2017—2023年临沂市食源性疾病患者沙门菌感染情况及病原特征分析  

Distribution and Pathogenic Characteristics of Salmonella in Food-borne Diseases in Linyi from 2017 to 2023

作　　者：王济忠 王素芳 李涛 蒋海英[1] 左亚凡 Wang Jizhong;Wang Sufang;Li Tao;Jiang Haiying;Zuo Yafan(Linyi Center For Disease Control and Prevention,Linyi,Shandong,276000,China;不详)

机构地区：[1]临沂市疾病预防控制中心,山东临沂276000 [2]国家电网公司北京电力医院,北京100073

出　　处：《中国初级卫生保健》2024年第7期83-86,共4页Chinese Primary Health Care

摘　　要：目的:了解2017—2023年山东省临沂市食源性疾病患者中沙门菌的感染情况并进行分析,探讨可能的传播途径和影响因素,为相关部门制定防控措施提供参考依据。方法:收集2017—2023年临沂市食源性疾病监测数据,分析患者的年龄、性别、职业分布、发病季节性变化及临床表现等情况,并对分离出的沙门菌进行血清分型及耐药性敏感试验。结果:2017—2023年临沂市共采集符合病例定义的标本3267份,检测分离134株沙门菌,检出率为4.10%,其中2023年检出率最高(7.10%);感染病例主要发生在夏秋季;进食场所主要发生在家庭;0~6岁年龄段人群沙门菌检出率最高(5.75%);职业为家务及待业的人群沙门菌检出率最高(6.03%),其次为儿童(5.71%);沙门菌血清型分布以鼠伤寒和肠炎沙门菌为主;耐3种及以上多重抗药菌株数为107株(79.85%)。结论:相关部门应持续做好对沙门菌疾病的监测预警工作,提高食品安全隐患的早期识别、预警和控制能力,从而减少食源性疾病的发生。OBJECTIVE To understand the infection status of Salmonella among patients with food-borne diseases in Linyi,and to Provide scientific basis for relevant departments to prevent and control food-borne diseases.METHODS Collect the surveillance data of food-borne diseases in Linyi from 2017 to 2023,analyze the patients’age,gender,occupational distribution,seasonal changes of incidence,and clinical manifestations of patients,and conduct serological typing and drug resistance sensitivity tests on the isolated Salmonella.RESULTS From 2017 to 2023,Linyi City collected a total of 3267 specimens that met the case definition,and detected and isolated 134 strains of Salmonella,with a detection rate of 4.10%.Among them,the detection rate in 2023 was the highest(7.10%).The infection cases mainly occurred in summer and autumn.Eating place mainly occurs in the family;the detection rate of salmonella in 0~6 years old group was the highest(5.75%).The highest inspection rate was found in people who were housework and unemployed(6.03%),followed by children(5.71%).The serotypes of Salmonella were mainly Salmonella typhimurium and Salmonella enteritidis.The number of strains resistant to 3 or more kinds of multiple drug resistance was 107(79.85%).CONCLUSION Relevant departments should continue to do a good job of monitoring and early warning of salmonella diseases,improve the early identification,early warning and control of food safety hazards,so as to reduce the occurrence of foodborne diseases.

关 键 词：沙门菌 药物敏感性实验 血清型 

分 类 号：R195[医药卫生—卫生统计学]