一起副溶血性弧菌引起食源性疾病暴发事件流行病学调查分析
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株洲市疾病预防控制中心

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湖南省自然科学基金-科卫联合项目(2021JJ70086)


Epidemiological investigation and analysis of an outbreak of foodborne disease caused by Vibrio parahaemolyticus
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    摘要:

    目的 对一起食源性疾病暴发事件进行流行病学调查和分析,探索食源性疾病暴发事件现场处置的关键环节及应对措施,为今后处置类似事件和预防控制提供依据。方法 运用描述性流行病学方法分析事件的流行病学特征;运用病例对照研究调查分析可疑食品,通过环境卫生学调查查找可疑食品污染过程;采集病人、W餐馆食品从业人员生物样品,食物样品及食品加工环境样品进行检测。结果 本次事件暴露344人,发病96人,罹患率27.90%;采集的58份样品中31份检出副溶血性弧菌,检出率53.44%,其中牛肉、病例分离菌株的PFGE图谱条带完全一致,证实了供餐食品牛肉存在副溶血性弧菌污染。结论 本次事件为W餐馆两次就餐人群进食被副溶血性弧菌污染的牛肉导致的食源性疾病暴发;及时封存现场并采样检测是控制暴发蔓延和查明污染源及污染途径的关键,建议提升基层疾病预防控制机构能力,健全各部门协调机制。

    Abstract:

    Objective An epidemiological investigation and analysis were conducted on an outbreak of food-borne disease to explore the patterns of occurrence, the critical points of on-site management and countermeasures for food-borne disease outbreaks, providing a basis for future management of similar incidents and prevention and control strategies. Methods Epidemiological characteristics of the incident were analyzed using descriptive epidemiological methods; A case-control study was conducted to investigate suspected foods, and an environmental hygiene investigation was performed to trace the contamination process of the suspected foods; Biological samples from patients and food handlers at Restaurant W, along with food samples and samples from the food processing environment, were collected for testing. Results This incident revealed 344 individuals affected, with 96 cases, representing the incidence rate of 27.90% ; Vibrio parahaemolyticus was detected in 31 of the 58 samples collected, with a detection rate of 53.44%. The PFGE patterns of the strains isolated from beef and the cases were identical, confirming the presence of Vibrio parahaemolyticus contamination in the beef served as food. Conclusion This incident represents an outbreak of foodborne disease at W Restaurant, attributed to the consumption of beef contaminated with Vibrio parahaemolyticus. Prompt sealing of the site and the collection of samples for testing were crucial in controlling the spread of the disease and identifying the source and route of contamination. It is imperative to enhance coordination among various departments, cultivate and enhance capabilities for grassroots's departments of disease prevention and control .

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  • 收稿日期:2024-03-19
  • 最后修改日期:2025-01-15
  • 录用日期:2025-01-24
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