孝感市东山头一起霍乱O139暴发的调查  

INVESTIGATION ON THE AN OUTBREAK OF VIBRIO CHOLERAE O139 IN DONGSHANTOU OF XIAOGAN

作　　者：吕斌[1] 胡鹏 刘公平[3] 普智敏[1] 王勇[1] 唐开来 

机构地区：[1]湖北孝感市疾病预防控制中心,孝感432100 [2]孝南区疾病预防控制中心 [3]湖北省疾病预防控制中心

出　　处：《现代预防医学》2008年第18期3619-3620,共2页Modern Preventive Medicine

摘　　要：[目的]调查霍乱弧菌O139型暴发特征和因素,控制流行。[方法]调查所有就餐者及其接触者,同时肛拭采样培养鉴定霍乱弧菌,按《霍乱防治手册》的标准确诊病人,对疫点环境采样培养分离霍乱弧菌,并采取控制措施。[结果]该事件是一起丧宴集体聚餐引起的霍乱暴发疫情,共发生感染者17例,实验室确诊病例8例、临床诊断病例7例、健康带菌者2例,实验室诊断病例和健康带菌者中分离菌株均为病原学诊断病例(O139型),无病例死亡,未出现二代病例。[结论]导致疫情暴发的主要原因可能是食物受污染致进餐者感染。提示加强饮食卫生管理是预防霍乱食源性传播的关键,同时应制定针对性强的综合防制措施,控制和减少疫情的发生和流行。[Objective] To investigate the characteristics and the related factors of the outbreak of Vibrio Cholerae O139, and to control the epidemic situation. [ Methods] All customers and the persons contacted with people with Vibrio Cholerae O139 were investigated, and were carried out rectal swabs to collect the isolation and identiilcation of Vibrio cholerae. Patients were diagnosed according to the Manual for the Control of Cholerae. Environmental samples were collected and tested for the presence of V. cholerae. [ Results] There was an outbreak of food-borne cholera in a collective mourning feast. A total of 17 cases were reported, eight cases of laboratory-confirmed, seven cases of clinically diagnosed, health carriers two causes. All cases were diagnosed as serotype O139 cholera. All infected subjects were recovered from the infection and the persons in closely contact with these patients were not infected. [Conclusion] The main cause of the outhreak of this disease might be the food contaminated.It is crucial to strengthen the management of food hygiene to prevent the spread of cholera through food. Effective measures should also be taken to control and prevent the epidemic of this disease.

关 键 词：霍乱 O139 暴发 

分 类 号：R516.5[医药卫生—内科学]