2017年郑州市食源性疾病病原学监测结果分析
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摘要
目的了解郑州市2017年食源性疾病的流行趋势及病原学特性,为食源性疾病诊断提供病原学证据,提高食源性疾病暴发的早期识别、预警和防控能力。方法对2017年郑州市哨点医院上送的食源性疾病病例标本进行病原学检测及分析。结果 2017年郑州市2家哨点医院共采集504份病例标本,检出165株食源性致病菌,总检出率为32.74%(165/504)。其中沙门菌检出率为19.84%(100/165),致泻性大肠埃希菌检出率为11.11%(56/165),志贺菌检出率为1.39%(7/165),诺如病毒检出率为0.40%(2/165)。5岁以下年龄组病原检出率最高,检出率为41.35%(98/237)。结论郑州市食源性疾病主要以沙门菌、致泻性大肠埃希菌和志贺菌感染为主。今后应进一步扩大监测覆盖面和病原菌种类,并加强食品安全教育与宣传力度。
Objective To investigate the epidemiological trend and etiological characteristics of food-borne diseases in Zhengzhou City in 2017, and thus to provide pathogenic evidence for the diagnosis of food-borne diseases and improve the ability of early identification, early warning and prevention and control of food-borne disease outbreaks. Methods Pathogens isolation and identification of food-borne disease samples from the two-sentinel hospital in Zhengzhou were carried out in2017. Results A total of 504 cases of food-borne diseases were collected and detected in Zhengzhou in 2017, and 165 strains of pathogens were detected, with the overall positive rate at 32.74%, among which, 100 strains were Salmonella(19.84%), 56 strains were diarrhea-causing Escherichia coli(11.11%/), and 7 strains were Shigella. The detected rate of pathogens was the highest in the age group under 5 years old at 41.35%(98/237). Conclusion The contamination of food-borne pathogens is existent in Zhengzhou City, and the main contaminating bacteria were Salmonella, diarrhea-causing Escherichia coli and Shigella. In the future, the monitoring coverage and pathogen species should be further expanded, and food safety education and publicity should be strengthened.
Objective To investigate the epidemiological trend and etiological characteristics of food-borne diseases in Zhengzhou City in 2017, and thus to provide pathogenic evidence for the diagnosis of food-borne diseases and improve the ability of early identification, early warning and prevention and control of food-borne disease outbreaks. Methods Pathogens isolation and identification of food-borne disease samples from the two-sentinel hospital in Zhengzhou were carried out in2017. Results A total of 504 cases of food-borne diseases were collected and detected in Zhengzhou in 2017, and 165 strains of pathogens were detected, with the overall positive rate at 32.74%, among which, 100 strains were Salmonella(19.84%), 56 strains were diarrhea-causing Escherichia coli(11.11%/), and 7 strains were Shigella. The detected rate of pathogens was the highest in the age group under 5 years old at 41.35%(98/237). Conclusion The contamination of food-borne pathogens is existent in Zhengzhou City, and the main contaminating bacteria were Salmonella, diarrhea-causing Escherichia coli and Shigella. In the future, the monitoring coverage and pathogen species should be further expanded, and food safety education and publicity should be strengthened.
引文
[1]陆姣,王晓莉,吴林海.国内外食源性疾病防控的研究进展[J].中华疾病控制杂志,2017,21(2):196-199.
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[3]褚添,吕秋艳,赵香菊,等.2016年北京市门头沟区食源性疾病主动监测结果分析[J].中国卫生检验杂志,2018,28(1):112-114.
[4]王维娟,荆丽萍.北京市门头沟区177例食源性疾病的细菌检测结果分析[J].职业卫生与应急救援,2018,36(1):51-53.
[5] Scallan E, Hoekstra RM, Angulo FJ, et al. Foodborne illness ac-quired in the United States--major pathogens[J]. Emerging Infec-tious Diseases, 2011, 17(1):7-15.
[6]徐兰英,余志祥.2010-2016年中国大陆法定传染病流行特征分析[J].河南预防医学杂志,2018,29(4):244-247, 291.
[7]代传焕,曹军,吴国强.无锡市惠山区2014-2015年食源性疾病哨点医院主动监测分析[J].江苏预防医学,2017,28(2):204-205.
[8]刘建平,袁清连,李俊彦,等.2013-2016年深圳市食源性疾病暴发流行病学分析[J].公共卫生与预防医学,2017,28(2):6-9.
[9]李海燕,闭志友,潘利花,等.2005-2015年南宁市细菌性痢疾流行特征分析[J].现代预防医学,2017,44(16):2895-2899.
[10]王彦波,李颖,李湛,等.2016年北京市顺义区食源性疾病主动监测实验室检测结果分析[J].预防医学情报杂志,2018,34(3):344-348.
[11]孟庆贺,王淑惠,石明英,等.天津市某区2015年食源性疾病病原监测分析[J].应用预防医学,2016,22(3):250-252.
[2] World Health Organization. WHO estimates of the global burden offoodborne diseases:foodborne diseases burden epidemiology refer-ence group 2007-2015[EB/OL].[2019-01-03]. http://www.who.int/foodsafety/publications/foodborne_disease/fergreport/en.
[3]褚添,吕秋艳,赵香菊,等.2016年北京市门头沟区食源性疾病主动监测结果分析[J].中国卫生检验杂志,2018,28(1):112-114.
[4]王维娟,荆丽萍.北京市门头沟区177例食源性疾病的细菌检测结果分析[J].职业卫生与应急救援,2018,36(1):51-53.
[5] Scallan E, Hoekstra RM, Angulo FJ, et al. Foodborne illness ac-quired in the United States--major pathogens[J]. Emerging Infec-tious Diseases, 2011, 17(1):7-15.
[6]徐兰英,余志祥.2010-2016年中国大陆法定传染病流行特征分析[J].河南预防医学杂志,2018,29(4):244-247, 291.
[7]代传焕,曹军,吴国强.无锡市惠山区2014-2015年食源性疾病哨点医院主动监测分析[J].江苏预防医学,2017,28(2):204-205.
[8]刘建平,袁清连,李俊彦,等.2013-2016年深圳市食源性疾病暴发流行病学分析[J].公共卫生与预防医学,2017,28(2):6-9.
[9]李海燕,闭志友,潘利花,等.2005-2015年南宁市细菌性痢疾流行特征分析[J].现代预防医学,2017,44(16):2895-2899.
[10]王彦波,李颖,李湛,等.2016年北京市顺义区食源性疾病主动监测实验室检测结果分析[J].预防医学情报杂志,2018,34(3):344-348.
[11]孟庆贺,王淑惠,石明英,等.天津市某区2015年食源性疾病病原监测分析[J].应用预防医学,2016,22(3):250-252.