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目的对一起寺庙内发生的副溶血性弧菌食物中毒调查分析,为此类食物中毒的防制提供参考。方法对该起食物中毒进行流行病学调查、现场卫生学调查、实验室检测,通过病例对照研究和统计学处理,找出中毒原因并提出防制对策。结果本次中毒确认病例28名,其中僧人24名,从业人员和游客4名,中毒罹患率为5.6%(28/500);现场调查7月20日晚餐制作过程存在交叉污染情况,病例组与对照组就餐食物差异无统计学意义(P>0.05);患者(含食堂从业人员)肛拭子标本和工用具样品检出副溶血性弧菌,血清型均为O3∶K6型,确定该起食物中毒为一起副溶血性弧菌食物中毒,中毒可能原因为食堂从业人员带菌且操作不当,污染7月20日晚餐而引起。结论本次事件提示寺庙食堂也会发生副溶血性弧菌食物中毒,相关部门应重视寺庙食物中毒风险,改善食堂卫生条件,落实食堂从业人员健康管理制度,加强监管监测和风险预警,以保障寺庙僧人和游客的食用安全。
Objective To investigate the analysis of food poisoning caused by Vibrio parahaemolyticus in temples and provide references for the prevention of such food poisoning. Methods The food poisoning epidemiological investigation, field health survey, laboratory testing, through case-control studies and statistical analysis to identify the causes of poisoning and put forward countermeasures for prevention and control. Results The poisoning confirmed 28 cases, of which 24 were monks, practitioners and tourists 4, the attack rate was 5.6% (28/500); on-site survey July 20 dinner production process there is cross-contamination, case group and There was no significant difference in food control among the control group (P> 0.05). Vibrio parahaemolyticus was detected in the samples of anal swabs and working utensils in the patients (including canteens practitioners), and the serotypes were O3: K6 type Food poisoning is caused by a food poisoning caused by Vibrio parahaemolyticus, which may be caused by the inability of the canteen practitioners to carry the bacteria and improper operation to pollute the dinner on July 20. Conclusion The incident prompted the Temple canteens Vibrio parahaemolyticus food poisoning will occur, the relevant departments should pay attention to the risk of temple food poisoning, improve canteen health conditions, the implementation of the health management system for canteens practitioners, strengthen supervision and risk monitoring and early warning to protect the temple Monks and tourists food safety.