜共患感染性疾病,主要由小肠结肠炎耶尔森菌(Y. enterocolitica)引起,少部分由假结核耶尔森菌(Y. pseudotuberculosis)引起[1]。该病在全球范围内通过被污染的食品、饮用水及与动物或环境的接触传播,被列为重要的食源性人畜共患病之一[2]

阅读完整临床与流行病学资料6
定义

耶尔森菌病是由耶尔森菌属(不包括鼠疫耶尔森菌)细菌引起的胃肠道传染病,绝大多数病例由小肠结肠炎耶尔森菌引起,少部分由假结核耶尔森菌引起,极少数由其他耶尔森菌属菌种引起[1]。该病是一种人畜共患病,家畜(猪、牛、家禽)以及野生动物、宠物、鱼类和啮齿动物均可作为病原体的无症状携带者,通过粪便向环境释放病原体[2]

临床特征

耶尔森菌病的临床表现因患者年龄而异。5岁以下儿童往往症状较重;较大儿童和成人则以右下腹痛和发热为主要表现,常与阑尾炎混淆[1]。常见症状包括发热、腹痛、腹泻等,症状通常在暴露后4至7天出现,持续1至3周或更长时间[1]。在某些病例中可出现肠穿孔、中毒性巨结肠、腹膜炎和小肠坏死等并发症,也可出现皮肤红斑、关节疼痛、回肠炎、结节性红斑、肾炎、心肌炎等肠外表现,极少数情况下可发生败血症或急性关节炎[1]

流行病学

耶尔森菌病在多个发达国家均有报告,部分国家(如新西兰)的发病率高于其他发达国家,且近年来呈上升趋势[3]。在新西兰,超过99%的人类病例由小肠结肠炎耶尔森菌引起;2012年以前最常见的菌型为小肠结肠炎耶尔森菌生物4型,此后生物2/3血清型O:9逐渐成为流行菌型[3]。2014年新西兰曾发生一起由假结核耶尔森菌引起的大型暴发(220例病例),而大多数人类病例仍为散发性,难以确定感染源[3]。该病在全球范围内被列为重要的食源性人畜共患病,与弯曲菌病、沙门氏菌病和李斯特菌病一同构成主要的食源性细菌性疾病负担[2]

传播/暴露

耶尔森菌病主要通过摄入未煮熟的肉类产品(主要为猪肉)、未经巴氏消毒的牛奶或被污染的水传播,处理生的猪肠衣也与感染相关[1]。在农村地区,居民饮用水取自地下水或雨水,由于缺乏监管以及动物或鸟类的污染,感染风险较高[1]。家畜(家禽、牛、猪)以及野生动物、宠物、鱼类和啮齿动物作为无症状携带者,通过粪便将病原体释放到环境中,进而污染蔬菜、水果及食品生产场所[2]。在新西兰,小肠结肠炎耶尔森菌已从多种患病和健康的家畜及农场动物中分离出,但从动物宿主到人的传播途径尚未完全证实[3]

预防

鉴于大多数病例的感染源尚不明确且被认为是散发性的,预防工作面临重大挑战[3]。新西兰已开始将全基因组测序技术应用于流行病学调查,以提供更精确的病原体分型[3]。采取"同一健康"(One-Health)方法对于阐明耶尔森菌的传播途径,从而制定针对性的干预措施以预防和管理耶尔森菌病至关重要[3]

参考文献
  1. 1Chlebicz A et al. Campylobacteriosis, Salmonellosis, Yersiniosis, and Listeriosis as Zoonotic Foodborne Diseases: A Review. Int J Environ Res Public Health. 2018 Apr 26. PMID: 29701663. doi: 10.3390/ijerph15050863.PubMed: https://pubmed.ncbi.nlm.nih.gov/29701663/
  2. 2Wikipedia contributors. Yersiniosis - Wikipedia [Internet]. Wikipedia. cited 4 Sept 2026.Available from: https://en.wikipedia.org/wiki/Yersiniosis
  3. 3Rivas L et al. Yersiniosis in New Zealand. Pathogens. 2021 Feb 10. PMID: 33578727. doi: 10.3390/pathogens10020191.PubMed: https://pubmed.ncbi.nlm.nih.gov/33578727/
编码登记
ICD-10
ICD-11
核心统计
累计病例
149K
峰值月份
2020-01
覆盖区间
32 个报告国家 · 1977-01-01 → 2026-09-01

