一起周岁生日宴引起沙门氏菌食物中毒的调查报告  

An Investigation Report of Salmonella Food Poisoning Caused by One-year-old Birthday Party

作　　者：罗琴 方自葵 曾诗雄 刘本金 杨群英 张华 梁锋 孙长喜[3] Luo Qin;Fang Zikui;Zeng Shixiong;Liu Benjin;Yang Qunying;Zhang Hua;Liang Feng;Sun Changxi(Zhushan County People’s Hospital,Zhushan,Hubei,442200,China;不详)

机构地区：[1]竹山县人民医院,湖北竹山442200 [2]竹山县妇幼保健院,湖北竹山442200 [3]竹山县疾病预防控制中心,湖北竹山442200 [4]竹山县溢水镇卫生院,湖北竹山442202 [5]十堰市西苑医院,湖北十堰442000

出　　处：《中国初级卫生保健》2024年第12期54-56,共3页Chinese Primary Health Care

摘　　要：目的:分析引起沙门氏菌食物中毒的原因,为制定其防控对策提供参考。方法:按照《食品安全事故流行病学调查技术指南》要求开展流行病学和卫生学调查,用描述流行病学方法进行分析。结果:共同进餐91人,其中确诊食物中毒25例,罹患率为27.47%。主要临床特点为发热、腹泻、腹痛、头痛、乏力、恶心等。潜伏期最短2小时,最长29小时,中位数为13小时。购买的生鸡蛋受到沙门氏菌污染是引起本次食物中毒的直接原因。加工人员未严格执行食品安全操作规程,加工过程中生熟未分开,造成交叉污染。参与宴请人员卫生意识淡漠,饭前、便后未洗手,存在交叉感染的风险。结论:应强化农村聚餐的食品安全监督管理,实行宴席申报制度,严把食品采购、储存、加工环节关。加强流动厨师的食品安全知识培训,提高其食品安全意识。广泛开展食品安全宣传教育,提高群众的卫生意识。OBJECTIVE The causes of salmonella food poisoning were analyzed to provide reference for the prevention and control of salmonella food poisoning.METHODS According to the requirements of Technical Guide for Epidemiological Investigation of Food Safety Accidents,epidemiological and hygienic investigations were carried out and analyzed by descriptive epidemiological methods.RESULTS Among the 91 people who ate together,25 were diagnosed as food poisoning,with an attack rate of 27.47%.The main clinical features were fever,diarrhea,abdominal pain,headache,fatigue and nausea.The incubation period ranged from 2 hours to 29 hours,with a median of 13 hours.Salmonella contamination of raw eggs purchased was the direct cause of the food poisoning.The processing staff did not strictly implement the food safety operation rules,and the raw and cooked food were not separated during the processing,resulting in cross-contamination.The participant’health consciousness was indifferent,and they didn’t wash their hands before eating and after defecation,so there was a risk of cross-infection.CONCLUSION It should strengthen the supervision and management of food safety in rural gathering,implement the banquets declaration system,and strictly control the links of food purchase,storage and processing,strengthen the food safety knowledge training of mobile chefs,improve their food safety awareness.Extensive publicity and education on food safety will be carried out to raise the public’s awareness of hygiene,improve personal and environmental hygiene.

关 键 词：食物中毒 沙门氏菌 调查报告 流动厨师 食品安全 

分 类 号：R155.3[医药卫生—营养与食品卫生学]