一起外运快餐引起爆发性食物中毒的调查报告  

An Outbreak of Foodborne Disease Caused by Fast Food

作　　者：梁惠宁[1] 龙兮[1] 施向东[1] 苏萍[1] 

机构地区：[1]广西南宁市疾病预防控制中心,南宁530011

出　　处：《热带医学杂志》2008年第11期1174-1175,1189,共3页Journal of Tropical Medicine

摘　　要：目的查明一起集体食物中毒事件发生的原因及影响因素。方法对食用该可疑食品的人员进行个案调查,对部分患者、从业人员肛拭采样以及抽检可疑食物、餐具进行细菌培养。结果共调查了539人,其中263人出现胃肠道症状,感染率为48.79,确诊病例为82例。发病高峰集中在11月1日0～12时;临床症状以腹痛、腹泻为主。9例患者肛拭培养中检出致病性大肠埃希菌O127或腊样芽孢杆菌,1份卤水和4份餐具样品中亦检出致病菌。结论该起食物中毒是由混合性致病菌引起的,食品被污染的环节复杂多样。Objective To find out the cause and risk factors on a case of outbreak of foodborne disease. Methods Persons who took the fast food were investigated with uniform individual questionnaire. Patients and employees were sampled by anal swab. The foods and dishware were sampled for germ culture in order to detect pathogen bacteria. Results Total of 539 persons were investigated and 263 of them who had eaten the food showed gastrointestinal symptoms, with morbidity rate of 48.79% and confirmed cases were 82. The peak time of disease incidence was during 0-12：00 on November 1. Stomachache and diarrhea were the main symptoms. Pathogenic E.coli O127 or Bacillus cereus was detected in 9 patients with anal swab culture. Pathogenic bacteria were also found in one sample of spice and 4 pieces of dishware. Conclusion This outbreak of food poisoning was caused by mixed pathogenic bacteria. It is a complex and varied aspect of food contamination.

关 键 词：快餐 食物中毒 食源性疾病 

分 类 号：R155.3[医药卫生—营养与食品卫生学]