数据覆盖

报告国家和地区

32 个国家/地区

月度变化趋势

数据获取

本页面数据索引,含来源链接和更新信息。

行数3,698
更新2026-09-01
范围
分块11
来源36 序列 · 1,706 观测
官方数据来源机构、频率与说明45
Austria

Austria AGES Radar for Infectious Diseases

Austria

来源
每月official_monthly_csv

AGES Radar monthly national source. Internal ingestion retains native categories; public release is disabled pending licence review.

Australia

Australia NINDSS

Australia

来源
每月Power BI 看板

Australian national notifiable diseases surveillance dashboard.

Australian Capital Territory, Australia

Australia NINDSS — Australian Capital Territory

Australian Capital Territory, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for Australian Capital Territory, kept separate from the Australia national aggregate.

New South Wales, Australia

Australia NINDSS — New South Wales

New South Wales, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for New South Wales, kept separate from the Australia national aggregate.

Northern Territory, Australia

Australia NINDSS — Northern Territory

Northern Territory, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for Northern Territory, kept separate from the Australia national aggregate.

Queensland, Australia

Australia NINDSS — Queensland

Queensland, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for Queensland, kept separate from the Australia national aggregate.

South Australia, Australia

Australia NINDSS — South Australia

South Australia, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for South Australia, kept separate from the Australia national aggregate.

Tasmania, Australia

Australia NINDSS — Tasmania

Tasmania, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for Tasmania, kept separate from the Australia national aggregate.

Victoria, Australia

Australia NINDSS — Victoria

Victoria, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for Victoria, kept separate from the Australia national aggregate.

Western Australia, Australia

Australia NINDSS — Western Australia

Western Australia, Australia

来源
每月Power BI 看板

Australian NINDSS monthly state/territory notifications for Western Australia, kept separate from the Australia national aggregate.

Belgium

ECDC Surveillance Atlas — Belgium Annual Baseline

Belgium

来源
每年official_ecdc_rest_aggregate

Belgium annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Bulgaria

ECDC Surveillance Atlas — Bulgaria Annual Baseline

Bulgaria

来源
每年official_ecdc_rest_aggregate

Bulgaria annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Ontario, Canada

Public Health Ontario IDTO Monthly

Ontario, Canada

来源
每月Power BI 看板

Ontario-level current-year preliminary monthly case counts from Public Health Ontario's IDTO report.

Cyprus

ECDC Surveillance Atlas — Cyprus Annual Baseline

Cyprus

来源
每年official_ecdc_rest_aggregate

Cyprus annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Czechia

ECDC Surveillance Atlas — Czechia Annual Baseline

Czechia

来源
每年official_ecdc_rest_aggregate

Czechia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Germany

Germany RKI SurvStat 2.0

Germany

来源
每周official_webforms_csv_export

RKI SurvStat national weekly notification export; raw ZIP exports are retained and recent weeks are overwritten for revisions.

Denmark

ECDC Surveillance Atlas — Denmark Annual Baseline

Denmark

来源
每年official_ecdc_rest_aggregate

Denmark annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Estonia

ECDC Surveillance Atlas — Estonia Annual Baseline

Estonia

来源
每年official_ecdc_rest_aggregate

Estonia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Spain

ECDC Surveillance Atlas — Spain Annual Baseline

Spain

来源
每年official_ecdc_rest_aggregate

Spain annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Finland

Finland THL Infectious Diseases Register

Finland

来源
每月cube_csv

Finland THL Infectious Diseases Register national monthly case counts. The current month is ingested as provisional and the latest three months are refreshed for source revisions.

