一起腐败变质鸡肉引起的食物中毒事件调查

发布时间：2018-04-06 00:13

本文选题：食物中毒　切入点：公共卫生管理　出处：《中国学校卫生》2017年02期

【摘要】：目的调查济南市平阴县某小学一起食物中毒事件的疫情规模、致病因子,为防止食物中毒事件再次发生提出建议和积累经验。方法按照病例定义开展病例搜索,采用描述流行病学方法分析事件特征并找出病因线索,应用病例对照研究分析危险因素。结果共搜索到26例病例,主要临床表现为上腹部及脐周阵发性疼痛或隐痛(96.15%)、恶心(80.76%)和呕吐(30.77%),此外还有腹泻(23.08%)和发热(7.69%)。潜伏期最短0.3 h,最长5.3 h,平均1.5 h。病例对照研究表明本次事件的可疑食物为土豆炖鸡肉(OR=6.71,P=0.00)。同批次冷冻鸡肉检出挥发性盐基氮(19.29 mg/100 g)。结论该起食物中毒事件是由食用变质鸡肉引起。要加强学校等集体单位的食品安全管理,确保食品采购、加工、供应、贮存等关键环节安全。
[Abstract]:Objective to investigate the epidemic scale and pathogenic factors of a food poisoning event in a primary school in Pingyin County Jinan City.Methods case search was carried out according to case definition, event characteristics and etiological clues were analyzed by descriptive epidemiological method, and risk factors were analyzed by case-control study.Results A total of 26 cases were found. The main clinical manifestations were paroxysmal pain or faint pain in the upper abdomen and periumbilical region (96.15), nausea (80.76), vomiting (30.7777), diarrhea (23.08) and fever (7.69g).The incubation period was 0.3 h and 5.3 h, with an average of 1.5 h.A case-control study showed that the suspicious food for the incident was the potato stewed chicken orchidae 6.71 P0. 00m.Volatile base nitrogen (VBA) was detected in the same batch of frozen chicken (19.29 mg/100 / g).Conclusion the food poisoning was caused by eating spoiled chicken.It is necessary to strengthen food safety management in schools and other collective units to ensure the safety of food procurement, processing, supply, storage and other key links.
【作者单位】：山东省济南市平阴县疾病预防控制中心;济南市疾病预防控制中心;
【分类号】：R155.3

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