2015—2016年河南省食源性疾病沙门氏菌监测情况分析

发布时间：2018-05-02 08:22

本文选题：沙门氏菌 + 食源性疾病　；参考：《中国人兽共患病学报》2017年08期

【摘要】：目的研究2015和2016年河南省食源性疾病患者中沙门氏菌的感染情况、血清型分布、病因性食品来源和耐药趋势。方法从河南省15家哨点医院中,采集符合病例定义的病人5 720份暴露食品信息,从粪便中分离到221株沙门氏菌,进行了血清分型、耐药性研究和相关的病因性食品溯源等研究,并对结果进行了统计分析。结果 221株沙门氏菌血清学以肠炎沙门氏菌、鼠伤寒沙门氏菌和汤卜逊沙门氏菌为主导菌型,且广泛分布于46个血清型,菌型呈现多态性分布;可疑病因性食品的种类以乳与乳制品和肉与肉制品为主;在11种抗生素的药物敏感试验中,沙门氏菌对头孢西丁、头孢噻圬、氯霉素和甲氧苄氨嘧啶/磺胺甲恶唑4种抗生素的敏感率下降(P0.05),对头孢他啶、氨苄西林、四环素和氨苄西林/舒巴坦的敏感率下降(P0.01),只有对环丙沙星、萘啶酸和庆大霉素的敏感率下降无统计学意义(P0.05)。结论相关部门应加强对肉与肉制品的市场监管力度,加大对抗生素药物使用的管理力度,加强沙门氏菌疾病和耐药性的主动监测,减少食源性疾病的发生。
[Abstract]:Objective to study the prevalence of salmonella infection, distribution of serotype, food origin and drug resistance in patients with foodborne diseases in Henan Province in 2015 and 2016. Methods from 15 sentinel hospitals in Henan Province, 5 720 exposed food samples were collected from patients in accordance with the case definition. 221 strains of salmonella were isolated from feces. The serotyping, drug resistance and related etiological food traceability were studied. The results are analyzed statistically. Results among 221 Salmonella strains, Salmonella enteritis, Salmonella typhimurium and Salmonella Thompsonii were the dominant serotypes, and were widely distributed in 46 serotypes. The main types of suspected etiological foods were milk and dairy products and meat and meat products. In drug sensitivity tests of 11 antibiotics, salmonella was resistant to cefoxitin, ceftiao masonry, The sensitivity of chloramphenicol and trimethoprim / sulfamethoxazole decreased to Ceftazidime, ampicillin, tetracycline and ampicillin / sulbactam. The sensitivity of nalidic acid and gentamycin was not significantly decreased (P 0.05). Conclusion relevant departments should strengthen the market supervision of meat and meat products, strengthen the management of antibiotic drug use, strengthen the active monitoring of Salmonella disease and drug resistance, and reduce the occurrence of foodborne diseases.
【作者单位】：河南省疾病预防控制中心;
【基金】：河南省科技攻关项目(No.162102310310)~~
【分类号】：R181.8

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