2017年—2021年温州市0岁~6岁儿童食源性疾病主动监测结果分析  

Analysis of surveillance results of foodborne diseases in children aged 0-6 years in Wenzhou City from 2017 to 2021

作　　者：蔡圆圆[1] 高四海[1] 温丹丹 刘倩倩 夏子淇 陈民和 CAI yuan-yuan;GAO Si-hai;WEN Dan-dan;LIU qian-qian;XIA Zi-qi;CHEN Min-he(Wenzhou Municipal Center for Disease Control and Prevention,Zhejiang 325000,China)

机构地区：[1]温州市疾病预防控制中心,浙江325000

出　　处：《中国卫生检验杂志》2023年第10期1264-1267,共4页Chinese Journal of Health Laboratory Technology

摘　　要：目的 分析2017年—2021年温州市0岁~6岁儿童食源性疾病流行病学及病原学特征,为该人群的食源性疾病防控工作提供科学依据。方法 从浙江省食源性疾病监测系统收集2017年—2021年温州市0岁~6岁儿童食源性疾病病例信息,分析其人群分布、时间分布、病原体检测情况、临床症状及可疑暴露食物。结果 2017年—2021年温州市共报告2 332例0岁~6岁儿童病例,其中1岁~2岁组病例最多。病例报告月份集中在5月—10月;5月、7月、10月是3个发病高峰期。主要检出病原体是沙门菌和诺如病毒,检出时间集中在5月—8月和10月—次年2月;沙门菌血清型以鼠伤寒沙门菌为主,诺如病毒基因型以GⅡ型为主。所有病例均有腹泻症状,其中24.70%的病例伴有呕吐症状。2 331份可疑暴露食物中占前3位的分别是婴幼儿食品、水产动物及其制品、水果类及其制品。结论 温州市0岁~6岁儿童食源性疾病病例群体以0岁~2岁组为主,5月—10月是疾病高发期,感染病原体以沙门菌和诺如病毒为主,主要可疑暴露食品为婴幼儿食品、水产动物及其制品。Objective This paper aims to analyze the epidemiological and pathogenic characteristics of foodborne diseases in children aged 0-6 years in Wenzhou City from 2017 to 2021,so as to provide scientific basis for the prevention and control of foodborne diseases in this population.Methods The case information of foodborne diseases in children aged 0-6 years in Wenzhou City from 2017 to 2021 was collected from Zhejiang foodborne disease surveillance system,and population distribution,time distribution,pathogenic detection,clinical symptoms and suspected food exposure were analyzed.Results A total of 2 332 cases of children aged 0-6 years were reported in Wenzhou from 2017 to 2021,of which the cases in the group aged 1-2 years were the dominant.The cases were reported from May to October,and the incidence peak was observed in May,July,and October.The main pathogens detected were Salmonella and norovirus,which were concentrated from May to August and October to the next February;Salmonella typhimurium is the main serotype of Salmonella,and norovirus genotype is mainly GⅡ.All cases had diarrhea symptoms,of which 24.70% were accompanied by vomiting.Among the 2 331 suspected exposed foods,the top three were infant food,aquatic animals and their products,fruits and their products.Conclusion The cases of foodborne diseases in children aged 0-6 years in Wenzhou City are mainly in the group of 0-2 years old.The high incidence period is from May to October.The pathogens causing infection are mainly Salmonella and norovirus.The main suspected exposed foods are infant food,aquatic animals and their products.

关 键 词：儿童 食源性疾病 监测 

分 类 号：R446[医药卫生—诊断学]