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中国北京散发性李斯特菌病的危险因素:一项配对病例对照研究。

Risk factors for sporadic listeriosis in Beijing, China: A matched case-control study.

作者信息

Niu Yan-Lin, Wang Tong-Yu, Zhang Xiao-Ai, Guo Yun-Chang, Zhang Ye-Wu, Wang Chao, Wu Yang-Bo, Jiang Jin-Ru, Ma Xiao-Chen

机构信息

Institute for Nutrition and Food Hygiene, Beijing Center for Disease Prevention and Control, Beijing100013, China.

Research Center for Preventive Medicine of Beijing, Beijing100013, China.

出版信息

Epidemiol Infect. 2022 Feb 21;150:1-21. doi: 10.1017/S0950268821002673.

Abstract

Listeriosis is a rare but serious foodborne disease caused by . This matched case–control study (1:1 ratio) aimed to identify the risk factors associated with food consumption and food-handling habits for the occurrence of sporadic listeriosis in Beijing, China. Cases were defined as patients from whom was isolated, in addition to the presence of symptoms, including fever, bacteraemia, sepsis and other clinical manifestations corresponding to listeriosis, which were reported via the Beijing Foodborne Disease Surveillance System. Basic patient information and possible risk factors associated with food consumption and food-handling habits were collected through face-to-face interviews. One hundred and six cases were enrolled from 1 January 2018 to 31 December 2020, including 52 perinatal cases and 54 non-perinatal cases. In the non-perinatal group, the consumption of Chinese cold dishes increased the risk of infection by 3.43-fold (95% confidence interval 1.27–9.25, = 5.92, = 0.02). In the perinatal group, the risk of infection reduced by 95.2% when raw and cooked foods were well-separated ( = 5.11, = 0.02). These findings provide important scientific evidence for preventing infection by and improving the dissemination of advice regarding food safety for vulnerable populations.

摘要

李斯特菌病是一种由……引起的罕见但严重的食源性疾病。这项配对病例对照研究(1:1比例)旨在确定中国北京散发性李斯特菌病发生与食物消费及食品处理习惯相关的风险因素。病例定义为除出现发热、菌血症、败血症及其他与李斯特菌病相应的临床表现等症状外,还分离出……的患者,这些病例通过北京食源性疾病监测系统报告。通过面对面访谈收集患者基本信息以及与食物消费和食品处理习惯相关的可能风险因素。2018年1月1日至2020年12月31日共纳入106例病例,包括52例围产期病例和54例非围产期病例。在非围产期组中,食用中式凉菜使感染风险增加3.43倍(95%置信区间1.27 - 9.25,χ² = 5.92,P = 0.02)。在围产期组中,生食和熟食妥善分开时感染风险降低95.2%(χ² = 5.11,P = 0.02)。这些发现为预防……感染以及改善针对弱势群体的食品安全建议传播提供了重要的科学证据。

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