一起扁豆食物中毒的现场流行病学调查
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(广东省中山市疾病预防控制中心,广东 中山 528403)

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陈夏威 男 主管医师 研究方向为食品安全风险监测 E-mail:76011183@qq.com

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Field epidemiological survey of a food poisoning event associated with consumption of lentils
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(Zhongshan Center for Disease Control and Prevention, Guangdong Zhongshan 528403, China)

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    摘要:

    调查某公司发生的一起食物中毒事件,利用现场流行病学和卫生学调查方法分析事件的危险因素,并提出预防措施。方法 制定病例定义,开展病例搜索和个案调查,采用描述性流行病学方法分析事件特征,开展回顾性队列研究和剂量-反应关系分析探讨危险因素,现场卫生学调查分析事件发生影响因素。结果 从某公司员工中共搜索到40例病例,罹患率为19.4%(40/206),临床表现为恶心(100%,40/40)、呕吐(82.5%,33/40)、头晕(82.5%,33/40)、腹痛(65.0%,26/40)、头痛(30.0%,12/40),潜伏期最短0.5 h,最长5 h。流行曲线符合点源暴发模式,回顾性队列研究结果提示可疑食物为1月19日午餐的扁豆炒肉(RR=8.8,95%CI:1.3~60.8),剂量-反应关系分析结果显示进食量越多的员工,发病的危险性越大(χ2Trends=7.8,P<0.05)。现场卫生学调查提示,事件发生的可能危险因素是烹煮时间不足,导致扁豆未能煮熟煮透。结论 本次食物中毒事件为进食未煮熟的扁豆引起。应加强食品从业人员食品安全意识,掌握正确的食品烹饪方法。

    Abstract:

    To investigate a food poisoning event in a company by using field epidemiological and hygienic survey methods to analyze the risk factor and propose the measures for prevention and control. Methods According to established case definition, active case searching and interviewing was implemented. Descriptive epidemiology was used to address epidemiologic characteristics, and the retrospective cohort study and dose-response relation study was used to analyze the risk factors. Field hygienic survey was conducted to analyze the influence factors of the incident. Results 40 cases was identified from the company during 19 to 20 Jan,2015, with the attack rate as 19.4% (40/206). The major clinic manifestations of cases were nausea (100%, 40/40), vomiting (82.5%, 33/40), dizziness (82.5%, 33/40), abdominal pain (65.0%, 26/40) and headache (30.0%, 12/40). The epidemic curve indicated the event was related to the exposure of the source of origin. According to the results of retrospective cohort study, eating lentils of “pork with lentils” exposed the lunch on 19 January was a risk factor (RR=8.8,5%CI:1.3-60.8). The result of dose-response relation indicated that more kidney the employee eating, more risk (χ2Trends=7.8, P<0.05). The result of field hygienic survey indicated that the risk factor of the incident was processing time insufficient, which leaded to the lentils was not cooked thoroughly.Conclusion The event of food poisoning was caused by eating undercooked lentils. The food safety awareness of food handlers should be enhanced and the proper cooking methods should be mastered.

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陈夏威,何伦发,郭艳,张浩玲,曹舜珊,余慕莎,吴经纬.一起扁豆食物中毒的现场流行病学调查[J].中国食品卫生杂志,2015,27(S1):62-65.

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  • 收稿日期:2015-05-14
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  • 在线发布日期: 2016-04-20
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