France

ECDC Surveillance Atlas — France Annual Baseline

France

来源
每年official_ecdc_rest_aggregate

France annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

United Kingdom

ECDC Surveillance Atlas — United Kingdom Annual Baseline

United Kingdom

来源
每年official_ecdc_rest_aggregate

United Kingdom annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Greece

ECDC Surveillance Atlas — Greece Annual Baseline

Greece

来源
每年official_ecdc_rest_aggregate

Greece annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Croatia

ECDC Surveillance Atlas — Croatia Annual Baseline

Croatia

来源
每年official_ecdc_rest_aggregate

Croatia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Hungary

ECDC Surveillance Atlas — Hungary Annual Baseline

Hungary

来源
每年official_ecdc_rest_aggregate

Hungary annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Ireland

Ireland HPSC Notifiable Diseases Hub

Ireland

来源
每周official_arcgis_feature_service

Ireland HPSC national weekly notifiable-disease totals from the official ArcGIS FeatureServer. Internal ingestion is enabled; public release remains disabled pending written redistribution permission.

Iceland

冰岛卫生署年度传染病看板

Iceland

来源
每年Power BI 看板

冰岛全国分病种年度病例通报;历史值可能追溯修订,并保持年度总量口径。

Iceland

冰岛卫生署性病监测看板

Iceland

来源
月度事实(按季度发布)Power BI 看板

实验室与登记监测的月度性病诊断事实;官方看板按季度发布。

Iceland

冰岛卫生署呼吸道感染周度看板

Iceland

来源
每周Power BI 看板

按 ISO 周记录的呼吸道疾病诊断数;住院、样本和疫苗指标不计入诊断数。

Iceland

冰岛卫生署历史传染病登记

Iceland

来源
年度与月度官方 Excel

1997—2021 年官方历史登记表,年度与月度事实按原始粒度保留。

Iceland

冰岛卫生署历史 ICD 临床月报

Iceland

来源
每月官方 Excel

Saga 电子病历 ICD 就诊数;与登记通报不可比并保持独立。

Italy

ECDC Surveillance Atlas — Italy Annual Baseline

Italy

来源
每年official_ecdc_rest_aggregate

Italy annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Liechtenstein

ECDC Surveillance Atlas — Liechtenstein Annual Baseline

Liechtenstein

来源
每年official_ecdc_rest_aggregate

Liechtenstein annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Lithuania

ECDC Surveillance Atlas — Lithuania Annual Baseline

Lithuania

来源
每年official_ecdc_rest_aggregate

Lithuania annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Luxembourg

ECDC Surveillance Atlas — Luxembourg Annual Baseline

Luxembourg

来源
每年official_ecdc_rest_aggregate

Luxembourg annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Latvia

ECDC Surveillance Atlas — Latvia Annual Baseline

Latvia

来源
每年official_ecdc_rest_aggregate

Latvia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Malta

ECDC Surveillance Atlas — Malta Annual Baseline

Malta

来源
每年official_ecdc_rest_aggregate

Malta annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Norway

Norway FHI MSIS Statistics Bank

Norway

来源
每月official_json_api

Norway FHI MSIS national monthly notifications from the official Allvis frontend API; adapter contract checks guard the unversioned endpoint.

New Zealand

New Zealand PHF Science Monthly Notifiable Diseases

New Zealand

来源
每月网页

PHF Science (formerly ESR) monthly notifiable disease surveillance data via internal globalID2 crawler

Poland

ECDC Surveillance Atlas — Poland Annual Baseline

Poland

来源
每年official_ecdc_rest_aggregate

Poland annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Portugal

ECDC Surveillance Atlas — Portugal Annual Baseline

Portugal

来源
每年official_ecdc_rest_aggregate

Portugal annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Romania

ECDC Surveillance Atlas — Romania Annual Baseline

Romania

来源
每年official_ecdc_rest_aggregate

Romania annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Sweden

Sweden Public Health Agency SmiNet

Sweden

来源
每月official_html_csv

Sweden SmiNet national monthly reported cases from the official Public Health Agency statistics pages; public release is enabled with closed-month publication and revisable recent-month refreshes.

Slovenia

ECDC Surveillance Atlas — Slovenia Annual Baseline

Slovenia

来源
每年official_ecdc_rest_aggregate

Slovenia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

Slovakia

ECDC Surveillance Atlas — Slovakia Annual Baseline

Slovakia

来源
每年official_ecdc_rest_aggregate

Slovakia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.

分块公开数据

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