一起粪肠球菌引起食源性疾病暴发流行病学分析及分子溯源调查
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(中山市疾病预防控制中心,广东 中山 528403)

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陈夏威 男 副主任医师 研究方向为营养与食品卫生和现场流行病学调查 E-mail:76011183@qq.com

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基金项目:

广东省中山市科技计划项目(2019B1106)


Epidemiological and molecular survey of a foodborne disease outbreak caused by Enterococcus faecalis
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(Zhongshan Center for Disease Control and Prevention, Guangdong Zhongshan 528403,China)

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    摘要:

    目的 调查某小型餐馆发生的一起食源性疾病暴发事件,分析事件发生的原因及危险因素,并提出预防措施。方法 采用现场流行病学方法调查事件特征及危险因素,通过运用脉冲场凝胶电泳(PFGE)方法对致病因子进行同源性分析。结果 共调查到5例病例,临床表现为腹泻、腹痛。调查结果提示中毒食物为2019年6月13日晚餐的卤鸡腿饭,现场卫生学调查提示可能的危险因素为卤鸡腿常温放置时间过久,供餐前重新加热时间不足。现场采样的3份病例肛拭子标本、1份卤鸡腿和1份切菜砧板棉拭样品均检出粪肠球菌,脉冲场凝胶电泳检测同源性为100%。结论 食用受大量粪肠球菌污染的卤鸡腿是本次食源性疾病暴发的主要原因。建议加强小型餐馆从业人员食品安全意识,掌握正确的食品烹饪方法。

    Abstract:

    Objective To investigate a foodborne disease outbreak in a small restaurant, analyze its causes and risk factors, and propose the measures for prevention and control. Methods Using field epidemiology survey to describe the features and analyze the risk factors of the incident. The strains homology was evaluated by pulsed field gel electrophoresis (PFGE). Results The major clinic manifestations of 5 cases were diarrhea and abdominal pain. Dietary survey showed that suspicious food was pot-stewed chicken leg at dinner on June 13,2019. The result of field hygienic survey indicated that the risk factor of the incident was the long placement time of the pot-stewed chicken leg at normal temperature status and insufficient re-heating time before dinner. Enterococcus faecalis was isolated from 3 anal swabs of cases, the pot-stewed chicken leg and the cutting board swab which sampled in the kitchen, and the strains were 100% homological. Conclusion The outbreak was caused by eating the pot-stewed chicken leg which was contaminated by abundant Enterococcus faecalis. It was suggested to strengthen the food safety awareness of small restaurant employees and the proper cooking method should be mastered.

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陈夏威,蔡春生,何彬洪,曹舜珊,郭艳,郑悦康,区金结,王博远.一起粪肠球菌引起食源性疾病暴发流行病学分析及分子溯源调查[J].中国食品卫生杂志,2020,32(1):99-102.

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  • 收稿日期:2019-12-24
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  • 在线发布日期: 2020-02-25
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