某校一起急性胃肠炎暴发的现场调查  

FIELD SURVEY OF OUTBREAK ON ACUTE GASTROENTERITIS IN A SCHOOL

作　　者：曹妍[1] 李秀凯[1] 罗文才[1] 何伟[1] 苟利华[1] 

机构地区：[1]四川阆中市疾病预防控制中心,阆中637400

出　　处：《现代预防医学》2008年第7期1343-1345,共3页Modern Preventive Medicine

摘　　要：[目的]查明一起急性胃肠炎暴发的原因和病因。[方法]对病例和食堂人员进行调查和采样检查,对食堂及食品加工过程、环境卫生及水质状况进行现场调查和采样检查。用病例对照方法对危险因素进行调查。[结果]发病87人,罹患率6.6%,1名饮食从业人员与7名患者肛拭子检出痢疾杆菌福氏Ⅳ型。病例对照显示:食堂就餐是发病的危险因素,18日早餐的OR值最高(OR95%CI=3.38～19.87),发病与就餐次数呈剂量反应关系(χ2=18.99,P﹤0.05)。[结论]这是一起细菌性痢疾的暴发,暴发原因为学校食堂从业人员污染食物引起。应加强食品卫生监督管理,强化饮食从业人员卫生知识培训。[Objective ] To find out the outbreak reason and cause of disease of acute gastroenterifis. [Methods] Carried on inquisition, sampling and inspection to investigate the case and personnel working in the canteen, and carried out the field survey sampling and inspection to check the canteen and the food processing process, environmental hygiene and water qualityi Used the method of case control to survey risk factors. [ Results] 87 people fell ill, attack rate 6.6%. A food employee and 7 sufferers were detected out the Shigella flexneri IV. Having meals in canteen was the risk factor of Outbreak, the OR value of breakfast on the 18th day was the tallest （OR95%CI = 3.38-19.87）, outbreak and times of taking meals had a dose response relationship （x^2 = 18.99, P〈 0.05）. [Conclusion] The outbreak is induced by bacillary dysentery, the reason is that the employees working in canteen contaminate food. Supervision and management on food hygiene should be strengthen, training of personnel on health information should be enhanced.

关 键 词：学校 食源性痢疾 暴发 现场调查 

分 类 号：R195.4[医药卫生—卫生统计学]