2020—2024年浙江省台州市疑似食源性疾病沙门菌感染病例的流行特征

Epidemiological characteristics of suspected foodborne Salmonella infection cases in Taizhou of Zhejiang Province from 2020 to 2024

  • 摘要:目的】 本研究旨在分析探讨2020—2024年浙江省台州市疑似食源性疾病沙门菌感染病例的流行病学和病因学特征,为沙门菌的感染与防控提供科学依据。【方法】 采用描述性统计方法对报告的疑似食源性疾病沙门菌感染的病例数据及流行病学特征进行分析。【结果】 2020—2024年浙江省台州市报告了采集到生物样本的疑似食源性疾病病例共21 751例,检测分离到2 502株沙门菌,平均检出率为11.50%。沙门菌检出率以2024年最高(14.78%),季节分布以第二、三季度检出率为高(占77.26%),年龄分布以0~2岁儿童的检出率为高(51.78%),地域分布以沿海区县检出率为高(14.61%),男性与女性之间差异无统计学意义。共分离到125种血清型沙门菌,其中主要优势血清型为鼠伤寒沙门菌(占48.48%)、肠炎沙门菌(占12.15%)和伦敦沙门菌(占8.39%),不同优势血清型沙门菌的食品类别关联谱存在差异。【结论】 台州市食源性疾病中沙门菌以沿海区县检出率较高,0~4岁尤其是2岁以下儿童为高风险感染人群,主要优势血清型为鼠伤寒沙门菌,肉与肉制品、粮食类制品、水产制品及婴幼儿食品等为主要的高风险食品,建议加强对食品加工等关键环节实施重点监管,并对重点人群加强针对性的食品安全健康教育,以实现对沙门菌感染的早期预警与有效控制。

     

    Abstract: Objective This study aimed to analyze and investigate the epidemiological and etiological characteristics of suspected foodborne disease cases caused by Salmonella infection in Taizhou City of Zhejiang Province from 2020 to 2024, so as to provide a scientific basis for the prevention and control of Salmonella infections. Methods Descriptive statistical methods were used to analyze the reported data for suspected foodborne disease cases caused by Salmonella infection and their epidemiological characteristics. Results From 2020 to 2024, a total of 21751 suspected foodborne disease cases with biological samples were reported in Taizhou City of Zhejiang Province, with 2 502 strains of Salmonella detected, yielding an average detection rate of 11.50%. The detection rate of Salmonella was the highest in 2024 (14.78%). The seasonal distribution indicated higher detection rates in the second and third quarters (accounting for 77.26%). The age distribution showed the highest detection rate in children aged 0-2 years old (51.78%), and the coastal districts and counties had a higher detection rate (14.61%). There was no statistically significant difference between males and females. A total of 125 Salmonellarotypes were isolated, among which the main ones were Salmonella Typhimurium (48.48%), Salmonella Enteritidis (12.15%), and Salmonella London (8.39%). There were differences in the food category association profiles among Salmonella serotypes with different predominance. Conclusion In Taizhou City, the detection rate of Salmonella in foodborne diseases was relatively high in coastal districts and counties. Children aged 0-4 years old, especially those under 2 years old, were high-risk groups for Salmonella infection. The main dominant serotype was Salmonella Typhimurium; meat and meat-related products, grain products, aquatic products as well as infant food were the main high-risk foods. It is suggested that key supervision should be implemented on critical links such as food processing, and targeted food safety and health education should be strengthened for key populations, so as to achieve early warning and effective control of Salmonella infections.

     

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