一起由巴氏杀菌乳污染引起的济南市多家幼儿园食源性疾病暴发事件的流行病学分析
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(1.山东大学公共卫生学院,山东 济南 250012;2.济南市疾病预防控制中心, 山东 济南 250021;3.潍坊医学院公共卫生与管理学院,山东 潍坊 261053)

作者简介:

王宁 女 主管医师 研究方向为流行病与卫生统计 E-mail:jncdwn@jn.shandong.cn

通讯作者:

马伟 男 教授 研究方向为流行病学 E-mail:weima@sdu.edu.cn

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Epidemiological analysis of a foodborne disease emergency in several kindergartens in Ji'nan caused by contamination in pasteurized milk contamination
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(1.School of Public Health, Shandong University, Shandong Ji'nan 250012, China;2.Ji'nan Center for Disease Control and Prevention,Shandong Ji'nan 250021, China;3.School of Public Health and Management, Weifang Medical University, Shandong Weifang 261053, China)

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    摘要:

    目的 对一起涉及济南市多家幼儿园食源性疾病暴发事件的发生原因和可疑危险因素进行分析,为加强学校食源性疾病防控提供依据。方法 采用现场流行病学的方法,对病例进行调查,运用描述性流行病学方法、队列研究方法对暴发事件数据和各因素进行分析。结果 事件涉及济南市4个区11家幼儿园195名儿童,罹患率17.06%,年龄范围为3~6岁,男女比为1.41∶1(114/81),无教职工发病。队列研究结果提示,饮用XX牌巴氏杀菌乳使发病风险上升17.06%(RD=17.06,95%CI:15.01~19.11),进一步统计分析,各园8月9日饮用XX牌巴氏杀菌乳的率差(RD)值范围为2.82%~35.44%,均有统计学意义,提示各园饮用XX牌巴氏杀菌乳使发病风险上升2.82%~35.44%%。在13份呕吐物和8份幼儿园留样巴氏杀菌乳样品中检出蜡样芽胞杆菌,且8份奶样品中蜡样芽胞杆菌计数>105 CFU/g,证实XX牌巴氏杀菌乳存在蜡样芽胞杆菌污染。结论 本次食源性疾病暴发事件由被蜡样芽胞杆菌污染的巴氏杀菌乳所致,应进一步加强学校食品安全监管和食源性疾病监测,积极开展健康教育,有效预防此类事件的发生。

    Abstract:

    Objective To analyze the causes and suspicious risk factors of an outbreak of foodborne diseases involving several kindergartens in Ji'nan City, so as to provide basis for strengthening the prevention and control of foodborne diseases in schools. Methods Field epidemiological method was used to investigate the cases, descriptive epidemiological method and cohort study method were used to analyze the data and factors of the outbreak. Results A total of 195 children from 11 kindergartens in four districts of Jinan City were involved. The incidence rate was 17.06%. The age range was 3~6 years old. The ratio of male to female was 1.41∶1 (114/81), no staff got sick. The result of cohort study showed that drinking XX brand pasteurized milk increased the risk of disease by 17.06% (RD=17.06,95% CI:15.01,19.11). Further statistical analysis showed that the rate difference (RD) value of drinking XX brand pasteurized milk on August 9 was 2.82%-35.44%, which was statistically significant, suggesting that drinking XX brand pasteurized milk increased the risk of disease by 2.82%-35.44%. Bacillus cereus was detected in 13 vomit samples and 8 pasteurized milk samples from kindergartens, and the count of Bacillus cereus in 8 milk samples was more than 105 CFU/g, which confirmed that XX pasteurized milk was contaminated by Bacillus cereus. Conclusion The outbreak of foodborne diseases was caused by pasteurized milk contaminated by Bacillus cereus. It is necessary to further strengthen food safety supervision and foodborne disease monitoring in schools, and actively carry out health education to effectively prevent the occurrence of such events.

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王宁,刘守钦,杨丽,阮师漫,刘铁诚,崔新杰,马伟.一起由巴氏杀菌乳污染引起的济南市多家幼儿园食源性疾病暴发事件的流行病学分析[J].中国食品卫生杂志,2021,33(3):369-373.

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  • 收稿日期:2020-02-04
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  • 在线发布日期: 2021-06-30
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