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台湾地区食源性疾病监测:一项回顾性研究。

Surveillance of foodborne diseases in Taiwan: A retrospective study.

机构信息

Department of Medical Records, Tri-Service General Hospital, National Defense Medical Center.

School of Public Health, National Defense Medical Center, Taipei.

出版信息

Medicine (Baltimore). 2021 Feb 5;100(5):e24424. doi: 10.1097/MD.0000000000024424.

DOI:10.1097/MD.0000000000024424
PMID:33592891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7870181/
Abstract

Foodborne pathogens cause diseases and death, increasing the economic burden. It needs to identify incident places, media food and pathgens. Our aim is to survey empirical data that provide a retrospective historical perspective on foodborne diseases and explore the causes and trends of outbreaks.We examined publicly available annual summary data on reported foodborne disease outbreaks in Taiwan from 2014 to 2018. We calculated the percentage of places, media food, bacteria and natural toxin sources in foodborne diseases and performed a chi-square test for difference evaluation. The higher risk of places and causes in 2018 compared with 2014 was empolyzed with univariate logistic regression.There were 26847 patients with foodborne diseases during the period from 2014 to 2018. The top 2 primary source locations of the foodborne diseases were schools and restaurants. The top 2 primary food media classifications of the foodborne diseases were boxed meals and compounded foods. The top 2 primary incident bacterial classifications of the observed foodborne diseases were Bacillus cereus and Staphylococcus aureus. The top 2 primary natural toxin classifications of the foodborne diseases were plants and histamines. The incidence of foodborne disease in military facilities, fruits and vegetables, and Staphylococcus aureus was increased in our study.Our study confirmed the high risk and increased incidence of foodborne diseases, food media classifications, bacterial classifications, and natural toxins in Taiwan. It is worthy of attention for the government health department-designed policy to promote disease prevention.

摘要

食源性致病菌可导致疾病和死亡,增加经济负担。需要确定事件发生地点、媒介食品和病原体。我们的目的是调查提供食源性疾病回顾性历史观点的经验数据,并探讨暴发的原因和趋势。我们检查了 2014 年至 2018 年台湾公开提供的食源性疾病暴发年度汇总数据。我们计算了食源性疾病中地点、媒介食品、细菌和天然毒素来源的百分比,并进行了卡方检验进行差异评估。利用单因素逻辑回归分析了 2018 年与 2014 年相比地点和原因的风险更高。2014 年至 2018 年期间,共有 26847 名食源性疾病患者。食源性疾病的前 2 个主要来源地点是学校和餐馆。食源性疾病的前 2 个主要媒介食品分类是盒装餐和复合食品。观察到的食源性疾病的前 2 个主要细菌分类是蜡样芽孢杆菌和金黄色葡萄球菌。食源性疾病的前 2 个主要天然毒素分类是植物和组氨酸。本研究证实了食源性疾病、食品媒介分类、细菌分类和天然毒素在台湾的高风险和发病率增加。政府卫生部门制定的促进疾病预防的政策值得关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/748d/7870181/4d9b3f199936/medi-100-e24424-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/748d/7870181/4d9b3f199936/medi-100-e24424-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/748d/7870181/4d9b3f199936/medi-100-e24424-g001.jpg

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