2015-2017年泰州市沙门菌污染及其感染检出状况分析

何伟佳; 赵瑾; 李晨; 董庆利

doi:10.16462/j.cnki.zhjbkz.2019.07.026

2015-2017年泰州市沙门菌污染及其感染检出状况分析

doi: 10.16462/j.cnki.zhjbkz.2019.07.026

何伟佳¹,
赵瑾²,
李晨²,
董庆利^1, ,

1.
200093 上海, 上海理工大学医疗器械与食品学院
2.
225300 泰州, 泰州市疾病预防控制中心

详细信息

通讯作者:
董庆利, E-mail: dongqingli@126.com

中图分类号: R181
计量
- 文章访问数: 193
- HTML全文浏览量: 81
- PDF下载量: 27
- 被引次数: 0
出版历程
- 收稿日期: 2019-01-19
- 修回日期: 2019-04-25
- 刊出日期: 2019-07-10

Analysis of Salmonella contamination in food and its detection in cases of infectious diarrhea in Taizhou City from 2015 to 2017

1.
School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China
2.
Taizhou Center for Disease Prevention and Control, Taizhou 225300, China

More Information

Corresponding author: DONG Qing-li, E-mail: dongqingli@126.com

摘要

摘要: 目的了解泰州市食品及腹泻病例中沙门菌检出分布情况。方法采集市售食品样品339份、肉制品生产过程样品201份及病例粪便标本1 606份，按照食品安全国家标准方法对沙门菌进行鉴定及血清学分型。结果 2015-2017年泰州市9类食品中沙门菌检出率为4.4%（15/339），其中生禽肉、生畜肉和生食动物性水产品检出率分别为27.5%、7.5%、2.5%；肉制品生产过程中沙门菌检出率为6.5%（13/201），原辅料和中间产品检出率分别为35.7%和28.6%；3所医疗机构腹泻病例沙门菌年平均检出率为4.9%（79/1 606），5岁以下人群检出率（7.3%）高于其他年龄组（χ²=20.63，P < 0.01）。腹泻病例可疑暴露食品居前3位的分别为禽、畜肉（28.6%）、乳制品及饮料（25.0%）和水果类（25.0%）。市售食品和患者中共鉴定出21种沙门菌血清型。结论泰州市市售食品中沙门菌存在较高的污染率，腹泻病例沙门菌具有较高的检出率，应加强食品的监测、监管和宣传教育。
- 沙门菌 /
- 监测 /
- 血清分型
Abstract: Objective To study the distribution of Salmonella in food and diarrhea cases in Taizhou City. Methods 339 samples of commercially available food, 201 samples of meat production process and 1 606 stool samples of diarrhea cases were collected. Salmonella was identified and serologically classified according to national food safety standards. Results The detection rate of Salmonella in 9 types of foods form 2015 to 2017 was 4.4% (15/339), and the detection rates of raw poultry, raw meat and raw aquatic products were 27.5%, 7.5% and 2.5%, respectively. Among the samples collected during the meat production process, the total detection rate of Salmonella was 6.5% (13/201), and the detection rates of raw materials and intermediate products were 35.7% and 28.6%, respectively. From 2015 to 2017, the average detection rate of Salmonella in stool samples collected from 3 medical institutions was 4.9% (79/1 606). The detection rate of children under 5 years old (7.3%) was higher than other age groups (χ²=20.63, P < 0.01). Among the suspected food items for diarrhea, the top three were poultry and livestock (28.6%), dairy products (25.0%) and fruits (25.0%). A total of 21 Salmonella serotypes were identified from commercially available food and patient samples. Conclusions There is a high pollution rate of Salmonella in commercial food and a high detection rate in diarrhea cases in Taizhou City. Food monitoring, supervision and publicity education should be strengthened.
- Salmonella /
- Surveillance /
- Serotyping

HTML全文

表 1 不同类别食品样品中沙门菌检出率及血清型鉴定结果

Table 1. Comparison of Salmonella detection rate in different kinds of food samples and serotype identification results

样品类别	样品份数(份)	检出数(份)	检出率[%(95% CI)]	血清型(株数)
生禽肉	40	11	27.5(9.9~33.3)	印地安纳(2)、布雷登尼(1)、基桑加尼(1)、阿贡纳(1)、查理(1)、塔西(1)、凯杜古(1)、斯坦利维尔(1)
生畜肉	40	3	7.5(-1.0~14.9)
生食动物性水产品	40	1	2.5(-2.5~7.4)
蛋及蛋制品	40	0	0.0
熟食肉制品	31	0	0.0
地方特色产品(臭干、鱼饼)	48	0	0.0
冷冻饮品	60	0	0.0
乳制品	16	0	0.0
中式凉拌菜	24	0	0.0
合计	339	15	4.4(2.1~6.3)
注：6株沙门菌血清型未分型。

下载: 导出CSV

表 2 不同人口学特征沙门菌检出率及血清型鉴定结果[n(%)]

Table 2. Comparison of detection rates of different demographic characteristics of Salmonella and serotype identification results[n(%)]

