人李斯特菌病监测和预防策略研究  

Surveillance and Prevention Strategy of Human Listeriosis

作　　者：冯延芳[1] 冉陆[2] 张立实[1] 

机构地区：[1]四川大学华西公共卫生学院,四川成都610041 [2]中国疾病预防控制中心,北京102206

出　　处：《中国食品卫生杂志》2010年第6期527-531,共5页Chinese Journal of Food Hygiene

基　　金：中美新发和再发传染病合作项目(美国疾病预防控制中心5U2GGH00018-02)

摘　　要：目的通过分析比较李斯特菌病的流行特征、各国的监测方法及预防控制措施,为我国制定李斯特菌病的监测和防控策略提供依据。方法文献比较研究和分析。结果欧美多国已经将李斯特菌病列入法定报告疾病管理,李斯特菌病在欧洲呈上升趋势,在美国有所下降。暴发的发现依赖于病例报告和病人分离菌株的分型和比对。通过暴发调查可以获得危险食品、传播途径等流行病学资料。结论只有将李斯特菌病纳入法定报告疾病管理,将医院分离的病人菌株提交到公共卫生实验室,对实验室确诊病例进行流行病学调查,才能获得李斯特菌病流行规律的资料,采取针对性的防控措施。Objective To offer a guideline to the surveillance and prevention of Listeriosis in China,by analyzing and comparing the epidemic characteristics,national surveillance methods,control and prevent strategies of Listeriosis in various nations. Method Comparative study and analysis of the literatures associated with Listeriosis worldwide. Results Listeriosis had become a notifiable disease in most countries of Europe and the United States. The incidence of Listeriosis increased in Europe,while decreased in the United States. The discovery of a Listeriosis outbreak depended on case reports,typing and comparing of the human isolates. Risk foods,transmission routes and other epidemiological data could be obtained through outbreak investigations. Conclusion Only when listeriosis became a notifiable disease,only when the hospital strains isolated from patients submitted to the public health laboratory,only when the laboratory-confirmed cases were epidemiologically investigated,we could attain the epidemic characteristics of listeriosis,and the pointed prevention and control measures.

关 键 词：人李斯特菌病 流行病学 监测 预防措施 

分 类 号：R155.5[医药卫生—营养与食品卫生学]