摘要
目的分析泰安市儿童食源性疾病流行病学特征,为该群体食源性疾病防控提供科学依据。方法收集2018~2022年泰安市两家哨点医院中儿童病例资料,用描述性流行病学方法按时间、人群分布、可疑暴露食品信息等因素进行数据分析。结果2018~2022年,两家哨点医院共报告儿童病例1410例。病原体总检出率为24.54%(346/1410),其中沙门菌检出率为12.13%(171/1410),诺如病毒检出率为11.63%(164/1410),致泻性大肠埃希菌检出率为0.78%(11/1410)。不同年份病原体检出率差异具有统计学意义(χ^(2)=31.71,P<0.05);沙门菌在第二、三季度检出率较高,诺如病毒在第一、四季度检出率较高;不同年龄组各病原体检出率差异均具有统计学意义(P<0.05),其中1至<3岁组病原体检出率最高(30.86%);可疑暴露食品种类以水果类及其制品(39.08%)、肉与肉制品(11.42%)、婴幼儿食品(10.35%)为主;食品加工方式以散包装、家庭自制为主,进食场所以家庭为主。结论泰安市儿童食源性病原体以沙门菌和诺如病毒为主,高危人群以1至<3岁为主。应加强对重点人群的监测和宣教工作,减少儿童食源性疾病的发生和流行。
Objective To analyze the epidemiological characteristics of foodborne diseases among children in Tai’an city,so as to provide a scientific basis for the prevention and control of foodborne diseases in this population.Methods Data of children’s cases were collected from the two sentinel hospitals in Tai’an city from 2018 to 2022,and the descriptive epidemiological method was used to analyze the data according to time,population distribution,suspected food exposure information and other factors.Results A total of 1,410 cases of children were reported in the two sentinel hospitals in Tai’an city from 2018 to 2022.The total detection rate of pathogens was 24.54%(346/1410),the detection rate of Salmonella was 12.13%(171/1410),the detection rate of norovirus was 11.63%(164/1410),and the detection rate of diarrheagenic Escherichia coli was 0.78%(11/1410).The difference of pathogen detection rate in different years was statistically significant(χ^(2)=31.71,P<0.05);Salmonella had a higher detection rate in the second and third quarters,while norovirus had a higher detection rate in the first and fourth quarters;There were significant differences in pathogen detection rates among different age groups(P<0.05),and the highest pathogen detection rate was the 1 to<3 years old group(30.86%).The mainly suspected food types were fruits and fruits products(39.08%),meat and meat products(11.42%),and infant food(10.35%).The mainly food processing method were loose packaging and home-made,suspicious eating place were families.Conclusion Salmonella and norovirus are the main foodborne pathogens in children in Tai’an city,and the high-risk group is 1 to<3 years old.It is necessary to strengthen monitoring and education programs for key populations to reduce the occurrence and prevalence of foodborne diseases in children.
作者
刘路
武静
刘志伟
宋浩
LIU Lu;WU Jing;LIU Zhiwei;SONG Hao(Department of Clinical Laboratory,Tai’an Maternal and Child Health Hospital,Tai’an 271000,China;Tai’an Center for Disease Control and Prevention,Tai’an 271000,China)
出处
《标记免疫分析与临床》
CAS
2023年第11期1885-1888,共4页
Labeled Immunoassays and Clinical Medicine
关键词
儿童
食源性疾病
病原体
Children
Foodborne diseases
Pathogen
