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一起婚宴引起的副溶血性弧菌食源性疾病暴发事件调查

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目的 对一起婚宴引起的副溶血性弧菌食源性疾病暴发事件进行流行病学调查,查明可疑食品、致病因子及污染来源,为防控此类事件提供依据.方法 采用现场流行病学、食品卫生学、实验室检测和病例对照分析等方法,调查事件发生的原因,并采取相应的防控措施.结果 共调查疑似病例20例,临床表现以腹泻、腹痛、发热、呕吐为主.最短潜伏期为4h,最长潜伏期为35.5 h,平均潜伏期为16 h.3份病例的肛拭标本副溶血弧菌阳性,脉冲电场凝胶电泳进行图谱比对分析,发现3株菌株同源.病例对照分析表明可疑食品为香酥脆皮咸蹄膀.卫生学调查显示,熟制后的香酥脆皮咸蹄膀改刀时共用了粗加工生海鲜的砧板.结论 该事件是一起生熟厨具不分致食品污染副溶血性弧菌引起的食源性疾病暴发事件.建议餐饮单位加强食品卫生安全宣教,生熟用具予以明显区分标识,防止交叉污染,并积极落实其他各项食品安全措施.
Investigation of a foodborne disease outbreak caused by Vibrio parahaemolyticus during a wedding banquet
Objective To provide a basis for preventing and controlling such incidents,an investigation of a foodborne disease outbreak caused by Vibrio parahaemolyticus during a wedding banquet was conducted to identify pathogenic food,the pathogenic factors and the source of contamination.Methods An epidemiological investigation,on-site food hygiene investigation,and laboratory testing were used to analyze the cause of this event and take corresponding prevention and control measures.Results Twenty suspected cases were found.The main clinical manifestations were diarrhea,abdominal pain,fever and vomiting.The shortest incubation period was 4 h,the longest incubation period was 35.5 h,and the average incubation period was 16 h.Vibrio parahaemolyticus was detected in the samples of anal swab from 3 cases.Molecular typing analysis of the positive strains of Vibrio parahaemolyticus by pulsed field gel electrophoresis indicated that they were from the same source of infection.The case-control analysis found that the crispy salted hoof was the suspected poisoning food.Hygienic investigation showed that the crispy salted hoof after cooking shared the cutting board for rough processing raw seafood when they were cut into small pieces.Conclusion This incident is a foodborne disease outbreak of Vibrio parahaemolyticus caused by raw and cooked cooking utensils.It is suggested that catering units should strengthen food hygiene education,and label the raw and cooked tools to prevent cross contamination,and actively implement other food safety measures.

Vibrio parahaemolyticusfoodborne diseaseoutbreakepidemiological investigation

王晓、江玲玲、俞沈彧、周谊、刘星辰、陈毅琼

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上海市静安区疾病预防控制中心,上海 200072

副溶血性弧菌 食源性疾病 暴发 流行病学调查

2024

中国食品卫生杂志
中国卫生信息与健康医疗大数据学会

中国食品卫生杂志

CSTPCD北大核心
影响因子:1.173
ISSN:1004-8456
年,卷(期):2024.36(4)