克拉玛依市食源性疾病监测结果  

Results of surveillance of foodborne diseases in Karamay City

作　　者：蔺洁[1] 徐曼 拜地努尔·克爱里木[1] 张伟文 刘佳[2] 彭诚[1] LIN Jie;XU Man;Baidinuer Keailimu;ZHANG Weiwen;LIU Jia;PENG Cheng(Department of Public Health,Karamay Center for Disease Control and Prevention,Karamay,Xinjiang 834000,China;Karamay Center for Disease Control and Prevention,Karamay,Xinjiang 834000,China)

机构地区：[1]克拉玛依市疾病预防控制中心公共卫生科,新疆克拉玛依834000 [2]克拉玛依市疾病预防控制中心,新疆克拉玛依834000

出　　处：《预防医学》2024年第2期159-161,172,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：自治区卫生健康青年医学科技人才专项(WJWY-202307)。

摘　　要：目的了解2018—2022年新疆维吾尔自治区克拉玛依市食源性疾病的流行病学和病原学特征,为制定食源性疾病防控措施提供参考。方法通过食源性疾病监测报告系统收集2018—2022年克拉玛依市食源性疾病主动监测病例资料,描述性分析食源性疾病病例的人群分布、时间分布、地区分布、病原学特征和可疑食品暴露史。结果2018—2022年克拉玛依市报告食源性疾病病例715例,采集样本672份,采样率为93.99%;检出病原体阳性28份,阳性率为4.17%。2018—2022年检出病原体阳性率呈上升趋势(P<0.05)。报告病例男性352例,占49.23%;女性363例,占50.77%。年龄以20~<40岁为主,272例占38.04%。职业以工人为主,225例占31.47%。病例集中在11—12月,312例占43.64%,其次为7—8月,209例占29.23%。临床症状以消化系统症状为主,700例占97.90%。检出诺如病毒阳性28份,沙门菌、志贺菌、副溶血性弧菌和致泻性大肠埃希菌均未检出。可疑食品暴露类别以肉与肉制品为主,211例占29.51%;暴露场所以餐饮服务场所为主,350例占48.95%。结论2018—2022年克拉玛依市食源性疾病11—12月和7—8月高发,20~<40岁、工人是高发人群,可疑食品以肉与肉制品为主,餐饮服务场所为主要暴露场所。Objective To analyze the epidemiological and etiological characteristics of foodborne diseases in Karamay City,Xinjiang Uygur Autonomous Region from 2018 to 2022,so as to provide insights into formulation of foodborne dis⁃ease control measures.Methods Active surveillance data of foodborne disease cases in Karamay City from 2018 to 2022 were collected from Foodborne Disease Monitoring and Reporting System.Population distribution,temporal distribu⁃tion,spatial distribution,etiological characteristics and history of suspicious food exposure of foodborne diseases were de⁃scriptively analyzed.Results A total of 715 cases with foodborne diseases were reported in Karamay City from 2018 to 2022,and 672 samples were detected,with a sampling rate of 93.99%and a positive rate of 4.17%.Positive rates of detected pathogens showed an increasing trend from 2018 to 2022(P<0.05).There were 352 men(49.23%)and 363 women(50.77%),272 cases(38.04%)were at ages of 20 to 39 years,and 225 cases(31.47%)were workers.The detec⁃tion of foodborne diseases was concentrated during the period between November and December(312 cases,43.64%),followed by the period between July and August(209 cases,29.23%).The main clinical symptoms were digestive sys⁃tem symptoms(700 cases,97.90%).Norovirus were detected(28 cases),while Salmonella,Shigella,Vibrio parahaemolyti⁃cus and diarrheagenic Escherichia coli were not detected.The suspicious food exposure was predominantly meat and meat products(211 cases,29.51%),and the suspicious food exposure place was predominantly at food service establishments(350 cases,48.95%).Conclusions Foodborne diseases were highly prevalent during the period between Novem⁃ber and December and between July and August in Karamay City from 2018 to 2022.Residents at ages of 20 to 39 years and workers are high-risk populations.Meat and meat products are the main suspicious food products and dining places are the main exposed places.

关 键 词：食源性疾病 流行病学特征 病原学特征 

分 类 号：R155.3[医药卫生—营养与食品卫生学]