一起肠炎沙门菌引起的校园食源性疾病暴发事件调查溯源分析
作者:
作者单位:

1.恩施土家族苗族自治州疾病预防控制中心,湖北 恩施 445000;2.湖北省疾病预防控制中心,湖北 武汉 430070;3.国家食品安全风险评估中心,国家卫生健康委员会食品安全风险评估重点实验室,中国医学科学院创新单元(2019RU014号),北京 100021;4.湖北省恩施州鹤峰县疾病预防控制中心,湖北 恩施 445800

作者简介:

吴云 男 副主任医师 研究方向为传染病预防与控制 E-mail:360053062@qq.com

通讯作者:

李富强 男 医师 研究方向为传染病预防与控制 E-mail:1959552780@qq.com

中图分类号:

R155

基金项目:

国家食品安全和营养健康试验区项目和中国食品安全技术支撑人才培训项目(CFSTP)


Investigation and traceability of a foodborne disease outbreak in school caused by Salmonella enteritidis
Author:
Affiliation:

1.The Center for Disease Control and Prevention of Enshi Tujia&Miao Autonomous Prefecture, Hubei Enshi 445000, China;2.Hubei Provincial Center for Disease Control and Prevention, Hubei Wuhan 430070, China;3.National Center for Food Safety Risk Assessment, Key Laboratory of Food Safety Risk Assessment, National Health Commission, Innovation Unit, Chinese Academy of Medical Sciences (No.2019RU014), Beijing 100021 China;4.Hefeng County Center for Disease Control and Prevention, Hubei Enshi 445800, China

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    摘要:

    目的 调查一起肠炎沙门菌引起的学校食源性疾病暴发事件,并对危险因素开展分析溯源,为预防类似事件的发生提供科学依据。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可疑食物;通过环境卫生学方法调查追溯食品污染的过程;对病例、食物、环境样品进行病原菌分离、血清分型和脉冲场凝胶电泳(PFGE)检测。结果 本起暴发事件共报告病例71例,流行曲线符合持续同源暴发模式的特点。病例对照、环境卫生调查和病因溯源研究提示学校超市售卖的三明治是引起本次事件的危险食品(OR=302.09,95%CI=75.18~1 213.97)。采集的病例、食品、环境样品中有8份(12.70%,8/63)检出了肠炎沙门菌,分离菌株的PFGE图谱条带完全一致,证实了学校超市出售的三明治使用的沙拉酱在制作过程中被肠炎沙门菌污染,是导致这次食源性疾病暴发的原因。结论 本次事件是由肠炎沙门菌污染食品引起的食源性疾病暴发,可疑食品为被自制沙拉酱污染的三明治。建议禁止各类未经充分热处理的含生鲜鸡蛋成分的食品进入学校,相关行政部门应加强对该类食品的卫生监督。

    Abstract:

    Objective To provide the scientific basis for prevention of such incidents, a foodborne disease outbreak in school caused by Salmonella enteritidis was investigated and the risk factors was traced.Methods Descriptive epidemiological methods were used to analyze the characteristics of the incident. Case-control studies were used to investigate the suspected food. Environmental hygiene investigations were used to trace the process of food contamination, and pathogen isolation, serotyping analysis, and pulsed-field gel electrophoresis (PFGE) were used to detect and analyze the Salmonella enteritidis isolated from the patients, food and environmental samples.Results A total of 71 patients were reported in this outbreak, and the epidemic curves were consistent with a sustained homologous outbreak pattern. The case-control study, environmental health survey and etiology study suggested that sandwiches sold in the school supermarket were the etiological food for this incident (OR=302.09, 95%CI=75.18~1 213.97). Salmonella isolates from 8 samples (12.70%, 8/63) collected from patients, food and environmental were detected, and their PFGE profile were identical, confirming that the salad dressing used in the cause-food sandwich was contaminated with Salmonella during the preparation process, which led to this foodborne illness outbreak.Conclusion This outbreak was caused by sandwiches contaminated by Salmonella enteritidis, and the sandwiches were contaminated by homemade salad dressing. It is suggested that all foods containing raw egg ingredients that have not been adequately heat-treated should be banned from schools, and that the relevant administrative departments should strengthen sanitary supervision of such foods.

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吴云,龚晨睿,彭飞,彭子欣,范自军,李宏玉,李富强.一起肠炎沙门菌引起的校园食源性疾病暴发事件调查溯源分析[J].中国食品卫生杂志,2022,34(5):1089-1094.

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  • 收稿日期:2022-08-31
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  • 在线发布日期: 2022-12-01
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