2013—2016年新疆食源性疾病主动监测分析

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目的了解新疆食源性疾病发病及其流行趋势,提高早期识别和溯源食源性疾病的能力。方法收集2013—2016年新疆所有食源性疾病哨点医院中符合病例定义的就诊病人的病例信息,同时采集病例肛拭子标本进行病原学检测。结果 2013—2016年共检测5 044份肛拭标本或粪便标本的肠道致病菌,检出率副溶血性弧菌0.09%、沙门菌1.34%、志贺菌0.81%、致泻大肠埃希菌属0.31%、诺如病毒5.10%;发病最多的年龄组为1~3岁,3 304例、占20.27%;第三季度发病率最高、占47.31%;明确可疑原因食品,2015年以不明原因食品为主、2016年以水果及其制品为主;家庭是主要的可疑进食场所。结论新疆食源性疾病病原体主要为诺如病毒、沙门菌和志贺菌,应继续加强食源性疾病主动监测,加强知识宣传,从而减少食源性疾病的发生。 Objective To understand the prevalence and prevalence of foodborne diseases in Xinjiang and to improve the ability of early identification and traceability of foodborne diseases. Methods The case information of patients who met the definition of cases in all sentinel hospitals for foodborne diseases in Xinjiang from 2013 to 2016 was collected. At the same time, the samples of anal swabs were collected for etiologic detection. Results A total of 5 044 samples of intestinal swabs or stool specimens were collected from 2013 to 2016. The detection rates were 0.09% of Vibrio parahaemolyticus, 1.34% of Salmonella, 0.81% of Shigella, 0.31% of bacteria and 5.10% of Norovirus. The most common age group was 1-3 years old, with 3,304 cases (20.27%), the highest incidence rate in the third quarter (47.31%), unknown suspicious foods, unknown in 2015 The main reason food, mainly in 2016 fruit and its products; family is the main suspicious places to eat. Conclusion The main pathogens of food-borne diseases in Xinjiang are Norovirus, Salmonella and Shigella. Survival monitoring of foodborne diseases should be strengthened and knowledge promotion should be strengthened so as to reduce the incidence of foodborne diseases.
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