陈玉洁, 段胜钢, 刘弘. 20172018年上海市副溶血性弧菌腹泻病例流行特征分析[J]. 上海预防医学, 2022, 34(3): 205-209. DOI: 10.19428/j.cnki.sjpm.2022.21131
引用本文: 陈玉洁, 段胜钢, 刘弘. 20172018年上海市副溶血性弧菌腹泻病例流行特征分析[J]. 上海预防医学, 2022, 34(3): 205-209. DOI: 10.19428/j.cnki.sjpm.2022.21131
CHEN Yujie, DUAN Shenggang, LIU Hong. Analysis of the epidemic characteristics of diarrhea cases with Vibrio parahaemolyticus infection in Shanghai from 2017 to 2018[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 205-209. DOI: 10.19428/j.cnki.sjpm.2022.21131
Citation: CHEN Yujie, DUAN Shenggang, LIU Hong. Analysis of the epidemic characteristics of diarrhea cases with Vibrio parahaemolyticus infection in Shanghai from 2017 to 2018[J]. Shanghai Journal of Preventive Medicine, 2022, 34(3): 205-209. DOI: 10.19428/j.cnki.sjpm.2022.21131

20172018年上海市副溶血性弧菌腹泻病例流行特征分析

Analysis of the epidemic characteristics of diarrhea cases with Vibrio parahaemolyticus infection in Shanghai from 2017 to 2018

  • 摘要:
    目的 分析上海市近年副溶血性弧菌腹泻病例的感染现状和流行特征,探讨其影响因素,为副溶血性弧菌感染的防控提供依据。
    方法 收集上海市2017—2018年上海市食源性疾病监测相关数据,统计并分析副溶血性弧菌的感染状况和流行特征。采用χ2检验及多因素非条件logistic回归对影响副溶血性弧菌感染的因素进行分析。
    结果 在2017—2018年上海市食源性监测病例中,副溶血性弧菌阳性检出率达5.1%,阳性病例集中在7—9月,餐饮食品业、民工及工人职业人群和中青年(19~59岁)人群高发。多因素分析显示,进食区域在青浦、松江、闵行区,职业为农民工及工人,年龄为19岁以上,时间处于第三季度,进食水产动物及其制品可能为副溶血性弧菌感染的危险因素。
    结论 上海市的副溶血性弧菌感染仍是需要重点关注的食源性疾病之一,加强食品安全管理监督、加强重点人群的宣教等对降低该病原菌感染风险有重要意义。同时,需要对本市感染性腹泻病例进行长期监测,动态了解副溶血性弧菌的感染情况和流行特征,及时调整每年的防控措施。

     

    Abstract:
    Objective To analyze the infection status and epidemic characteristics of Vibrio parahaemolyticus diarrhea cases in Shanghai in recent years, and to explore its influencing factors and provide a basis for the prevention and control of Vibrio parahaemolyticus infection.
    Methods Food-borne disease surveillance data in Shanghai from 2017 to 2018 was collected, and the infection status and epidemic characteristics of Vibrio parahaemolyticus were analyzed. χ2 test and multivariate unconditional logistic regression were used to analyze the factors of Vibrio parahaemolyticus infection.
    Results Among the food-borne surveillance cases in Shanghai from 2017 to 2018, the positive detection rate of Vibrio parahaemolyticus reached 5.1%, and the positive cases were concentrated in July, August, and September. Those working in the catering industry, migrant workers and workers, and the young and middle-aged people (19‒59 years old) have a high incidence. The results of multivariate analysis showed that dining in Qingpu, Songjiang or Minhang District, occupations of migrant workers and workers, age over 19 years old, the third quarter of a year, and the consumption of aquatic animals and related foods are risk factors for Vibrio parahaemolyticus infection.
    Conclusion The infection of Vibrio parahaemolyticus in Shanghai is still one of the food-borne diseases that warrant our attention. Strengthening food safety management and supervision, and promoting publicity and education for key populations are important for reducing the risk of infection by this pathogen. At the same time, long-term monitoring of infectious diarrhea cases in this city is necessary to dynamically understand the infection and epidemic characteristics of Vibrio parahaemolyticus, and adjust the annual prevention and control measures in time.

     

/

返回文章
返回