用文献综述法估计我国食源性副溶血性弧菌病发病率  

Study on incidence of foodborne disease caused by vibrio parahaemolyticus by literature review method

作　　者：毛雪丹 胡俊峰[2] 刘秀梅 

机构地区：[1]国家食品安全风险评估中心标准一部,北京100022 [2]中国健康教育中心,北京100011

出　　处：《中华疾病控制杂志》2013年第3期265-267,共3页Chinese Journal of Disease Control & Prevention

基　　金："十一五"国家科技支撑计划(2006BAK02A15)

摘　　要：目的估计副溶血性弧菌在我国导致的食源性疾病发病率。方法利用文献综述方法估计我国急性腹泻发病率以及腹泻人群中副溶血性弧菌感染的比例,利用食源性疾病监测网获得副溶血性弧菌感染疾病的腹泻发生比例,参考国外研究推算副溶血性弧菌感染的食源性比例,结合腹泻发病率及各项乘数获得副溶血性弧菌导致食源性疾病发病率。结果在我国,每年因副溶血性弧菌导致急性腹泻665.5万人,导致急性胃肠炎病例估计为728.1万人,副溶血性弧菌感染的食源性比例为68.0%,推算我国食源性副溶血性弧菌病每年约发生495.1万人次。副溶血性弧菌导致急性胃肠炎的比例远高于发达国家,低于我国食源性疾病监测网的报告比例。结论副溶血性弧菌在我国仍是主要的食源性致病菌,对我国造成的疾病负担较为严重。Objective To preliminarily estimate the incidence rate of foodborne vibrio parahaemolyticus in China. Methods The occurrence rate of acute diarrhea and the proportion of vibrio parahaemolyticus were conducted by literatures review. The occurence rate of foodborne disease caused by vibrio parahaemolyticus was calculated by the acute diarrhea multiplied adjusting factors including vibrio parahaemolyticus proportion among the diarrhea cases, the diarrhea proportion among the vibrio parahaemolyticus cases which was from the national foodborne disease monitoring network, and foodborne proportion of vibrio parahaemolyticus caused gastroenteritis from literature review. Results From 2000 to 2009, vibrio parahaemolyticus annually caused 6 655 000 diarrhea cases, from which 7 281 000 gastroenteritis cases were deduced, and it was induced that 4 951 000 cases were infected by food transmission using the foodborne proportion of 68.0%. The pro- portion of vibrio parahaemolyticus cases among gastroenteritis in China was significantly higher than that of developed coun- tries, yet it was lower than that reported by the national foodborne disease monitoring network. Conclusions Vibrio parah-aemolyticus is still one of the main foodborne pathogens in China, and it causes a heavy burden on Chinese population.

关 键 词：弧菌 副溶血性 发病率 患病代价 

分 类 号：R181.3[医药卫生—流行病学] R573.39[医药卫生—公共卫生与预防医学]