2017年~2019年北京市顺义区成年人食源性疾病主动监测结果分析  

Analysis of the Results of Active Surveillance of Adult food-borne Diseases in Shunyi District,Beijing from 2017 to 2019

作　　者：吕金昌[1] 陈东宛[1] 高彭[1] 何朝[1] 刘秀峰[1] LYU Jin-chang;CHEN Dong-wan;GAO Peng;HE Chao;LIU Xiu-feng(Department of Nutrition and Food Hygiene,Center for Disease Control and Prevention,Shunyi District,Beijing 101300,China)

机构地区：[1]北京市顺义区疾病预防控制中心营养与食品卫生科,北京101300

出　　处：《医学信息》2021年第16期159-162,共4页Journal of Medical Information

摘　　要：目的分析北京市顺义区食源性疾病的流行病学特征。方法收集2017年1月~2019年12月北京市顺义区食源性疾病主动监测两家哨点医院食源性腹泻相关资料,分析不同年龄段、性别、季度以及不同致病菌之间率的比较。结果共采集病例样本1057例,353件样本检出食源性致病菌检测,检出率为33.39%;男性检出率为34.09%,女性检出率为32.43%,不同性别食源性致病菌检出率比较,差异无统计学意义(P>0.05);不同季度食源性致病菌检出率比较,差异有统计学意义(P<0.05);不同食源性致病菌检出率比较,差异有统计学意义(P<0.05);共检出沙门氏菌66株,副溶血弧菌106株,大肠埃希氏菌117株,弯曲菌87株;可疑暴露食品场所主要为家庭761例,占71.99%;餐饮单位及小摊贩229例,占21.67%;集体食堂24例,占2.27%;其它场所43例,占4.07%。可疑暴露食品种类主要为肉及肉制品192例,占18.16%;蔬菜及其制品177例,占16.75%;水果及其制品113例,占10.69%;混合食品91例,占8.61%;水产动物及制品66例,占6.24%;饮料及冷饮制品48例,占4.54%;粮食及其制品42例,占3.97%,其它包括不明食品、桶装水、豆制品、蛋制品等。结论不断完善北京市顺义区食源性疾病监测体系,改进检测方法,扩大监测范围,更加全面反映出顺义区食源性疾病流行病学特征。Objective To analyze the epidemiological characteristics of food-borne diseases in Shunyi District,Beijing.Methods From January 2017 to December 2019,data related to foodborne diarrhea in two sentinel hospitals were actively monitored for foodborne diseases in Shunyi District,Beijing.Analyzing the comparison of rates among different age groups,genders,seasons and different pathogens.Results A total of 1057 case samples were collected,and 353 samples were detected for food-borne pathogens,with a detection rate of 33.39%;The detection rate of males was 34.09%and that of females was 32.43%.There was no statistically significant difference in the detection rates of foodborne pathogens of different sexes(P>0.05);The detection rate of food-borne pathogens in different seasons was compared,the difference was statistically significant(P<0.05);The detection rate of different food-borne pathogens was compared,the difference was statistically significant(P<0.05);A total of 66 strains of Salmonella,106 strains of Vibrio parahaemolyticus,117 strains of Escherichia coli,and 87 strains of Campylobacter were detected;761 cases(71.99%)of suspected food-exposure sites were mainly households.229 cases(21.67%)of catering units and small vendors,24 cases(2.27%)in collective canteens,and 43 cases(4.07%)in other places;The main types of suspiciously exposed foods included 192 cases(18.16%)of meat and meat products,177 cases(16.75%)of vegetables and their products,113 cases(10.69%)of fruits and their products,91 cases(8.61%)of mixed foods,and aquatic animals.66 cases(6.24%)of and products,48 cases(4.54%)of beverages and cold drinks,42 cases of grain and its products(3.97%),others include unidentified food,bottled water,soy products,egg products,etc.Conclusion Continuously improve the food-borne disease surveillance system in Shunyi District,Beijing,improve detection methods,expand the scope of surveillance,and more fully reflect the epidemiological characteristics of food-borne diseases in Shunyi District.

关 键 词：食源性疾病 主动监测 感染性腹泻 

分 类 号：R155.3[医药卫生—营养与食品卫生学]