职业与健康 ›› 2025, Vol. 41 ›› Issue (15): 2037-2041.

• 论著 • 上一篇    下一篇

2021—2023年成都市新都区食源性疾病监测结果分析

翟沛1, 张攀1, 杜旌畅2   

  1. 1.成都市新都区疾病预防控制中心公卫危害因素防治科,四川 成都 610500;
    2.成都医学院公共卫生学院,四川 成都 610500
  • 收稿日期:2024-09-29 修回日期:2024-10-12 出版日期:2025-08-15 发布日期:2025-12-12
  • 通信作者: 杜旌畅,讲师,E-mail:102017019@cmc.edu.cn
  • 作者简介:翟沛,男,主管医师,主要从事营养与食品卫生工作。

Analysis of food-borne disease surveillance results in Xindu District,Chengdu from 2021 to 2023

ZHAI Pei1, ZHANG Pan1, DU Jingchang2   

  1. 1. Department of Public Health Hazardous Factors Prevention and Control, Chengdu Xindu District Center for Disease Control and Prevention, Chengdu, Sichuan 610500 China;
    2. Chengdu Medical College, College of Public Health, Chengdu, Sichuan 610500, China
  • Received:2024-09-29 Revised:2024-10-12 Online:2025-08-15 Published:2025-12-12
  • Contact: DU Jingchang,Lecturer,E-mail:102017019@cmc.edu.cn

摘要: 目的 了解成都市新都区食源性疾病发病特征与流行趋势,为防控食源性疾病发生制定科学依据。方法 收集2021—2023年新都区食源性疾病哨点医院报送的食源性疾病相关信息,采集病例粪便、肛拭子进行病原学检测,并对数据进行分析。结果 2021—2023年共上报3 595例食源性疾病,其中男性1 555例,女性2 040例,男女比为0.76 ∶ 1;年龄分布中,<10岁组占比最高,为27.93%;职业分布中,农民工占比最高,为18.13%;时间分布中,5—9月间报告发病1 974例,占比49.86%,为全年最高;暴露食品途径中,水果类及其制品占比最多,为24.26%;加工方式中,散装食品占比最多,为37.58%;家庭是报告发病最主要的进食场所,占比为79.33%。采集病患粪便或肛拭子标本1 557份,发现69例沙门菌感染,检出率为4.43%,经统计分析发现,各年份之间沙门菌检出率差异有统计学意义(P<0.05);对347例患者开展诺如病毒检测,检出48份,检出率为13.83%。结论 结合新都区食源性疾病流行特征,应在夏季高发季节加强食源性疾病宣传,同时在家庭、学校、小微企业等重点场所开展健康教育工作,从源头遏制食源性疾病发生。同时,需加强医疗机构对食源性疾病致病因子的检测能力,提升检测水平。

关键词: 食源性疾病, 流行病学分析, 监测

Abstract: Objective To understand the incidence characteristics and epidemiological trends of foodborne diseases in Xindu District,Chengdu,and to formulate scientific basis for the prevention and control of foodborne diseases. Methods Collect information about foodborne diseases from sentinel hospitals in Xindu District from 2021 to 2023,collect feces and anal swabs for pathogenicity testing,and analyze the data. Results From 2021 to 2023,a total of 3 595 cases of foodborne diseases were reported,with 1 555 cases of males and 2 040 cases of females,and the male-to-female ratio was 0.76 ∶ 1. In the distribution of age,the group of <10 years old had the highest proportion,with 27.93%. In the distribution of occupation,migrant workers had the highest proportion,accounting for 18.13%. In terms of time distribution,1 974 cases were reported between May and September,accounting for 49.86%,which was the highest for the whole year. Among the food exposure routes,fruits and their products accounted for the highest proportion,at 24.26%. Among the processing methods,bulk food accounted for the largest proportion,at 37.58%. The family was the main place of feeding for reported cases,accounting for 79.33%. 1 557 stool or anal swab specimens were collected from patients,69 cases of Salmonella were detected,with a detection rate of 4.43%,and statistical analysis showed that there was a significant difference in Salmonella detection rate between different years(P<0.05). 347 patients were tested for norovirus,and 48 cases were detected,with a detection rate of 13.83%. Conclusion It is necessary to combine with the prevalence characteristics of foodborne diseases in Xindu District,strengthen the publicity of foodborne diseases during the high incidence season in summer,and carry out health education in key places such as families,schools,and small and micro enterprises to curb the occurrence of foodborne diseases from the source. At the same time,it's need to strengthen the detection capability of medical institutions for pathogenic factors of foodborne diseases and improve the detection level.

Key words: Foodborne diseases, Epidemiological analysis, Surveillance

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