2013-2014年徐州市食源性疾病哨点医院监测结果分析

doi:10.3969/j.issn.1006-3110.2017.03.028

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摘要目的对2013-2014年徐州市食源性疾病哨点医院监测结果进行分析,了解食源性疾病流行特征。方法收集哨点医院符合食源性疾病病例定义的就诊病例信息,并采集粪便样本进行病原学检测。结果共监测腹泻病例1 030例,其中1~4岁年龄组(35.15%)和1岁以下年龄组(29.03%)所占比例较高;6-9月为发病高峰;检出各种病原体183株,总检出率为17.77%,其中沙门菌43株(检出率4.17%);志贺菌25株(检出率2.43%);副溶血性弧菌3株(检出率0.29%);致泻性大肠埃希菌54株(检出率5.24%);诺如病毒58株(检出率5.36%)。 1~4岁年龄组病原体检出率(28.77%)最高。结论徐州市食源性疾病病原体总体检出率较高,感染患者集中在1~4岁年龄组和1岁以下年龄组,7月为徐州市食源性疾病发病高峰,以诺如病毒、致泻性大肠埃希菌和沙门菌感染为主。

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	苗升浩
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	薛诚

关键词 ：食源性疾病, 监测, 哨点医院, 病原体

Abstract：Objective To analyze the monitoring Results of foodborne diseases from sentinel hospitals in Xuzhou City during 2013-2014, and to investigate the epidemiological features of foodborne diseases. Methods The patients who met the monitoring case definition in sentinel hospitals were involved to collect the basic information and stool samples for pathogen detection. Results A total of 1,030 diarrhea patients were enrolled in this study. The cases of children aged 1-4 years (35.15%) and under 1 year (29.03%) were more than those of other age groups. The incidence peak was from June to September. 183 strains of pathogens were isolated, including 43(4.17%)strains of Salmonella, 25(2.43%)Shigella,3(0.29%)Vibrio parahaemolyticus, 54(5.24%) diarrheogenic Escherichia coli and 58(5.36%)norovirus, and the total detection rate was 17.77% (183/1,030). The highest detection rate of pathogens (28.77%) was observed in the age group of 1-4 years. Conclusions The total detection rate of foodborne pathogenic bacteria in Xuzhou City is high. The incidence of foodborne diseases is concentrated in the age groups of 1-4 years and under 1 year. The incidence peak of foodborne diseases in Xuzhou City appears in July, and is mainly caused by norovirus, diarrheogenic Escherichia coli and Salmonella.

Key words： foodborne disease surveillance sentinel hospital pathogen

收稿日期: 2016-10-24

R155.3

基金资助:卫生行业科研专项项目(201302005)

作者简介: 苗升浩(1974-),男,江苏铜山人,硕士研究生,副主任医师,主要从事营养与食品安全方面的研究工作。

引用本文:

苗升浩, 张娟, 吴玲, 薛诚. 2013-2014年徐州市食源性疾病哨点医院监测结果分析[J]. 实用预防医学, 2017, 24(3): 352-355. MIAO Sheng-hao, ZHANG Juan, WU Ling, XUE Cheng. Surveillance results of foodborne diseases from sentinel hospitals n Xuzhou City, 2013-2014. , 2017, 24(3): 352-355.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2017.03.028 或 https://www.syyfyx.com/CN/Y2017/V24/I3/352

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