一起多所幼儿园食源性疾病暴发事件的溯源分析
作者:
作者单位:

1.贵州省疾病预防控制中心,贵州 贵阳 550004;2.黔南州疾病预防控制中心,贵州 都匀 558099

作者简介:

周藜 女 主任技师 研究方向为食源性疾病监测 E-mail:zhouli0812@126.com

通讯作者:

牟鸿江 男 主任技师 研究方向为疾病预防控制 E-mail:1285289417@qq.com

中图分类号:

R155

基金项目:

贵州省科技支撑计划项目(黔科合支撑[2021]一般435号);贵州省传染病预防与控制人才基地科研团队(RCJD2105,RCJD2102)


Traceability analysis of a foodborne disease outbreak in several kindergartens
Author:
Affiliation:

1.Guizhou Center for Disease Control and Prevention, Guizhou Guiyang 550004, China;2.Qiannan Center for Disease Control and Prevention, Guizhou Duyun 558099, China

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    摘要:

    目的 对一起涉及多所幼儿园的食源性疾病暴发事件的可疑食品和致病因子进行溯源调查,为今后类似事件的防控和处置提供参考依据。方法 采用实时荧光PCR法、质谱技术等快速检测技术,结合分离培养、酶联免疫法(ELISA)等传统鉴定方法对3所幼儿园采集的32份样品开展病原检测。使用描述性流行病学调查方法对事件进行调查,脉冲场凝胶电泳(PFGE)方法对致病因子进行分子溯源分析。结果 3所幼儿园共有幼儿568名,62名病例,患病率为10.92%。临床症状主要为呕吐、腹泻等。从10份生物标本和某配餐公司统一配送的2份留存的拔丝肉松蛋糕检出金黄色葡萄球菌,蛋糕中金黄色葡萄球菌量分别为2.0×107 CFU/g、1.4×107 CFU/g,11株分离自病例和蛋糕的金黄色葡萄球菌同时检出葡萄球菌A型肠毒素基因(sea)和A型肠毒素(SEA)。PFGE指纹图谱为同一带型,提示病例和食品的分离株为同一来源。结论 本起暴发事件是由配餐公司统一配送的拔丝肉松蛋糕污染金黄色葡萄球菌产生肠毒素导致的3所幼儿园的食物中毒,应进一步加强对学校配餐食材的监管。

    Abstract:

    Objective To provide reference basis for the prevention, control and disposal of similar events in the future, the suspected food and pathogenic factors of a foodborne disease outbreak involving several kindergartens were investigated and traced.Methods Pathogen was detected in 32 samples collected from three kindergartens by rapid detection techniques (real time fluorescence PCR and mass spectrometry) combined with traditional identification methods, such as isolation and culture, enzyme linked immunosorbent assay (ELISA). Descriptive epidemiological investigation method and pulsed field gel electrophoresis (PFGE) were performed to analyze the molecular traceability of pathogenic factors.Results There were 568 children in the three kindergartens, and 62 (10.92%) cases were found. The clinical manifestations were vomiting, diarrhea and so on. Staphylococcus aureus was detected in 10 biological samples and 2 preserved shredded pork floss cakes distributed by the same catering company. The plate counts of S. aureus in this two cakes were 2.0×107 CFU/g and 1.4×107 CFU/g, respectively. Staphylococcus enterotoxin gene type A (sea) and enterotoxin type A (SEA) were detected simultaneously from 11 isolates of S. aureus strains in patients and suspicious food. PFGE fingerprint showed the same type, suggesting the case and food isolates were the same exposure source.Conclusion The outbreak in three kindergartens was caused by the shredded pork floss cake contaminated with Staphylococcus enterotoxin, which distributed by the same catering company. The supervision of school food materials should be further strengthened.

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周藜,周亚娟,祝俊,黄靖宇,周倩,朱姝,张德著,韩松蓉,牟鸿江.一起多所幼儿园食源性疾病暴发事件的溯源分析[J].中国食品卫生杂志,2022,34(6):1300-1305.

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  • 收稿日期:2022-02-25
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  • 在线发布日期: 2023-02-06
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