1992 - 2000年英格兰和威尔士因牛奶传播的感染性肠道疾病的总体暴发情况
Milkborne general outbreaks of infectious intestinal disease, England and Wales, 1992-2000.
作者信息
Gillespie I A, Adak G K, O'Brien S J, Bolton F J
机构信息
PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ.
出版信息
Epidemiol Infect. 2003 Jun;130(3):461-8.
From 1 January 1992 to 31 December 2000, 27 milkborne general outbreaks of infectious intestinal disease (IID) were reported to the Public Health Laboratory Service (PHLS) Communicable Disease Surveillance Centre (CDSC). These outbreaks represented a fraction (2%) of all outbreaks of foodborne origin (N = 1774) reported to CDSC, but were characterized by significant morbidity. Unpasteurized milk (52%) was the most commonly reported vehicle of infection in milkborne outbreaks, with milk sold as pasteurized accounting for the majority of the rest (37%). Salmonellas (37%), Vero cytotoxin-producing Escherichia coli (VTEC) O157 (33%) and campylobacters (26%) were the most commonly detected pathogens, and most outbreaks were linked to farms (67%). This report highlights the importance of VTEC O157 as a milkborne pathogen and the continued role of unpasteurized milk in human disease.
1992年1月1日至2000年12月31日期间，公共卫生实验室服务处（PHLS）传染病监测中心（CDSC）共收到27起经牛奶传播的感染性肠道疾病（IID）群体性疫情报告。这些疫情占向CDSC报告的所有食源性疫情（N = 1774）的一小部分（2%），但发病率很高。未经巴氏消毒的牛奶（52%）是经牛奶传播的疫情中最常报告的感染媒介，其余大部分（37%）是标明已巴氏消毒的牛奶。沙门氏菌（37%）、产志贺毒素大肠杆菌（VTEC）O157（33%）和弯曲杆菌（26%）是最常检测到的病原体，大多数疫情与农场有关（67%）。本报告强调了VTEC O157作为经牛奶传播病原体的重要性，以及未经巴氏消毒的牛奶在人类疾病中的持续作用。
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