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目的了解金华市食源性疾病流行病学特征和病原体分布。方法收集哨点医院符合病例定义的就诊患者信息,并采集粪便样本进行病原体检测。结果 2014年共报告食源性疾病4 095例,男、女比例为1.33∶1,以20岁~年龄组病例数最多(52.60%);职业以农民、学龄前儿童为主;报告的可疑食品最多为水果及其制品。采集粪便样本3 927例进行病原体检测,检出病原体161株,其中副溶血性弧菌55株、沙门菌46株、志贺菌18株、致泻性大肠埃希菌1株,诺如病毒41株。结论食源性疾病主动监测系统能较好地反映本市食源性疾病发展趋势,应重点加强农民和学龄前儿童主动监测,降低散在食源性疾病发生。
Objective To understand the epidemiological characteristics of foodborne diseases and the distribution of pathogens in Jinhua City. Methods The patients in the sentinel hospital who met the definition of case were collected and the stool samples were collected for pathogen detection. Results A total of 4 095 food-borne diseases were reported in 2014, with a male-to-female ratio of 1.33: 1, with the highest number of cases in the age group of 20 to 52.60%. Occupation was dominated by peasants and preschool-aged children. Reported suspicious foods Up to fruits and their products. A total of 3927 cases of faecal samples were collected for pathogen detection and 161 pathogens were detected, including 55 strains of Vibrio parahaemolyticus, 46 strains of Salmonella, 18 strains of Shigella, 1 strain of diarrheal Escherichia coli, Strain. Conclusion The active foodborne disease monitoring system can better reflect the development trend of foodborne diseases in this Municipality. We should focus on strengthening the active monitoring of farmers and preschool children and reducing the occurrence of scattered foodborne diseases.