2018~2019年云南省沙门氏菌感染引起食源性腹泻状况分析
目的 分析2018~2019年云南省食源性腹泻病例的沙门氏菌检出情况。方法 选取2018~2019年云南省食源性疾病监测哨点医院收集到的由食品或怀疑由食品引起的且以腹泻症状为主诉的就诊病例, 通过采集患者粪便或肛拭子标本进行沙门菌检验。结果 通过食源性疾病监测报告系统共收集食源性腹泻病例8558例, 沙门氏菌检出320例, 检出率3.74%(320/8558)。3～6岁年龄组病例中沙门氏菌检出率(10.18%)最高, 其次为≤3岁(6.50%)和6～13岁(4.63%)年龄组; 托幼儿童检出率(9.40%)最高; 6月份检出率(7.41%)最高; 以饮料与冷冻饮品类可疑食品暴露史检出率(5.92%)最高; 血清型鉴定结果肠炎沙门氏菌总检出率(50.94%)最高。 结论 肠炎沙门氏菌是沙门菌感染的主要病原菌, 应重点加强云南省食源性疾病致病微生物监测; 13岁以下儿童是食源性腹泻病例的高发人群, 应加强重点人群特别是儿童食源性疾病知识的宣传教育, 积极开展有效的防控措施。
Objective To analyze the detection of Salmonella in food-borne diarrhea cases in Yunnan province from 2018 to 2019. Methods Patients with symptoms of diarrhea were selected from sentinel hospital of foodborne disease surveillance in Yunnan province from 2018 to 2019, and Salmonella was tested by collecting stool or anal swab samples. Results A total of 8558 cases of food-borne diarrhea were collected through the food-borne disease monitoring and reporting system, and 320 cases of Salmonella were detected, with a detection rate of 3.74%(320/8558). Salmonella detection rate was the highest in 3-6 years old group (10.18%), followed by ≤3 years old (6.50%) and 6-13 years old (4.63%). The detection rate of nurseries and kindergartens was the highest (9.40%), and it was the highest (7.41%) in June. The detection rate (5.92%) of suspicious food exposure history for beverages and frozen beverages was highest. Serotype identification results showed that the total detection rate of Salmonella enteritidis was the highest (50.94%). Conclusion Salmonella enteritidis is the main pathogen of Salmonella infection, and the monitoring of pathogenic microorganisms of food-borne diseases in Yunnan province should be strengthened. Children under the age of 13 have a high incidence of foodborne diarrhea, it should be strengthen the publicity and education of knowledge about food-borne diseases among key population, especially children, and actively carry out effective prevention and control measures.
标题：2018~2019年云南省沙门氏菌感染引起食源性腹泻状况分析
英文标题：Analysis of food-borne diarrhea caused by Salmonella infection in Yunnan province from 2018 to 2019
作者：
陈留萍 云南省疾病预防控制中心
闵向东 云南省疾病预防控制中心
董海燕 云南省疾病预防控制中心
杨彦玲 云南省疾病预防控制中心
彭敏 云南省疾病预防控制中心
苏玮玮 云南省疾病预防控制中心
赵江 云南省疾病预防控制中心
刘志涛 云南省疾病预防控制中心
中文关键词:食源性腹泻,沙门氏菌,检出率,
英文关键词:food-borne diarrhea,Salmonella,detection rate,
发表日期：2020-02-20
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