某县一起赛拉嗪污染牛肉引起的食源性疾病暴发事件的调查分析
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作者单位:

1.山西省疾病预防控制中心,山西 太原 030032;2.晋中市疾病预防控制中心,山西 晋中 030600;3.和顺县疾病预防控制中心,山西 晋中 032700

作者简介:

王三桃 女 主任医师 研究方向为现场流行病学与食源性疾病监测 E-mail: 350313544@qq.com

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中图分类号:

R155

基金项目:

山西省卫生健康委科研课题(2022147)


Investigation and analysis of a foodborne disease outbreak caused by xylazine contaminated beef in a certain county
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Affiliation:

1.Shanxi Center for Disease Control and Prevention, Shanxi Taiyuan 030032, China;2.Jinzhong City Center for Disease Control and Prevention, Shanxi Jinzhong 030600, China;3.Heshun County Center for Disease Control and Prevention, Shanxi Jinzhong 032700, China

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    摘要:

    目的 对一起集体聚餐中,因进食被赛拉嗪污染的牛肉引起的食源性疾病暴发事件进行流行病学调查,分析其污染原因,为类似事件的防控提供参考依据。方法 按照《食品安全事故流行病学调查技术指南(2012版)》,对某地一起发生在餐饮服务单位的疑似食源性疾病暴发事件开展人群流行病学调查、食品卫生学调查和实验室检测,采用描述流行病学和分析流行病学方法,进行数据整理分析,使用EpiInfo 7.1软件,进行χ2检验和多因素Logistic回归分析,P<0.05为差异有统计学意义。结果 本起事件共有病例27例,患病率为47.37%(27/57)。主要临床表现为头晕(100.0%)、嗜睡(37.0%)、心动过缓(37.0%);流行曲线显示点源暴露,单因素(OR=29.71,95%CI:3.56~248.10)和多因素Logistic回归(OR=16.577,95%CI:1.307~210.055)研究结果显示,可疑食物为五香牛肉;食品卫生学调查结果显示,污染环节为未按照兽药休药期规定,私屠滥宰,导致原料污染;在病例生物性标本、食品半成品、留样食品和加工制作环境样本中,均检出赛拉嗪。结论 本起事件是一起因进食被盐酸赛拉嗪污染五香牛肉导致的食源性疾病暴发事件。建议进一步加大《中华人民共和国兽药典》的培训力度,增强培训效果;强化兽药使用监管、打击私屠滥宰,并落实好原料索票索证制度。

    Abstract:

    Objective To conduct an epidemiological investigation on a foodborne disease outbreak caused by consuming beef contaminated with Xylazine during a collective dinner, analyze the causes of contamination, provide reference for handling similar incidents in the future, and provide a basis for proposing targeted prevention and control measures.Methods According to the “Technical Guidelines for Epidemiological Investigation of Food Safety Accidents (2012 Edition)”, a population epidemiological investigation, food hygiene investigation, and laboratory testing were conducted on a suspected foodborne disease outbreak that occurred in a catering service unit in a certain area. Descriptive epidemiology and analytical epidemiology methods were used to organize and analyze the data. EpiInfo 7.1 software was used for chi square test and multivariate logistic regression analysis, and P<0.05 was considered statistically significant.Results As a result, there were a total of 27 cases in this incident, with an incidence rate of 47.37% (27/57). The main clinical manifestations are dizziness (100.0%), drowsiness (37.0%), and bradycardia (37.0%); The epidemic curve shows point source exposure, and the results of univariate (OR=29.71, 95% CI: 3.56-248.10) and multivariate logistic regression (OR=16.577, 95% CI: 1.307-210.055) studies indicate that the suspicious food is spiced beef; The results of the food hygiene investigation showed that the contamination process was due to the failure to meet the requirements of the veterinary drug rest period, as well as the unauthorized slaughter and excessive slaughter, resulting in raw material contamination; Xylazine was detected in biological specimens, semi-finished food products, retained food samples, and processing environment samples of the cases.Conclusion This incident is a foodborne disease outbreak caused by the consumption of spiced beef contaminated with Xylazine. It is suggested to further increase the training efforts for the “Pharmacopoeia of the People’s Republic of China for Veterinary Drugs” and improve the training effectiveness; Strengthen the supervision of the use of veterinary drugs and strictly implement the regulations on the withdrawal period; Strengthen slaughter supervision and crack down on illegal and indiscriminate slaughter; Further improve the harmless treatment of dead livestock and poultry; Strengthen supervision over the use of veterinary drugs, crack down on illegal slaughtering, and implement the system of obtaining tickets and certificates for raw materials.

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王三桃,李雪原,霍卫平,李强,郝志红,蔡佳,霍华平,李高原,王宁.某县一起赛拉嗪污染牛肉引起的食源性疾病暴发事件的调查分析[J].中国食品卫生杂志,2025,37(6):567-572.

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  • 收稿日期:2025-03-11
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