首页|浙江省非伤寒沙门菌和副溶血性弧菌急性胃肠炎疾病负担

浙江省非伤寒沙门菌和副溶血性弧菌急性胃肠炎疾病负担

Burden of acute gastrointestinal illness caused by non-typhoidal Salmonella and Vibrio parahaemolyticus in Zhejiang Province

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目的 分析浙江省非伤寒沙门菌和副溶血性弧菌引起的急性胃肠炎(AGI)的疾病负担,为食源性疾病防控提供参考.方法 通过浙江省食源性疾病监测系统收集2022年非伤寒沙门菌和副溶血性弧菌检出率资料,换算非伤寒沙门菌和副溶血性弧菌AGI发病数、发病率和就诊数,采用伤残调整寿命年(DALY)分析不同年龄组非伤寒沙门菌和副溶血性弧菌AGI的疾病负担.结果 2022年浙江省非伤寒沙门菌AGI发病数为88.95万例次,发病率为1 352.42/10万,就诊数为32.89万例次,DALY为972.69(95%CI:771.68~1 164.16)人年,DALY率为1.48(95%CI:1.17~1.77)/10万;各年龄组中以<5岁组发病率和DALY率最高,分别为3 989.51/10万和13.93(95%CI:8.67~18.42)/10万.2022年浙江省副溶血性弧菌AGI发病数为63.94万例次,发病率为972.16/10万,就诊数为16.68万例次,DALY为509.30(95%CI:411.75~699.62)人年,DALY率为0.78(95%CI:0.63~1.06)/10万;各年龄组中以45~<65岁组发病率和DALY率最高,分别为1 383.55/10万和1.27(95%CI:1.14~1.96)/10万.结论 浙江省非伤寒沙门菌AGI发病率和疾病负担较高;<5岁儿童非伤寒沙门菌AGI和45~<65岁人群副溶血性弧菌AGI需重点监测.
Objective To analyze the disease burden of acute gastrointestinal illness(AGI)caused by non-typhoidal Sal-monella and Vibrio Parahaemolyticus in Zhejiang Province,so as to provide the reference for the prevention and control of foodborne diseases.Methods The detection rates of non-typhoidal Salmonella and Vibrio parahaemolyticus in 2022 were collected through the Zhejiang Foodborne Disease Outbreak Surveillance System.The number of cases,incidence and hospitalizations of AGI caused by non-typhoidal Salmonella and Vibrio parahaemolyticus were calculated.Disability-adjusted life years(DALY)were used to analyze the disease burden of AGI caused by non-typhoidal Salmonella and Vibrio parahaemolyticus among different age groups.Results The number of AGI cases caused by non-typhoidal Salmo-nella in Zhejiang Province in 2022 was 889 500 person-times,the incidence rate was 1 352.42/105,the number of hos-pital visits was 328 900 person-times,the DALY was 972.69(95%CI:771.68-1 164.16)person-years,and the DALY rate was 1.48(95%CI:1.17-1.77)/105.The incidence rate and DALY rate were highest in the children aged under 5 years,reaching 3 989.51/105 and 13.93(95%CI:8.67-18.42)/105,respectively.The number of AGI cases caused by Vibrio parahaemolyticus in Zhejiang Province was 639 400 person-times,the incidence rate of 972.16/105,the number of hospital visits was 166 800 person-times,the DALY was 509.30(95%CI:411.75-699.62)person-years,and the DALY rate was 0.78(95%CI:0.63-1.06)/105.The incidence rate and DALY rate were highest in the residents aged 45 to<65 years,reaching 1 383.55/105 and 1.27(95%CI:1.14-1.96)/105,respectively.Conclusions The incidence and DALY of AGI caused by non-typhoidal Salmonella were relatively high in Zhejiang Province.The AGI caused by non-typhoi-dal Salmonella in the children under 5 years and the AGI caused by Vibrio parahaemolyticus in the residents aged 45 to<65 years need to be monitored with priority.

acute gastrointestinal illnessnon-typhoidal SalmonellaVibrio parahaemolyticusincidencedisease burden

陈江、齐小娟、陈莉莉、鲁琴宝、王绩凯、周标

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浙江省疾病预防控制中心营养与食品安全所,浙江 杭州 310051

浙江省疾病预防控制中心,浙江 杭州 310051

急性胃肠炎 非伤寒沙门菌 副溶血性弧菌 发病率 疾病负担

浙江省医药卫生重大科技计划

WKJ-ZJ-1917

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(9)