影响因素	总人数(人)	检出数	χ²值	P值	血清型(株数)
性别			3.04	0.081	拉古什(27)、都柏林(18)、婴儿(7)、科特布斯(5)、里森(4)、圣保罗(4)、鼠伤寒(3)、肠炎(3)、德尔卑(1)、斯坦利(1)、慕尼黑(1)、芙蓉(1)、伦敦(1)、斯坦利维尔(1)
男	884	51(5.8)
女	722	28(3.9)
年龄(岁)			20.63	＜0.001
＜5	754	55(7.3)
5~	167	2(1.2)
18~	413	9(2.2)
≥50	272	13(4.8)
职业			13.14	0.011
散居儿童	389	27(6.9)
幼托儿童	353	24(6.8)
学生	140	2(1.4)
其他	350	15(4.3)
不详	374	11(2.9)
注：2株沙门菌血清型未分型。

下载: 导出CSV

参考文献(9)

[1]	李薇薇, 王三桃, 梁进军, 等. 2013年中国大陆食源性疾病暴发监测资料分析[J]. 中国食品卫生杂志, 2018, 30(3): 293-298. DOI: 10.13590/j.cjfh.2018.03.015. Li WW, Wang ST, Liang JJ, et al. Analysis of foodborne disease outbreaks in China mainland in 2013[J]. Chin J Food Hygiene, 2018, 30(3): 293-298. DOI: 10.13590/j.cjfh.2018.03.015.
[2]	陆祥彬, 赵瑾. 2011年泰州市食源性疾病哨点医院监测结果分析[J]. 江苏预防医学, 2013, 24(1): 21-23. DOI: 10.3969/j.issn.1006-9070.2013.01.00. Lu XB, Zhao J. Analysis of monitoring results of food-borne disease sentinel hospital in Taizhou city in 2011[J]. Jiangsu J Prev Med, 2013, 24(1): 21-23. DOI: 10.3969/j.issn.1006-9070.2013.01.00.
[3]	中华人民共和国卫生部. GB/T4789.4-2008食品卫生微生物学检验沙门氏菌检验[S]. 北京: 中国标准出版社, 2010. National Health Ministry of the People's Republic of China. GB/T4789.4-2008 Food hygiene microbiological examination Salmonella test[S]. Beijing: China Standard Press, 2010.
[4]	谭维维, 黄建萍, 许海燕, 等. 2014-2016年南通市670份食品致病菌污染状况结果分析[J]. 现代预防医学, 2018, 45(8): 1401-1404. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201808015.htm Tan WW, Huang JP, Xu HY, et al. Analysis of pathogenic bacteria contamination in 670 samples food from 2014 to 2016 in Nantong City[J]. Modern Prevent Med, 2018, 45(8): 1401-1404. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201808015.htm
[5]	席昭雁, 张阿峰, 吴荣, 等. 陕西省食品中沙门氏菌监测研究[J]. 中华疾病控制杂志, 2011, 15(8): 671-673. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201108011 Xi ZY, Zhang AF, Wu R, et al. Investigation of food salmonella contamination in Shanxi Province[J]. Chin J Dis Control Prev, 2011, 15(8): 671-673. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201108011
[6]	刘秀萍, 唐雨顺, 刘永华, 等. 生猪屠宰加工过程中微生物污染因素分析[J]. 黑龙江畜牧兽医, 2009, 20(3): 60-62. DOI: 10.13881/j.cnki.hljxmsy.2009.20.003. Liu XP, Tang YS, Liu YH, et al. Analysis of microbial contamination factors during slaughtering and processing of pigs[J]. Heilongjiang Animal Science and Veterinary Medicine, 2009, 20(3): 60-62. DOI: 10.13881/j.cnki.hljxmsy.2009.20.003.
[7]	沈赟, 秦思, 唐震. 2016年江苏省沙门氏菌血清型的分布、耐药状况及相关基因研究[J]. 南京医科大学学报(自然科学版), 2018, 38(9): 1319-1321. DOI: 10.7655/NYDXBNS20180930. Shen C, Qin S, Tang Z. Distribution, drug resistance and related genes of Salmonella serotypes in Jiangsu Province in 2016[J]. Acta Univ Med Nanjing(Natural Science), 2018, 38(9): 1319-1321. DOI: 10.7655/NYDXBNS20180930.
[8]	杨丽, 段德水, 钟庆, 等. 2013-2016年济南市哨点医院食源性疾病病原体分布及流行特征调查[J]. 中华疾病控制杂志, 2018, 22(3): 282-286. DOI:10.16462/j.cnki.zhjbkz.2018.03.016. Yang L, Duan DS, Zhong Q, et al. Study on pathogen surveillance and epidemic characteristics of foodborne disease in sentinel hospital of Jinan from 2013 to 2016[J]. Chin J Dis Control Prev, 2018, 22(3): 282-286. DOI: 10.16462/j.Cnki.Zhjbkz.2018.03.016.
[9]	崔恩博, 鲍春梅, 张鞠玲, 等. 北京地区1992年-2011年沙门菌血清型和耐药性分析[J]. 中国卫生检验杂志, 2012, 22(9): 2217-2219. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWJZ201209082.htm Cui EB, Bao CM, Zhang JL, et al. Analysis of serotype distribution and antibiotic sensitivity of Salmonella in Beijing from 1992 to 2011[J]. Chin J Health Lab Technol, 2012, 22(9): 2217-2219. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWJZ201209082.htm