石城县1起食源性肠道传染病的调查分析  

Analysis of a diet-induced intestinal infectious disease in Shicheng County

作　　者：胡峻 Hu Jun(Shicheng Center for Disease Control and Prevention,Ganzhou Jiangxi 342700,China)

机构地区：[1]石城县疾病预防控制中心,江西赣州342700

出　　处：《保健医学研究与实践》2022年第11期33-36,共4页Health Medicine Research and Practice

摘　　要：目的分析石城县1起食源性肠道传染病发生的原因,旨在为今后此类事件的防范提供思路。方法对一起由沙门氏菌引起的食源性肠道传染病暴发事件进行食品卫生学调查,并对采集样本的实验室检测结果进行分析。结果共发现68例病例,病例主要表现为发热(100.0%)与腹泻(100.0%)。食品卫生学调查发现猪肉为引起此次事件的可疑食物。通过实验室检测,在8份病例粪便、4份病例呕吐物、2份厨具涂抹样本(菜刀涂抹和菜板涂抹)、1份剩余食品样本中均检出了肠炎沙门氏菌。结论综合食品卫生学调查、病例临床资料和实验室检测结果,证实餐馆消毒卫生不规范、对食品的加工、烹饪等环节的安全管理不到位、生熟混用导致肠炎沙门氏菌污染熟食是此次食源性肠道传染病事件发生的主因。有关部门应加大对食品类行业的监督与监测,完善食源性疾病事件暴发应急处理体系及应对预案,各部门应加强联系与合作,实现信息共享,提高紧急事件的风险防范能力,争取减少甚至杜绝食源性疾病事件的发生,维护辖区内居民的食品安全。Objective This paper aims to analyze the cause of a diet-induced intestinal infectious disease in Shicheng County to provide ideas for the prevention of such events in the future.Methods We investigated an outbreak of diet-induced intestinal infectious disease caused by Salmonella via food hygiene and analyzed the laboratory test results of the collected samples.Results A total of 68 cases were found,and the main manifestations were fever(100.0%)and diarrhea(100.0%).Food hygiene investigations found pork as the suspected food causing the incident.Salmonella enteritidis was detected by laboratory testing in feces(8 cases),vomitus(4 cases),2 cookware smear samples:knife and board(1 case),and a leftover food sample(1 case).Conclusion Combined with the results of food hygiene investigation,clinical data of cases,and laboratory tests,it is confirmed that the main causes of this diet-induced intestinal infectious disease are non-standard disinfection and hygiene in restaurants,inadequate safety management of food processing and cooking,and contamination of cooked food by Salmonella enteritidis caused by raw and cooked mixing.Relevant departments shall intensify the supervision and monitoring of the food industry,and improve the emergency response system and response plans for diet-induced disease outbreaks.All departments shall strengthen contact and cooperation,realize information sharing,enhance the risk prevention ability of emergencies,strive to reduce or even eliminate the occurrence of diet-induced disease incidents,and maintain the food safety of residents within their respective districts.

关 键 词：食源性疾病 肠道传染疾病 食物中毒 调查 预防控制对策 

分 类 号：R595.7[医药卫生—内科学]