Mercado Marcela, Avila Jenny, Rey Marcela, Montoya María, Carrascal Ana Karina, Correa Diana Ximena
Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá, D.C, Colombia.
Biomedica. 2012 Sep;32(3):375-85. doi: 10.1590/S0120-41572012000300008.
Food borne diseases are a serious public health problem. Poultry are often associated with these outbreaks.
A systematic review of the literature is provided concerning the distribution and frequency of food borne outbreaks associated with consumption of chicken contaminated with Salmonella spp., Listeria monocytogenes and Staphylococcus aureus.
The search for studies of outbreaks associated with Salmonella, S. aureus and L. monocytogenes was conducted in Medline, PubMed, Science Direct, Scielo, Cochrane Library (CCRT), Virtual Health Library (VHL), Highwire, HINARI and MedicLatina. Data were obtained for the calculation of odds ratio (OR) by preparing contingency tables using the RevMan5 program.
Seven articles met the inclusion criteria; however, no reports of L. monocytogenes were obtained. The overall OR was 3.01 (95% CI: 2.37, 3.81); this was interpreted as a significant association between the consumption of contaminated chicken and food poisoning. In the included studies heterogeneity (p= 0.03) was presented, so it took a subgroup analysis of microorganisms, in the case of Salmonella OR was 2.67 (95% CI: 2.09 -3.41). No analysis was made for S. aureus reported a single article.
The OR indicated a strong association between chicken consumption and acquisition of salmonellosis. The main risk factor for acquiring salmonellosis is the consumption of chicken from grill restaurants.
食源性疾病是一个严重的公共卫生问题。家禽往往与这些疫情爆发有关。
对与食用受沙门氏菌属、单核细胞增生李斯特菌和金黄色葡萄球菌污染的鸡肉相关的食源性疫情的分布和频率进行系统的文献综述。
在医学索引数据库(Medline)、医学期刊数据库(PubMed)、科学Direct数据库、科学电子图书馆在线(Scielo)、考克兰图书馆(CCRT)、虚拟健康图书馆(VHL)、Highwire数据库、HINARI数据库和MedicLatina数据库中搜索与沙门氏菌、金黄色葡萄球菌和单核细胞增生李斯特菌相关的疫情研究。通过使用RevMan5程序编制列联表来获取数据以计算优势比(OR)。
七篇文章符合纳入标准;然而,未获得关于单核细胞增生李斯特菌的报告。总体优势比为3.01(95%置信区间:2.37,3.81);这被解释为食用受污染鸡肉与食物中毒之间存在显著关联。在纳入的研究中存在异质性(p = 0.03),因此对微生物进行了亚组分析,就沙门氏菌而言,优势比为2.67(95%置信区间:2.09 - 3.41)。对于金黄色葡萄球菌,由于仅一篇文章报道,未进行分析。
优势比表明食用鸡肉与感染沙门氏菌病之间存在强烈关联。感染沙门氏菌病的主要风险因素是食用烧烤餐厅的鸡肉。