一起副溶血性弧菌致食源性疾病暴发疫情的流行病学调查
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(金华市浦江县疾病预防控制中心,浙江 金华 330726)

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楼永锦 男 主管医师 研究方向为传染病流行病学E-mail:1161968995@qq.com通信作者:┣┣(中)通信作者┫┫吴红照 男 副主任医师 研究方向为传染病流行病学E-mail:879899744@qq.com

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Epidemiological investigation on one of the outbreaks of foodborne diseases caused by Vibrio parahaemolyticus
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(Pujiang County Center for Disease Control and Prevention,Zhejiang Jinhua 330726,China)

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    摘要:

    目的 查明S饭店群体性食源性疾病暴发的原因,找出可疑食物,防止类似事件再次发生。方法 制定病例定义,开展病例搜索,对病例信息进行描述性分析和病例对照研究,并采集病例粪便标本、剩余食物样品等进行实验室检测。结果 暴发病例162例,罹患率22.2%(162/730),临床表现主要为腹泻(100%,162/162)、腹痛(96.3%,156/162)、乏力(77.2%,125/162)、恶心(68.5%,111/162)、呕吐(53.1%,86/162),平均潜伏期为12 h,病例对照结果显示扇贝(OR=1.74,95%CI=1.00~3.02)和牛仔骨(OR=2.87,95%CI=1.38~5.99)为可疑危险因素,34份粪便标本、1份甲鱼切块和1份砧板上检出副溶血性弧菌。结论 本次事件为一起副溶血性弧菌污染宴席食物导致群体性食源性疾病暴发事件,交叉污染和食品未加工熟透很可能是发病的主要原因,建议餐饮机构要规范操作流程,加强自我监管,防止此类事件再次发生。

    Abstract:

    Objective To investigate a foodborne illness outbreak in S restaurant and identify the pathogenic factors in order to prevent the occurrence of similar incidents. Methods According to established case definition, active case search and interview was implemented. Descriptive epidemiology was used to address epidemiologic characteristics, case-control study was conducted to analyze the risk factors, and samples were collected for testing as well. Results 162 cases was identified from the banquets, with the attack rate of 22.2% (162/730). The major clinic symptoms were diarrhea (100%, 162/162), stomachache (96.3%, 156/162), asthenia (77.2%, 125/162), nausea (68.5%, 111/162) and vomiting (53.1%, 86/162). The average incubation period was 12 hours. According to the result of case-control study, eating scallop (OR=1.74,5%CI:1.00-3.02) and calf ribs (OR=2.87,5%CI:1.38-5.99) was a risk factor. Samples from 34 patients, turtle pieces and cutting board were tested positive for Vibrio parahaemolyticus. Conclusion The main cause of this foodborne illness outbreak accident was due to Vibrio parahaemolyticus contamination, combined with cross contamination and undercooked food. It was necessary to standardize the operation procedures, strengthen the self-regulation of restaurants and consciousness to prevent such cases.

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楼永锦,李平,黄文忠,周燕珍,王平平,郑盼,康文雪,吴红照.一起副溶血性弧菌致食源性疾病暴发疫情的流行病学调查[J].中国食品卫生杂志,2017,29(5):621-624.

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  • 收稿日期:2017-03-16
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  • 在线发布日期: 2017-10-27
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