[1]郭松松,杨娇娇.2021-2023年渝水区肠道致病菌导致食物中毒的检测与分析[J].医学信息,2024,37(16):112-114118.[doi:10.3969/j.issn.1006-1959.2024.16.025]
　GUO Song-song,YANG Jiao-jiao.Detection and Analysis of Food Poisoning Caused by Intestinal Pathogenic Bacteriain Yushui District from 2021 to 2023[J].Journal of Medical Information,2024,37(16):112-114118.[doi:10.3969/j.issn.1006-1959.2024.16.025]
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2021-2023年渝水区肠道致病菌导致食物中毒的检测与分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年16期
页码:
112-114118
栏目:
论著
出版日期:
2024-08-15

文章信息/Info

Title:
Detection and Analysis of Food Poisoning Caused by Intestinal Pathogenic Bacteriain Yushui District from 2021 to 2023
文章编号:
1006-1959（2024）16-0112-04
作者:
郭松松; 杨娇娇
渝水区疾病预防控制中心检验科，江西 新余 338025
Author(s):
GUO Song-song; YANG Jiao-jiao
Laboratory Department of Yushui District Center for Disease Control and Prevention,Xinyu 338025,Jiangxi,China
关键词:
渝水区; 肠道致病菌; 食物中毒
Keywords:
Yushui district; Intestinal pathogenic bacteria; Food poisoning
分类号:
R446.5
DOI:
10.3969/j.issn.1006-1959.2024.16.025
文献标志码:
A
摘要:
目的 分析对渝水区2021-2023年肠道致病菌导致食物中毒的情况。方法 选取2021年1月-2023年6月渝水区疾病预防控制中心处理的60例肠道致病菌食物中毒患者为研究对象，均进行微生物检验（采集患者肛拭子、粪便样本、呕吐物），统计肠道致病菌导致食物中毒发生情况。结果 60例肠道致病菌食物中毒患者共检出83株致病菌，单一致病菌引起53例（88.33%），单一致病菌病原菌排名前3依次为沙门氏菌、金黄色葡萄球菌、大肠杆菌；混合致病菌引起7例，金黄色葡萄球菌+蜡样芽孢杆菌占比率高于其他病原菌（P＜0.05）；2021-2023年共检出60份肠道致病菌引起的食物中毒，其中2021年检出阳性样本13份，2022年检出阳性样本32份，2023年检出阳性样本15份，各年检出率分别为21.67%、53.33%、25.00%，各年度阳性样本检出率，差异有统计学意义（P＜0.05）；60例食物中毒患者腹泻、腹痛发生率高于呕吐，且呕吐发生率高于发热（P＜0.05），腹痛与腹泻发生率比较，差异无统计学意义（P＞0.05）；第1、2、3季度肠道致病菌导致食物中毒检出率均高于第4季度，且第2季度高于第1、3季度（P＜0.05）。结论 渝水区2021-2023年肠道致病菌导致食物中毒主要以单一致病菌病原菌为主，且存在混合感染情况。同时，沙门氏菌、金黄色葡萄球菌、大肠杆菌感染最高，主要表现为腹泻、腹痛症状。该地区应完善食物中毒预警机制，降低肠道致病菌导致的食物中毒，并且依据主要致病菌类型，及时了解相关致病菌耐药情况，为本区临床治疗抗生素的选择提供有效参考。
Abstract:
Objective To analyze the food poisoning caused by intestinal pathogenic bacteria in Yushui District from 2021 to 2023.Methods A total of 60 patients with food poisoning caused by intestinal pathogenic bacteria treated by Yushui District Center for Disease Control and Prevention from January 2021 to June 2023 were selected as the research objects. All patients underwent microbiological tests (collecting patients’ anal swabs, fecal samples, vomit). The incidence of food poisoning caused by intestinal pathogenic bacteria was counted.Results A total of 83 strains of pathogenic bacteria were detected in 60 patients with intestinal pathogenic bacteria food poisoning, and 53 cases (88.33%) were caused by single pathogenic bacteria.The top three pathogenic bacteria of single pathogenic bacteria were Salmonella, Staphylococcus aureus and Escherichia coli. Mixed pathogenic bacteria caused 7 cases, and the proportion of Staphylococcus aureus+Bacillus cereus was higher than that of other pathogenic bacteria (P<0.05). From 2021 to 2023, a total of 60 food poisoning cases caused by intestinal pathogenic bacteria were detected. Among them, 13 positive samples were detected in 2021, 32 positive samples were detected in 2022, and 15 positive samples were detected in 2023, the detection rates of each year were 21.67%, 53.33%, and 25.00%, respectively. The detection rate of positive samples in each year was statistically significant (P<0.05). The incidence of diarrhea and abdominal pain in 60 patients with food poisoning was higher than that of vomiting, and the incidence of vomiting was higher than that of fever (P<0.05). There was no significant difference in the incidence of abdominal pain and diarrhea (P>0.05). The detection rates of food poisoning caused by intestinal pathogens in the first, second and third quarters were higher than those in the fourth quarter, and the second quarter was higher than the first and third quarters (P<0.05).Conclusion Food poisoning caused by intestinal pathogenic bacteria in Yushui District from 2021 to 2023 is mainly caused by single pathogenic bacteria, and there is a mixed infection. At the same time, Salmonella, Staphylococcus aureus, Escherichia coli infection was the highest, mainly for diarrhea, abdominal pain symptoms. The region should improve the early warning mechanism of food poisoning, reduce food poisoning caused by intestinal pathogenic bacteria, and timely understand the drug resistance of related pathogenic bacteria according to the main types of pathogenic bacteria, so as to provide an effective reference for the selection of antibiotics for clinical treatment in this area.

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更新日期/Last Update: 1900-01-01