一起侵袭性大肠埃希菌食物中毒事件的溯源分析

发布时间：2018-01-13 21:35

本文关键词：一起侵袭性大肠埃希菌食物中毒事件的溯源分析　出处：《现代预防医学》2015年05期 　论文类型：期刊论文

【摘要】：目的调查一起以发热、腹痛、腹泻为主要症状的食物中毒事件的病因,查找传染源。方法开展病例个案调查和现场勘察,并采集病例、食堂厨师粪便样本进行实验室检测。结果从病例粪便和厨师肛拭子样本中均检出侵袭性大肠埃希菌(血清型为O136∶K78),且其PFGE带型一样,菌株间呈高度同源。结论这是一起由侵袭性大肠埃希菌感染造成的食源性疾病暴发。建议规范和落实学校餐饮卫生监管,注意食品生熟分开,防止交叉污染,做好从事食品加工和餐饮服务行业人员的健康体检,无症状带菌者对人群的威胁应引起重视,防止食源性疾病暴发的发生。
[Abstract]:Objective to investigate with fever, abdominal pain, diarrhea as the main cause of the symptoms of food poisoning, to find the source of infection. Methods to carry out case survey and field survey, and collection of cases, the cafeteria chef fecal samples for laboratory testing. Results from the case of feces and cook anal swab samples were detected in invasive Escherichia coli (serum type O136: K78), and the PFGE with the same type of strains were highly homologous. Conclusion it is a invasive Escherichia coli infection caused by foodborne disease outbreaks. Suggestions for specification and implementation of food hygiene supervision school, pay attention to separate raw and cooked food, to prevent cross contamination, be engaged in food processing and catering services industry personnel health examination, asymptomatic carriers should pay attention to the population threat, to prevent the occurrence of foodborne disease outbreaks.

【作者单位】：江西省疾病预防控制中心;
【基金】：国家科技重大专项“传染病监测技术平台”项目(2012ZX10004-201)
【分类号】：R155.31
【正文快照】： 2011年11月25日16时许,某医院报告一起急性发病且以胃肠炎表现为主的中毒事件,经流行病学调查,本次中毒事件发生于一所幼儿园,相同症状的人群共有56人,首例腹泻病例25日15时30分发病,主要症状为发热、腹痛、腹泻,症状普遍较轻,通过补液、消炎、和抗感染等对症治疗,所有病人痊

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