梅国勇, 徐彦, 姚孝明, 张利, 王书侠. 2016—2017年南京市栖霞区食源性疾病流行病学现状及监测结果分析[J]. 环境卫生学杂志, 2019, 9(2): 113-117. DOI: 10.13421/j.cnki.hjwsxzz.2019.02.004
    引用本文: 梅国勇, 徐彦, 姚孝明, 张利, 王书侠. 2016—2017年南京市栖霞区食源性疾病流行病学现状及监测结果分析[J]. 环境卫生学杂志, 2019, 9(2): 113-117. DOI: 10.13421/j.cnki.hjwsxzz.2019.02.004
    MEI Guoyong, XU Yan, YAO Xiaoming, ZHANG Li, WANG Shuxia. Epidemiological Status and Monitoring Results of Foodborne Diseases in Qixia District of Nanjing from 2016 to 2017[J]. Journal of Environmental Hygiene, 2019, 9(2): 113-117. DOI: 10.13421/j.cnki.hjwsxzz.2019.02.004
    Citation: MEI Guoyong, XU Yan, YAO Xiaoming, ZHANG Li, WANG Shuxia. Epidemiological Status and Monitoring Results of Foodborne Diseases in Qixia District of Nanjing from 2016 to 2017[J]. Journal of Environmental Hygiene, 2019, 9(2): 113-117. DOI: 10.13421/j.cnki.hjwsxzz.2019.02.004

    2016—2017年南京市栖霞区食源性疾病流行病学现状及监测结果分析

    Epidemiological Status and Monitoring Results of Foodborne Diseases in Qixia District of Nanjing from 2016 to 2017

    • 摘要:
      目的 分析南京市栖霞区食源性疾病的感染状况及流行病学特征,为食源性疾病的早期防控和防止暴发流行提供科学依据。
      方法 对南京中医药大学附属中西医结合医院2016—2017年的食源性疾病的病例信息及特定病原体(肠道病毒和肠道致病菌)的监测结果进行统计分析。
      结果 两年就诊的疑似食源性疾病共308例,以工人和干部职员居多(25~35)岁高发,男性多于女性;临床症状以腹痛和腹泻为主;引起食源性疾病的食品主要为肉与肉制品。在送检的308份标本中,共检出病原体72例,检出率为23.38%,以致泻性大肠埃希菌和诺如病毒检出率最高。致泻性大肠埃希菌对碳青霉烯类和复合酶抑制剂类较敏感,对氨苄西林和头孢唑林耐药率较高。
      结论 致泻性大肠埃希菌和诺如病毒为当前主要的流行病原体。本地区食源性疾病的监测能一定程度地反映当前该病的发生情况,应加强宣教和监测,防止食源性疾病的暴发流行。

       

      Abstract:
      Objectives To analyze the infection status and epidemiological characteristics of foodborne diseases in Qixia district of Nanjing, and provide scientific basis for the early prevention and control as well as for preventions of outbreaks for foodborne diseases.
      Methods Statistical analysises were performed on the case information and the monitoring result of specific pathogens, including intestinal viruses and enteropathogenic bacteria of foodborne diseases in the Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine from 2016 to 2017.
      Results A total of 308 suspected foodborne disease cases were collected within two years. Most of the cases were workers and cadres between (25~35) years old and there were more men than women. Clinical symptoms were mainly abdominal pain and diarrhea. Among the 308 specimens submitted, 72 pathogens were detected, and the detection rate was 23.38%. Resulting in the highest detection rate of diarrheal Escherichia coli and Norovirus. Diarrheal Escherichia coli was more sensitive to carbapenems and compound enzyme inhibitors, and had higher resistance rate to ampicillin and cefazolin.
      Conclusions Cathartic Escherichia coli and Norovirus are the main prevalent pathogens. The monitoring of foodborne diseases in this region can reflect the current occurrence of the disease to a certain extent, and education as well as surveillance should be strengthened to prevent the outbreak of foodborne diseases.

       

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