岱山县2013年食源性疾病主动监测结果分析

Analysis of the active surveillance results of food-borne diseases in Daishan in 2013

目的通过对岱山县2013年食源性疾病主动监测结果分析,了解岱山县食源性疾病的现状和发生规律,为当地卫生行政部门制定食源性疾病监测工作提供科学的依据。方法对2013年在哨点医院肠道门诊就诊的符合监测条件的患者采集粪便或肛拭子样本,及时送至县疾病预防控制中心实验室,进行沙门菌、志贺菌、副溶血性弧菌、创伤弧菌和致泻性大肠埃希菌检测,同时对患者进行相关信息采集、分析。结果全年采集患者的粪便或肛拭子样本285份,样本采集率为100%。实验室分离到致病菌菌株35株,阳性检出率为12.28%(35/285)。其中检出副溶血性弧菌28株,各类沙门菌7株。结论食源性疾病的主动监测是降低食源性疾病发生的基础工作,是评估控制和降低食源性疾病的重要措施,因此各级疾病预防控制中心要加强食源性疾病的主动监测工作。

Objective To analyze the active surveillance results of food- borne diseases in Daishan in 2013,and explore the status and occurrence rules of food- borne diseases in order to provide scientific evidence for the local health administrative departments to create effective policies. Methods To collect the stools or anal swabs of patients with diarrhea that came from the enteric clinics of sentinel hospital in 2013 and detect the specific pathogens Salmonella,Shigella,Vibrio parahaemolyticus,Vibrio vulnificus and diarrheogenic E. coli from the samples in the laboratory of CDC,and the relevant information of the cases were collected and analyzed. Results The whole year 285 stool or rectal swab samples from patients were collected and with a 100%rate of the sample collecting. 35 strains of pathogens were isolated in the lab,the positive rate was 12. 28%（35 /285）,which included 28 strains of Vibrio parahemolyticus and 7 strains of Salmonella. Conclusion The active surveillance is a fundamental work of reducing food- borne diseases,and it is also the important measure to evaluate control and reduce food- borne diseases,therefore,the CDC at all levels should strengthen the active surveillance of food- borne disease.