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2015年波兰的食源性感染和中毒情况

Foodborne infections and intoxications in Poland in 2015.

作者信息

Polański Piotr, Kosyra Marta, Sadkowska-Todys Małgorzata

机构信息

National Institute of Public Health, Department of Epidemiology – National Institute of Hygiene (NIPH-NIH) in Warsaw

出版信息

Przegl Epidemiol. 2017;71(4):501-511.

Abstract

AIM

The purpose of the study is to assess the epidemiological situation of food poisonings and infections in Poland in 2015

MATERIALS AND METHODS

The evaluation was based on the analysis of information sent to Department of Epidemiology NIPH-NIH through ROE (Pol. Rejestr Ognisk Epidemicznych)- (an electronic system created for uploading, transfer and analysis of data acquired during the outbreak investigations). Additional sources for the analysis were NIZP-PZH annual bulletins (Czarkowski MP et al. “Infectious diseases and poisonings in Poland”, 2007-2015. Warsaw, NIPH-NIH and GIS)

RESULTS

In 2015 a total number of 560 foodborne infections and intoxications outbreaks were reported in which 21 962 persons were exposed and 7 037 (including 1 896 children up to 14 years of age) got sick. Hospitalization was required for 1 905 of patients. The most frequent etiological agent was Salmonella sp. – 34.3%, and 21.4 % of cases). Viruses were responsible for 23.9% of outbreaks and 29.7 % of cases (And among them rotaviruses– 13% of outbreaks and 7.1% of cases and noroviruses– 10.5% of outbreaks and 26.9% of cases). In 25.2% of outbreaks no etiological agent was found. Just as in 2014 private household was the most frequent place of an outbreak (235 outbreaks), and after that– hospital (148 outbreaks). In 2014 the most frequent vehicle were cakes and desserts (25.6% of all outbreaks with known etiological agent). In 2015 the most frequent vehicle of infection were eggs and egg products) (19% of outbreaks of known vehicle). In 57.3% of outbreaks no vehicle was found or proved. Moreover in 2015 a total number of 4 outbreaks in which more than 100 cases were reported

CONCLUSIONS

The increase in the number of foodborne outbreaks of Salmonella Enteritidis etiology along with the fact of eggs and egg products being the most frequent vehicle indicates an alarming situation and the necessity of microbiological surveillance enchantment in relation to those products

摘要

目的

本研究旨在评估2015年波兰食物中毒和感染的流行病学情况。

材料与方法

评估基于通过ROE(波兰语:Rejestr Ognisk Epidemicznych,一个为上传、传输和分析疫情调查期间获取的数据而创建的电子系统)发送至国家公共卫生研究所-国家卫生研究院流行病学部的信息分析。分析的其他来源是国家公共卫生研究所-国家卫生研究院年度公报(Czarkowski MP等人,《波兰的传染病和中毒》,2007 - 2015年。华沙,国家公共卫生研究所-国家卫生研究院和地理信息系统)

结果

2015年共报告了560起食源性感染和中毒疫情,其中21962人暴露,7037人(包括1896名14岁以下儿童)患病。1905名患者需要住院治疗。最常见的病原体是沙门氏菌属 - 占34.3%,以及其他病原体占21.4%。病毒导致了23.9%的疫情和29.7%的病例(其中轮状病毒 - 占疫情的13%和病例的7.1%,诺如病毒 - 占疫情的10.5%和病例的26.9%)。25.2%的疫情未发现病原体。与2014年一样,私人家庭是最常见的疫情发生场所(235起疫情),其次是医院(148起疫情)。2014年最常见的传播媒介是蛋糕和甜点(在所有已知病原体的疫情中占25.6%)。2015年最常见的感染传播媒介是鸡蛋和蛋制品(在已知传播媒介的疫情中占19%)。57.3%的疫情未发现或未证实传播媒介。此外,2015年共有4起报告病例超过100例的疫情

结论

肠炎沙门氏菌病因的食源性疫情数量增加,以及鸡蛋和蛋制品是最常见传播媒介这一事实,表明情况令人担忧,有必要加强对这些产品的微生物监测

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