一起疑似阪崎肠杆菌引起的学校食源性疾病的流行病学调查
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(南京市江宁区疾病预防控制中心,江苏 南京 211100)

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夏广金 男 主管技师 研究方向为卫生检验与食品卫生E-mail:jnjkxgj@163.com通信作者:┣┣(中)通信作者┫┫冯靖宇 男 主管医师 研究方向为公共卫生与食品卫生E-mail:qwemklp@126.com

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Epidemiological investigation on an outbreak of foodborne disease caused by suspected Enterobacter sakazakii in a high school
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(Center for Disease Control and Prevention of Nanjing Jiangning District, Jiangsu Nanjing 211100, China)

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    摘要:

    目的 调查食源性疾病暴发疫情的原因,研讨致病危险因素,为食源性疾病防控提供依据。方法 用现场流行病学调查方法,运用病例对照研究对暴露的可疑餐次进行分析,开展现场卫生学调查,并采集样品和标本进行实验室检测。结果 本次调查共发现156名病例,罹患率为8.30%(156/1 879),临床表现以腹泻(99.4%,155/156)、腹痛(81.4%,127/156)、恶心(16.7%,26/156)、呕吐(3.8%,6/156)为主。病例对照研究显示,10月24日食堂晚餐是危险餐次(OR=49.91,5%CI=12.93~192.63),不同的班级罹患率差异有统计学意义(χ2=115.56, P<0.01),采集的107份样品和标本中,患者肛拭子、送餐车及送餐箱桶和留样食品中的千张结烧肉检出阪崎肠杆菌。结论 本次疫情是一起疑似由阪崎肠杆菌污染引起的食源性疾病,中毒原因可能为食用10月24日晚餐中千张结烧肉引起,建议加强餐饮行业监管,防止此类事件再次发生。

    Abstract:

    Objective To find out the cause and risk factors of the outbreak of food poisoning, and to provide evidence for the prevention and control of food poisoning. Methods Field epidemiological investigate method and case-control study method were used to analyze the suspicious meals of exposure. Field hygienic investigation was carried out. Samples were collected for laboratory testing. Results Totally 156 cases were found in the survey. The attack rate was 8.30%(156/1 879)and the main clinical symptoms were diarrhea (99.4%,155/156), stomachache (81.4%,127/156), nausea (16.7%,26/156) and vomiting (3.8%,6/156). The result of case-control study demonstrated that the dinner of October 24th was the suspected meal (OR=49.91,5%CI=12.93~192.63). The attack rate showed statistical significance in different classes(χ2=115.56,P<0.01). A total of 107 samples were detected in the laboratory, and Enterobacter sakazakii were detected in the patient's anal swab, the delivery car, the delivery containers and the cooked meat with bean curd in the sample food. Conclusion The epidemic situation was a foodborne disease outbreak caused by suspected Enterobacter sakazakii infection. The poisoning might be caused by the cooked meat with bean curd during dinner on 24th October. It was recommended to strengthen supervision of foodservice industry to prevent such incidents from happening again.

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夏广金,董建云,韩宁生,冯靖宇.一起疑似阪崎肠杆菌引起的学校食源性疾病的流行病学调查[J].中国食品卫生杂志,2018,30(3):299-303.

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  • 收稿日期:2018-04-08
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  • 在线发布日期: 2018-06-20
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