[法国某城市的本土伤寒热病例群]
[Cluster of indigenous typhoid fever cases in a French city].
作者信息
Baclet N, Haeghebaert S, Legout L, Caillaux M, Moreau-Crepeaux S, Vachée A, Senneville E, Chaud P, Yazdanpanah Y, Poissy J
机构信息
Service universitaire de maladies infectieuses et du voyageur, centre hospitalier Dron (Tourcoing), 135, rue du Président-Coty, 59208 Tourcoing, France.
出版信息
Med Mal Infect. 2011 May;41(5):248-52. doi: 10.1016/j.medmal.2010.12.012. Epub 2011 Apr 8.
BACKGROUND
A cluster of indigenous typhoid fever cases in the greater Lille area, in January 2009, triggered investigations to identify the contamination source and to optimize care for infected individuals.
METHODS
A case was defined as a person, living in the greater Lille area of, having presented with symptoms of typhoid fever, from January to March 2009.
RESULTS
Sixteen cases of typhoid fever were identified between January 23 and March 22, 2009. Patients, none of whom had travelled, had all participated in a common meal on January 10, 2009. A woman, who helped prepare the meal and who had previously stayed in an endemic zone, was detected as the asymptomatic carrier of Salmonella Typhi.
CONCLUSION
In France, although typhoid fever remains essentially an imported disease, there is a risk of indigenous epidemic and its diagnosis can be suggested for individuals who have not travelled. The features of this cluster illustrate the importance of respecting basic rules of hygiene in catering.
背景
2009年1月，在里尔大区出现了一批本土伤寒热病例，引发了调查，以确定污染源并优化对感染者的治疗。
方法
病例定义为2009年1月至3月期间居住在里尔大区且出现伤寒热症状的人。
结果
2009年1月23日至3月22日期间，共确诊16例伤寒热病例。这些患者均未出过远门，都参加了2009年1月10日的一次聚餐。一名参与准备此次聚餐且曾前往伤寒流行地区的女性被检测出为伤寒杆菌无症状携带者。
结论
在法国，尽管伤寒热基本上仍是一种输入性疾病，但存在本土流行的风险，对于未出过远门的个体也可能出现该病。此次聚集性病例的特征表明了在餐饮行业遵守基本卫生规则的重要性。
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