2015—2021年四川省食源性疾病事件流行病学调查报告质量评价  

A quality evaluation of the epidemiologic investigation reports of foodborne disease events in Sichuan Province from 2015 to 2021

作　　者：宋阳[1] 张誉[1] 陈文[1] 周玉锦 范春梅 林黎[1] 许毅[1] 兰真[1] SONG Yang;ZHANG Yu;CHEN Wen;ZHOU Yujin;FAN Chunmei;LIN Li;XU Yi;LAN Zhen(Sichuan Center for Disease Control and Prevention,Sichuan Chengdu 610041,China)

机构地区：[1]四川省疾病预防控制中心,四川成都610041

出　　处：《中国食品卫生杂志》2023年第5期739-744,共6页Chinese Journal of Food Hygiene

基　　金：四川省科技计划项目(2021YFS0296)。

摘　　要：目的评价2015—2021年四川省食源性疾病事件调查报告质量,为提高调查能力和规范撰写调查报告提供科学参考。方法通过国家食源性疾病暴发监测系统,收集2015—2021年四川省发病人数≥10人的食源性疾病事件调查结案报告,根据相关指南及文献,挑选39项关键指标对报告内容开展质量评价。结果有259起事件的结案报告纳入分析。报告质量评分分数范围为9~34分,中位数为23分。报告历年平均分呈明显上升趋势(r=0.964,P<0.001),但仍存在一定问题。53.67%报告未计算患病率,50.97%报告未计算临床特征比例,仅25.10%报告绘制发病曲线,仅有16份报告开展分析性流行病学研究;66.02%报告未调查可疑食品加工过程,仅23.94%报告分析食品污染环节;采集水源样本、环境样本、从业人员生物样本的事件占比均低于40.00%;仅58.69%的报告得出准确的调查结论,44.79%事件未查明致病因子,60.62%事件未查明致病食品;32.43%报告的内容逻辑较混乱、条理不清晰,仅42.47%报告的全文格式规范。结论四川省基层疾病预防控制机构食源性疾病事件的流行病学调查能力及调查报告撰写质量有待进一步提高。Objective To provide a scientific reference for improving the investigation methodology and the quality of survey reports by examining the reports on foodborne disease events in Sichuan Province from 2015 to 2021.Methods According to National Foodborne Disease Outbreaks Surveillance System,reports on foodborne diseases(with more than or equal to 10 cases),in Sichuan Province,from 2015 to 2021 were collected.The reports were evaluated using 39 key indicators following the relevant guidelines and references.Results This analysis included 259 reports.The quality score of the reports ranged from 9 to 34(median=23).The average score of the reports from 2015 to 2021 showed an evident increasing trend(r=0.964,P<0.001).However,there are some notable concerns.In particular,53.67%of the reports did not calculate the incidence rate,50.97%did not include clinical feature proportions,only 25.10%utilized the epidemic curve,and only 16 reports provided an analytical epidemiological investigation.Moreover,66.02%of the reports did not investigate the suspected food processing process,while only 23.94%analyzed the causes of food contamination.The proportion of reports that took water samples,environmental samples,and biological samples from relevant employees was all less than 40.00%.Only 58.69%demonstrated accurate conclusions in their reports.Furthermore,44.79%of the reports did not ascertain a pathogenic factor,and 60.62%did not identify the source of contamination.Additionally,32.43%of the reports were logically confusing,and only 42.47%adhered to the correct reporting format.Conclusion Epidemiological investigations and the quality of the investigation reports on foodborne diseases from the Center for Disease Control and Prevention in Sichuan Province warrant further improvement across all levels.

关 键 词：食品安全 食源性疾病事件 流行病学调查报告 质量评价 

分 类 号：R155[医药卫生—营养与食品卫生学]