2004—2012年广东省食物中毒事件调查报告质量评价  

Assessment of reports of food poisoning in Guangdong Province,2004-2012

作　　者：李剑森[1] 张恒[2] 黄琼[1] 梁骏华[1] 卢玲玲[1] 黄蔚[1] 邓小玲[1] 

机构地区：[1]广东省疾病预防控制中心,广东广州511430 [2]湖南省长沙市疾病预防控制中心,湖南长沙410001

出　　处：《中国食品卫生杂志》2015年第4期378-381,共4页Chinese Journal of Food Hygiene

基　　金：广东省"十二五"医学重点学科(食品安全风险监测检测)

摘　　要：目的评价广东省食物中毒调查报告质量,了解基层现场调查及报告撰写能力。方法收集2004—2012年广东省所有发病≥20人的食物中毒调查报告,依据《食品安全事故流行病学调查技术指南(2012年版)》,挑选6部分内容30项指标开展质量评价。结果有102起事件的调查报告纳入分析。99%(101/102)能简要描述事件经过,但描述首发病例仅占27%(28/102),计算罹患率仅占36%(37/102)。有58起事件需要开展分析性研究,但仅有21%(12/58)开展,计算OR值或RR值仅占16%(9/58)。仅13%(13/102)分析了食品污染环节,36%(37/102)调查了可疑食物制作过程。96%(98/102)的事件开展了实验室检测,但仅87%(85/98)解释了结果。分别有70%(71/102)、48%(49/102)、40%(41/102)的报告查明了致病因子、污染食物及污染原因。102起事件中分别只有6、3、47及13起能完整阐述描述性流行病学调查、食品卫生学调查、实验室检测结果及调查结论,6部分内容均能完整描述仅有1起。结论广东省食物中毒调查报告有待完整,基层的现场调查能力亟待提高。Objective To evaluate the current situation of the ability of epidemiology in food poisoning in local CDC by assessment of reports. Methods Reports of food poisoning above 20 people was collected. According to Guidelines for Foodborne Disease Outbreak Response, 30 index in 6 chapters was chosen to evaluate. Results 102 reports were evaluated. 99% of the reports recorded the accurate time and brief progress, but only 27% of them included the indicator case, 36% included RR, 44% included the definition of eases. 58 reports needed to carry out analytical epidemiology, but only 21% had the results and 16% calculated OR or RR. 13% of the reports analyzed the food contamination source, 36% investigated the food processing. 96% of the reports contained lab results, but only 87% analyzed the results. 70% of the reports gave out the exact pathogen, 48% found the contaminated food, and 40% found the contamination cause. Only 5.9% of the reports described the results of descriptive epidemiology completely. Only 1 report reached the requirement of the guidelines. Conclusion Food poisoning reports in Guangdong Province could not reach the requirement of guidelines which lack of analytical epidemiology. The ability of epidemiology in tood poisoning in local CDC needed to be improved.

关 键 词：食物中毒 食源性疾病 暴发 质量评价 调查报告 

分 类 号：R155.3[医药卫生—营养与食品卫生学]