石家庄市2014年食源性疾病试点医院主动监测数据分析

Analysis on active monitoring data of pilot hospital of foodborne disease in Shijiazhuang City in 2014

目的通过对2014年石家庄市食源性疾病主动监测结果进行分析,探讨该市食源性疾病特点,为预防和控制提供科学依据。方法收集试点医院以腹泻症状为主诉的疑似食源性就诊个案和病例粪便标本病原菌监测的所有结果,采用描述性流行病学方法进行分析。结果共监测病例545例,主要症状为腹泻(99.8%)、腹痛(21.3%)、恶心(16.1%)、呕吐(15.8%)和发热(13.0%),粪便性状以水样便为主(82.6%);检出诺如病毒31例(50.0%),沙门氏菌29例(46.8%),志贺菌属1例,副溶血性弧菌1例(1.6%),病原体检出率达到11.4%。结论相关部门应根据石家庄市食源性疾病特点,加强监督管理,预防与控制食源性疾病的发生。疾控与试点医院应加强病例食源性信息追溯,提高病原菌检测能力。

Objective According to the foodborne disease monitoring results in 2014,to analyze the characteristics of foodborne illness in Shijiazhuang in order to provide a scientific basis for prevention and control. Methods We collected the 2 from 4 sentinel hospitals for foodborne diseases active surveillance in 2014. Using descriptive method to analysis the case information and biological results of the suspected foodborne cases with the chief complaint of diarrhea from the two hospitals the above mentioned. Results We collected 545 cases for foodborne diseases active surveillance. The main symptoms are diarrhea（ 99. 8%）,abdominal pain（ 21. 3%）,nausea（ 16. 1%）,vomiting（ 15. 8%） and fever（ 13. 0%）,the main character of fecal was watery stool（ 82. 6%）. From the 545 biological samples,Norovirus were detected in 31 cases（ 50. 0%）,Salmonella was 29 cases（ 46. 8%）,one case of Shigella,Vibrio parahaemolyticus in 1 case（ 1. 6%）,pathogen detection rate reached 11. 4%. Conclusion According to the characteristics above,the relevant departments should strengthen supervision and management,prevent and control of foodborne diseases. CDC and the pilot hospitals should strengthen information retrospective of foodborne cases and pathogen detection capabilities.