一起与食用韩国黄尾鱼相关的鲭鱼中毒爆发事件。
An Outbreak of Scombroid Fish Poisoning Associated with Consumption of Yellowtail Fish in Seoul, Korea.
机构信息
Environmental Health Division, Seoul Metropolitan Government, Seoul, Korea.
Division of Health Management, Seongbuk-gu Public Health Center, Seoul, Korea.
出版信息
J Korean Med Sci. 2018 Aug 1;33(38):e235. doi: 10.3346/jkms.2018.33.e235. eCollection 2018 Sep 17.
BACKGROUND
In November 2016, an outbreak of scombroid fish poisoning occurred among elementary school students in Seoul, Korea. An epidemiological investigation was conducted to identify the cause and source of the illness.
METHODS
A case-control study was conducted among school members who had eaten lunch in the school. The histamine level in the suspect food item (yellowtail steak) was measured.
RESULTS
Fifty-five (5.4%) of 1,017 school members who consumed fish for lunch fell ill. The principal symptoms were flushing (100%) and headache (72.7%); the median incubation period was 40 minutes. All had consumed yellowtail steak (odds ratio, 9.24; 95% confidence interval, 1.22-69.91). Leftover steak had an elevated histamine level (293 mg/kg), higher than the allowed 200 mg/kg.
CONCLUSION
An outbreak of scombroid fish poisoning was confirmed; this is the first such report in Korea. Detailed food safety guidelines must be established.
背景
2016 年 11 月，韩国首尔的小学生中发生了一起鲭鱼中毒爆发事件。进行了流行病学调查以确定疾病的原因和来源。
方法
在在学校吃午餐的学校成员中进行了病例对照研究。测量了可疑食物（鲐鱼片）中的组氨酸水平。
结果
在 1017 名食用午餐鱼类的学校成员中，有 55 名（5.4％）生病。主要症状是潮红（100％）和头痛（72.7％）；潜伏期中位数为 40 分钟。所有人都食用了鲐鱼片（比值比，9.24；95％置信区间，1.22-69.91）。剩余的牛排组氨酸含量升高（293mg/kg），高于允许的 200mg/kg。
结论
确认发生了鲭鱼中毒爆发；这是韩国的首例报告。必须制定详细的食品安全指南。
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