山东省医疗机构食源性疾病监测能力分析  

Analysis of foodborne diseases surveillance skills of medical institutions in Shandong Province

作　　者：黄博 宋柬[1] 褚遵华[1] 于京平[3] 李文华[4] 陈婕[5] 周林[6] 赵孟源 庄德宇 HUANG Bo;ONG Jian;CHU Zunhua;YU Jingping;LI Wenhua;CHEN Jie;ZHOU Lin;ZHAO Mengyuan;ZHUANG Deyu(Shandong Center for Disease Control and Prevention,Jinan 250014,China;School of Public Health,Shandong Second Medical University;Weihai Disease Control Center;Heze Disease Control Center;Weifang Disease Control Center;Jinan Disease Control Center)

机构地区：[1]山东省疾病预防控制中心,山东济南250014 [2]山东第二医科大学公共卫生学院 [3]威海市疾病预防控制中心 [4]菏泽市疾病预防控制中心 [5]潍坊市疾病预防控制中心 [6]济南市疾病预防控制中心

出　　处：《山东第二医科大学学报》2024年第5期364-368,共5页Journal of Shandong Second Medical University

基　　金：山东省卫生健康政策研究课题(项目编号:WZY202340)。

摘　　要：目的了解山东省医疗机构食源性疾病监测能力的现状。方法根据经济水平、地理位置、人口密度和依从性等因素,确定山东省4个城市的食源性疾病监测医疗机构48个,采用调查问卷收集数据,SPSS软件进行整理和分析,获得学历、职称、工作年限的分布情况。结果(1)89.5%医疗机构设有食源性疾病诊疗科室,27.0%设有食源性疾病检测科室,85.4%设有食源性疾病报告科室,人员以本科和中级职称为主。(2)省部级医院至少1家具备检验7大类疾病(除诺如病毒外)的能力,大部分地市和县级医院能够检验细菌病毒等,乡镇、村卫生室仅能识别农药和毒蘑菇中毒。结论山东省三级医院在食源性疾病诊断和检测能力上表现较好,但基层医疗机构存在人员短缺和诊断检测能力弱等问题,需进一步提升食源性疾病监测能力。Objective To understand the current status of foodborne disease surveillance skills in different levels of medical institutions in Shandong Province.Methods According to the economic level,geographical location,population density and compliance in Shandong Province,48 medical institutions for monitoring foodborne diseases were identified in four cities.SPSS software was used to analyze the data of questionnaires to obtain the distribution of education,title and years of work.Results 89.5% of the medical institutions have foodborne disease diagnosis and treatment departments,27.0% have foodborne disease detection departments and 85.4% have foodborne disease reporting departments.The personnel are mainly with undergraduate and intermediate titles.At least 1 provincial and ministerial level hospital can detect 7 categories of diseases except norovirus.The city and county hospitals can detect bacterial,viruses and other microorganism.Besides,township and village clinics can only identify pesticide and poisonous mushroom poisoning.Conclusion The tertiary hospitals in Shandong Province perform well in the diagnosis of foodborne diseases,while the primary medical institutions have shortages of personnel,insufficient diagnosis and detection ability.It is recommended to enhance the foodborne diseases surveillance capacity in Shandong Province.

关 键 词：食源性疾病 医疗机构 监测能力 

分 类 号：R12[医药卫生—环境卫生学]