夏季建筑工地食堂食物中毒调查及危险因素的Logistic回归分析  

Investigation of Food Poisoning in Canteens on Summer Construction Sites and Logistic Regression Analysis of Risk Factors

作　　者：孙迪 SUN Di(Disease Prevention and Control Center of Bayuquan District,Yingkou City,Liaoning Province,Yingkou 115007,China)

机构地区：[1]辽宁营口市鲅鱼圈区疾病预防控制中心,辽宁营口115007

出　　处：《食品安全导刊》2024年第6期57-61,共5页China Food Safety Magazine

摘　　要：目的:调查夏季营口市鲅鱼圈区2处建筑工地食堂食物中毒事件,查找该事件发生原因及致病因素,为制定防控措施提供科学依据。方法:按照国家有关食品安全标准与调查技术规范,对营口市鲅鱼圈区建筑工地食堂进行食物中毒筛查,对发生食物中毒工地的相关人员进行流行病学调查,并对病例、食堂留样食物开展相关病原菌分离培养,记录实验室检测信息。结果:2处建筑工地食堂就餐274人,共计209人发生食物中毒。食物中毒符合点源暴露模式,病例临床主要表现为恶心、头晕、呕吐;通过回顾性队列研究和Logistic回归分析发现,荤素包子与梅菜扣肉为食物中毒事件的可疑食品。结论:综合分析流行病学调查结果、现场卫生学调查及病例临床症状等,确定此次事件是因细菌引起的食物中毒事件,荤素包子与梅菜扣肉为最终致病食品。Objective:To investigate food poisoning incidents in two construction site canteens in Bayuquan district,Yingkou city during summer,identify the causes and pathogenic factors of the incidents,and provide scientific basis for formulating prevention and control measures.Method:According to the relevant national food safety standards and investigation technical specifications,food poisoning screening was carried out in the cafeteria of the construction site in Bayuquan district,Yingkou city.Epidemiological investigations were conducted on relevant personnel at the site where food poisoning occurred.Cases and food samples from the cafeteria were isolated and cultured for relevant pathogenic bacteria,and laboratory testing information was recorded.Result:274 people dined in two construction site canteens,with a total of 209 people experiencing food poisoning.Food poisoning conforms to the point source exposure pattern,and the clinical manifestations of the case are mainly nausea,dizziness,and vomiting.Through retrospective cohort study and logistic regression analysis,it was found that meat and vegetable steamed buns and pork with pickled vegetables were suspicious foods in the food poisoning incident.Conclusion:Based on the comprehensive analysis of epidemiological investigation results,on-site hygiene investigation,and clinical symptoms of the case,it is determined that this incident is a food poisoning event caused by bacteria,and meat and vegetable buns and pickled pork are the final pathogenic foods.

关 键 词：建筑工地 食物中毒 危险因素 LOGISTIC回归分析 

分 类 号：R155.3[医药卫生—营养与食品卫生学]