2015—2019年江西省毒蕈中毒病例流行病学特征分析
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(江西省疾病预防控制中心 江西省食源性疾病诊断溯源重点实验室,江西 南昌 330029)

作者简介:

曾立爱 女 主管医师 研究方向为食品安全风险监测 E-mail:yingyangshi_821217@yeah.net通信作者:┣┣(中)通信作者┫┫周厚德 女 主管技师 研究方向为食品安全风险监测 E-mail:zhouhoude09@126.com

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基金项目:

江西省重点实验室计划项目(20171BCD40021);江西省卫健委科研项目(20204834,20204844)


Analysis of the epidemiological characteristics of mushroom poisoning cases in Jiangxi Province from 2015 to 2019
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(Jiangxi Province Key Laboratory of Diagnosing and Tracing of Foodborne Disease,Jiangxi Provincial Center for Disease Control and Prevention,Jiangxi Nanchang 330029, China)

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    摘要:

    目的 分析江西省毒蕈中毒病例的流行病学特征,为毒蕈中毒科学防控提供参考依据。方法 通过“食源性疾病监测报告系统”和“食源性疾病暴发监测系统”查询2015—2019年江西省毒蕈中毒病例,对其流行病学特征进行描述性分析。结果 2015—2019年江西省共报告毒蕈中毒病例1 354例,年均报告发病率为0.59/10万,病死率为1.6%(21/1 354),多数病例集中发生在5~10月份。中毒病例主要集中在上饶、宜春、九江地区的部分县(区)。40岁及以上人群为主要发病群体,占59.5%(806/1 354);6岁及以下儿童和60岁及以上人群病死率最高,分别为6.3%(5/80)和2.4%(8/327),且以农民为主。93.3%(1 263 /1 354)的中毒病例及95.2%(20/21)的死亡病例发生在家庭,86.6%(1 172/1 354)的毒蕈来源为自采,临床表现以胃肠道症状为主。结论 江西省毒蕈中毒具有季节性、区域性的特点,应针对重点区域、重点人群进行宣传教育,应加强基层医务人员培训,减少中毒病例的死亡。

    Abstract:

    Objective To analyze the epidemiology characteristics of mushroom poisoning cases in Jiangxi Province from 2015 to 2019,and to provide reference for scientific prevention and control of mushroom poisoning. Methods Descriptive analysis was conducted on the data of mushroom poisoning cases in Jiangxi Province reported through “Foodborne Disease Surveillance Reporting System” and “Foodborne Disease Outbreak Reporting System” from 2015 to 2019. Results A total of 1 354 mushroom poisoning cases were reported in Jiangxi Province from 2015 to 2019,the average annual incidence was 0.59/100 000,the average case fatality rate was 1.6% (21/1 354),and most of the cases occurred during May to October. The mushroom poisoning cases were clustered in some counties in the Shangrao, Yichun and Jiujiang regions. Most of the patients were older than 40,accounting for 59.5%(806/1 354).The case fatality rates were highest in children under 6 years old and those over 60 years old,accounting for 6.3% (5/80) and 2.4% (8/327) respectively,and most of the cases were farmers. 93.3% (1 263/1 354) of the mushroom poisoning cases and 95.2% (20/21) of the deaths occurred at home,and 86.6% (1 172/1 354) of mushrooms were self-collected. The common clinical manifestations were gastrointestinal symptoms. Conclusion Mushroom poisoning cases in Jiangxi Province had the characteristics of seasonality and regionality,publicity and education should be targeted at key population and district, and the training of medical staff at the primary level should be strengthened to reduce the number of poisoning deaths.

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曾立爱,刘成伟,游兴勇,傅伟杰,刘道峰,刘洋,周厚德.2015—2019年江西省毒蕈中毒病例流行病学特征分析[J].中国食品卫生杂志,2021,33(2):242-247.

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  • 收稿日期:2020-12-01
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  • 在线发布日期: 2021-06-15
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