2000～2006年杭州市上城区食物中毒事件病原体动态分析

Dynamic analysis of pathogens resulting in food poisoning during 2000～2006 in Shangcheng District in Hangzhou

目的：调查分析2000～2006年食物中毒事件的发生原因、病原体组成等,给公共饮食服务行业防止食物中毒事件的发生提供可靠的依据.方法：采集2000年～2006年发生食物中毒时的食品、患者粪便、患者肛拭、厨师手涂抹样、食品操作间涂抹样等,进行微生物学检验、副溶血性弧菌分型鉴定和金黄色葡萄球菌肠毒素分型鉴定.结果：2000～2006年共发生食物中毒事件75起,由金黄色葡萄球菌和副溶血性弧菌引起的食物中毒事件发生率为85.33%.有6起食物中毒事件由二种致病菌引起,其中：2002年发生一起由EPEC大肠埃希菌和金黄色葡萄球菌引起的食物中毒事件;2003年发生一次由EPEC大肠埃希菌与副溶血性弧菌、一次由副溶血性弧菌和沙门菌、三次由副溶血性弧菌和金黄色葡萄球菌等两种致病菌引起的食物中毒.结论：说明污染来源来自多方面,加强对食品卫生监督管理,需要全方位干预措施.

Objective：To analyze the reasons and the composition of pathogens of food poisoning incidents during 2000 2006. Provide a reliable basis to prevent the occurrence of food poisoning incidents of Catering Service Industry. Methods ： Collect suspected food, patients＇ feces and rectal swab, suspected cooks＇ hand doodle -like, et al. The collections were used for microbiological testing and type identification of Vibrio parahaemolyticus and Staphylococcus aureus enterotoxin. Results：During 2000 2006, there were a total of 75 food poisoning incidents, of which 85. 33% were caused by Staphylococcus aureus and Vibrio parahaemolyticus. Six cases of food poisoning incidents have caused by two types of bacteria, including： once food poisoning incident caused by EPEC Escherichia coli and Staphylococcus aureus in 2002 ; once food poisoning incident caused by the EPEC Escherichia coli and Vibrio parahaemolyticus, once incident caused by Vibrio parahaemolyticus and Salmonella, three times incidents caused by Vibrio parahaemolyticus and Staphylococcus aureus in 2003. Conclusion：The pollution caused food poisoning came from various sources. It is necessary to strengthen the supervision and management of food hygiene and launch distraction intervention.