2017年郑州市食源性疾病病原学监测结果分析  

Surveillance results analysis of food-borne diseases in Zhengzhou City in 2017

作　　者：戴蕾[1] 王松强[1] 蒋诗苑 孙丽梅[1] 牛卫东[1] 陈欣然[1] DAI Lei;WANG Song-qiang;JIANG Shi-yuan;SUN Li-mei;NIU Wei-dong;CHEN Xin-ran(Zhengzhou Center for Disease Control and Prevention,Zhengzhou,Henan 450007,China)

机构地区：[1]郑州市疾病预防控制中心,河南郑州450007

出　　处：《现代预防医学》2019年第4期715-717,759,共4页Modern Preventive Medicine

基　　金：河南省科技发展计划项目(162102310226);郑州市智慧公共卫生项目(郑发改设[016]705号)

摘　　要：目的了解郑州市2017年食源性疾病的流行趋势及病原学特性,为食源性疾病诊断提供病原学证据,提高食源性疾病暴发的早期识别、预警和防控能力。方法对2017年郑州市哨点医院上送的食源性疾病病例标本进行病原学检测及分析。结果 2017年郑州市2家哨点医院共采集504份病例标本,检出165株食源性致病菌,总检出率为32.74%(165/504)。其中沙门菌检出率为19.84%(100/165),致泻性大肠埃希菌检出率为11.11%(56/165),志贺菌检出率为1.39%(7/165),诺如病毒检出率为0.40%(2/165)。5岁以下年龄组病原检出率最高,检出率为41.35%(98/237)。结论郑州市食源性疾病主要以沙门菌、致泻性大肠埃希菌和志贺菌感染为主。今后应进一步扩大监测覆盖面和病原菌种类,并加强食品安全教育与宣传力度。Objective To investigate the epidemiological trend and etiological characteristics of food-borne diseases in Zhengzhou City in 2017, and thus to provide pathogenic evidence for the diagnosis of food-borne diseases and improve the ability of early identification, early warning and prevention and control of food-borne disease outbreaks. Methods Pathogens isolation and identification of food-borne disease samples from the two-sentinel hospital in Zhengzhou were carried out in2017. Results A total of 504 cases of food-borne diseases were collected and detected in Zhengzhou in 2017, and 165 strains of pathogens were detected, with the overall positive rate at 32.74%, among which, 100 strains were Salmonella(19.84%), 56 strains were diarrhea-causing Escherichia coli(11.11%/), and 7 strains were Shigella. The detected rate of pathogens was the highest in the age group under 5 years old at 41.35%(98/237). Conclusion The contamination of food-borne pathogens is existent in Zhengzhou City, and the main contaminating bacteria were Salmonella, diarrhea-causing Escherichia coli and Shigella. In the future, the monitoring coverage and pathogen species should be further expanded, and food safety education and publicity should be strengthened.

关 键 词：食源性疾病 监测 哨点医院 

分 类 号：R155.34[医药卫生—营养与食品卫生学]