浦东新区某学校一起沙门菌食物中毒事件调查
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(上海市浦东新区疾病预防控制中心,复旦大学浦东预防医学研究院,上海 200136)

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任亚萍 女 主 管 医 师 研究方向为疾病监测与预防控制工作 E-mail: renyaping0226@126.com 柏品清 男 副主任医师 研究方向为食源性疾病防控 E-mail: 340bpq@163.com

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A case-control study of Salmonella food poisoning in a school in Pudong New Area of Shanghai
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(Pudong New Area Center for Disease Prevention and Control, Fudan University Pudong Institute of Preventive Medicine,Shanghai 200136,China)

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    摘要:

    目的 对上海市浦东新区某学校发生的一起食物中毒事件进行流行病学调查分析,查明致病因子、致病食品及其污染来源,采取有效控制措施,为今后此类事件的调查处置提供参考。方法 采用描述流行病学方法分析本次事件病例的流行病学特征,开展病例对照研究分析可疑食品;食品卫生学调查采用访谈和现场勘查的方式,了解食品制作、运输、贮存过程及其原料来源;采集病例和从业人员肛拭子样本、食品及其加工环节样本、饮用水样进行实验室检测。结果 共调查发现疑似病例51例,临床表现以腹泻、发热、腹痛、头痛、恶心和呕吐为主。发病潜伏期为2.5~51 h,中位数20 h。病例对照分析表明2018年9月4日早餐中的三明治是可疑高危食物。7例病例的肛拭子样本检出沙门菌,分离的阳性菌株经脉冲场凝胶电泳(PFGE)分子分型分析表明均来自相同感染源,且存在多型别沙门菌同时感染的情况。结论 该事件是一起由沙门菌感染引起的食物中毒事件,可疑食物为三明治。建议学校供餐单位应加强供餐食品审核,严格执行留样制度,落实各项食品安全措施。

    Abstract:

    Objective An epidemiological investigation and analysis of a food poisoning incident at a school in Pudong New Area was conducted to identify the pathogenic factors, pathogenic food and the source of contamination, and to taken effective control measures and provided reference for the disposal of similar incidents in future. Methods A descriptive epidemiological method was used to analyze the epidemiological characteristics of the incident; a case-control study was used to analyze the suspicious food; interview and on-the-spot investigation were used to conduct food hygiene investigation to understand the process of food production, transportation, storage and raw material sources; samples of anal swabs, food, processing links and drinking water were collected for laboratory testing. Results Fifty-one suspected cases were found, and the clinical manifestations were mainly diarrhea, fever, abdominal pain, headache, nausea and vomiting. The incubation period of onset ranged from 2.5 to 5.1 h, with a median of 20 h. The case-control analysis found that the sandwich at breakfast on September 4th, 2018 was the suspect high-risk food. Salmonella was detected in the samples of anal swab from 7 cases. Molecular typing analysis of the positive strains of Salmonella by pulsed field gel electrophoresis indicated that they were from the same source of infection, and there was a situation of simultaneous infection of multiple types of Salmonella. Conclusion This was an incident of food poisoning caused by Salmonella, and the suspect food was sandwich. It is suggested that school catering units should strengthen the examination of food supply, strictly implement the sample retention system and implement various food safety measures.

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任亚萍,沈惠平,潘丽峰,胡卉,秦存,柏品清.浦东新区某学校一起沙门菌食物中毒事件调查[J].中国食品卫生杂志,2021,33(5):627-632.

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  • 收稿日期:2021-07-09
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  • 在线发布日期: 2021-10-14
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