2018—2020年上海市致泻大肠埃希氏菌感染的流行病学特征分析
作者:
作者单位:

上海市疾病预防控制中心,上海 200336

作者简介:

段胜钢 男 副主任医师 研究方向为食品卫生与食源性疾病防治 E-mail: duanshenggang@scdc.sh.cn

通讯作者:

刘弘 男 主任医师 研究方向为食品卫生与食源性疾病防治 E-mail: liuhong@scdc.sh.cn

中图分类号:

R155

基金项目:

上海市卫生健康委卫生健康政策研究课题(2021HP10);国家重点研发计划(2017YFC1600100)


Analysis on epidemiological characteristics of diarrheagenic Escherichia coli infection from 2018 to 2020 in Shanghai
Author:
Affiliation:

Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China

Fund Project:

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    摘要:

    目的 了解上海市致泻大肠埃希氏菌感染的流行病学特征,为致泻大肠埃希氏菌感染的预防和控制提供科学依据。方法 应用描述流行病学的方法,对收集的2018—2020年来自上海市30家食源性疾病监测哨点医院感染性腹泻病例的流行病学信息和致泻大肠埃希氏菌的检测结果进行统计分析。结果 2018—2020年共收集到13 672例有自诉可疑食物史腹泻病例及其标本,致泻大肠埃希氏菌阳性检出率为5.71%(781/13 672),其毒力基因型以ETEC和EAEC为主。7岁以下年龄组和职业为农民的就诊病例致泻大肠埃希氏菌的阳性检出率最高,7~9月是致泻大肠埃希氏菌阳性检出最高的月份,有发热症状、无呕吐症状、腹泻次数在3~9次/d的就诊病例致泻大肠埃希氏菌阳性检出率明显高于其他病例。自诉可疑食物类别为水果及其制品的就诊病例致泻大肠埃希氏菌阳性检出率相对较高。结论 本市致泻大肠埃希氏菌感染毒力基因型以ETEC和EAEC为主,感染高峰出现在夏季。通过对特定临床症状的询问,对疾病临床诊断和治疗具有一定的指导作用。应加强对餐饮服务业和街头食品的监督管理,加强对公众食品安全意识和良好食品安全习惯的宣传与培训,降低致泻大肠埃希氏菌感染性疾病发生的风险。

    Abstract:

    Objective To provide the scientific basis for the prevention and control of diarrheagenic Escherichia coli (DEC) infection, the epidemiological characteristics of DEC infection in Shanghai was identified.Methods The epidemiological information of the collected diarrhea cases and the DEC test results from 30 foodborne disease surveillance sentinel hospitals in Shanghai from 2018 to 2020 were analyzed by the descriptive epidemiological methods.Results According to the result of 13 672 infectious diarrhea cases and specimens, the positive rate of DEC was 5.71% (781/13 672), mainly ETEC and EAEC. The highest positive rate of DEC was often associated with child below the age of 7 and the farmers, and the highest positive rate of DEC was occurred between July and September. Compared with other patients, the positive rate of DEC in patients with fever and no vomiting or diarrhea 3-9 times/d was significantly higher. The positive rate of DEC was relatively high in cases with suspected food category of fruit and its products.Conclusion ETEC and EAEC were the main virulence genotyping of DEC in Shanghai, and the peak of DEC infection occurred in summer. Specific clinical symptoms could play as indications for clinical diagnosis and treatment. The supervision and management of catering service industry and street food should be improved, and the publicity and training of public food safety awareness and good food safety habits should be strengthened.

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段胜钢,齐辰,陆冬磊,于越,刘弘.2018—2020年上海市致泻大肠埃希氏菌感染的流行病学特征分析[J].中国食品卫生杂志,2022,34(4):773-779.

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  • 收稿日期:2022-03-20
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  • 在线发布日期: 2022-08-26
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