一起诺如病毒GⅡ.2感染引起学生食源性胃肠炎暴发调查
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(1.武汉市疾病预防控制中心,湖北 武汉 430015;2.武汉市洪山区疾病预防控制中心, 湖北 武汉 430061;3.中国疾病预防控制中心,北京 100050)

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吴晓旻 男 副主任医师 研究方向为食品安全 E-mail:dennis_602@sina.com通信作者:┣┣(中)通信作者┫┫伍雅婷 女 主管医师 研究方向为公共卫生 E-mail:15095023@qq.com

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A foodborne gastroenteritis outbreak caused by Norovirus GII.2
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(1.Wuhan Center for Disease Control and Prevention, Hubei Wuhan 430024, China;2.Hongshan Center for Disease Control and Prevention, Hubei Wuhan 430061, China;3.Chinese Center for Disease Control and Prevention, Beijing 100050, China)

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    摘要:

    目的 调查2017年11月2日武汉市某小学食源性胃肠炎暴发疫情,明确致病菌和传播方式。方法 采用病例对照研究等方法,研究本次事件病因,分析可疑食物。结果 调查159例病例,均为学生,罹患率为11.5%(159/1 378)。临床症状主要包括呕吐(95.0%,151/159)、恶心(84.3%,134/159)和腹痛(81.8%,130/159)。食用11月1日提供的无骨焦香鸡柳与发病有关[比值比(OR)=3.2,95%置信区间(95%CI):1.41~7.22]。14名病例及2名厨工均检出诺如病毒GⅡ.2阳性,遗传同源性为100%。结论 本次食源性胃肠炎暴发是由诺如病毒GⅡ.2污染无骨焦香鸡柳引起的。

    Abstract:

    Objective To investigate the suspected Norovirus outbreak in a primary school reported by a hospital on November 2nd, 2017. Investigations were conducted to confirm the causative agent and mode of transmission. Methods A case-control study was performed to test the hypothesis that the canteen food in the school was the suspected vehicle. Stool samples were collected from 14 suspected cases and 11 kitchen staffs to test Norovirus. Results A total of 159 cases were identified, all of which were students, and the attack rate was 11.5%(159/1 378). Signs and symptoms included vomiting (95.0%, 151/159), nausea (84.3%, 134/159) and abdominal pain (81.8%, 130/159). Resultsof the analysis revealed that consumption of fried chicken fillet offered on 1st Nov, 2017 (OR=3.2,95%CI:1.41-7.22) was associated with illness. All 14 cases and 2 of 11 kitchen staffs were positive for Norovirus GⅡ.2, and had 100% genetic homology. Conclusion This outbreak was caused by Norovirus GⅡ.2 contaminated fried chicken fillet.

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吴晓旻,王华伟,马会来,王锐,伍雅婷.一起诺如病毒GⅡ.2感染引起学生食源性胃肠炎暴发调查[J].中国食品卫生杂志,2021,33(2):234-237.

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  • 收稿日期:2020-11-04
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  • 在线发布日期: 2021-06-15
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