一起金黄色葡萄球菌肠毒素导致的学校食源性疾病暴发事件调查分析
DOI:
CSTR:
作者:
作者单位:

1.株洲市疾病预防控制中心;2.株洲市攸县疾病预防控制中心;3.湖南省疾病预防控制中心

作者简介:

通讯作者:

中图分类号:

基金项目:

湖南省自然科学基金-科卫联合项目(2022JJ70010)


Epidemiological investigation and analysis of an outbreak of food-borne disease in school caused by S.aureus Enterotoxin
Author:
Affiliation:

1.Zhuzhou Center for Disease Control and Prevention;2.Youxian Center for Disease Control and Prevention;3.Hunan Province Center for Disease Control and Prevention;4.Hunan Province Center for Disease Control and Preventio

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 对K学校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验证可疑餐次、可疑就餐地点和可疑食品,通过食品卫生学调查查找可疑食品污染过程;通过对发病学生、学校食堂食品从业人员生物标本、食物样品及食品加工环境样品进行实验室检验确认病原体。结果 本次事件暴露3985人,发病83人,罹患率2.08%;检测的89份样品中19份分离培养出产A型肠毒素金黄色葡萄球菌,检出率21.35%,经cgMLST聚类分析发现,其中17份阳性样品包括鸡扒、切鸡扒的刀具和案板、加工从业人员和学生分离菌株同源,证实了供餐食品鸡扒存在产A型肠毒素金黄色葡萄球菌污染。结论 本次事件为K学校学生进食了被从业人员或环境中产A型肠毒素金黄色葡萄球菌污染的鸡扒导致的一起校园食源性疾病暴发事件,证据链完整;及时采集病人生物样品通过多重PCR检测可以快速确定导致暴发的可能病原,结合全基因组测序技术能提高食源性疾病暴发调查的病因查明率。

    Abstract:

    Objective To investigate and analyze the epidemiological characteristics of an outbreak of foodborne disease in school K, explore key procedures and response measures for on-site management of such outbreaks, and to provide a basis for the future management and prevention of similar incidents. Methods Descriptive epidemiological methods were used to analyze the epidemiological characteristics of the event. A case-control study was employed to investigate and validate suspected meals, dining locations, and foods. Environmental hygiene surveys were conducted to identify potential contamination processes. Laboratory tests were performed on biological specimens from affected students, food handlers in the school cafeteria, food samples,and food processing environment samples to confirm the pathogen. Results The outbreak exposed 3,985 individuals, with 83 cases reported (attack rate: 2.08%). Among 89 tested samples, 19 (21.35%) were positive for S.aureus producing enterotoxin type A . Core genome multilocus sequence typing (cgMLST) clustering analysis revealed that 17 S.aureus, isolated from chicken cutlets, knives and cutting boards used for processing chicken,food handlers, and affected students, shared homology. This confirmed contamination of the chicken cutlets with S.aureus producing enterotoxin type A from handlers or the environment.Conclusion This outbreak was caused by consumption of chicken cutlets contaminated by S.aureus producing enterotoxin type A from food handlers or the environment in School K. The evidence chain was complete. Timely collection of patient specimens for multiplex PCR testing enabled rapid identification of potential pathogens. and whole-genome sequencing technologies improved the etiological confirmation rate in foodborne disease outbreak investigations.

    参考文献
    相似文献
    引证文献
引用本文
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2025-02-13
  • 最后修改日期:2025-09-17
  • 录用日期:2025-11-12
  • 在线发布日期:
  • 出版日期:
文章二维码
严正声明
关闭