MMWR Morb Mortal Wkly Rep. 2022 Oct 7;71(40):1260-1264. doi: 10.15585/mmwr.mm7140a2.
To evaluate progress toward prevention of enteric infections in the United States, the Foodborne Diseases Active Surveillance Network (FoodNet) conducts active population-based surveillance for laboratory-diagnosed infections caused by Campylobacter, Cyclospora, Listeria, Salmonella, Shiga toxin-producing Escherichia coli (STEC), Shigella, Vibrio, and Yersinia at 10 U.S. sites. This report summarizes preliminary 2021 data and describes changes in annual incidence compared with the average annual incidence for 2016-2018, the reference period for the U.S. Department of Health and Human Services' (HHS) Healthy People 2030 goals for some pathogens (1). During 2021, the incidence of infections caused by Salmonella decreased, incidence of infections caused by Cyclospora, Yersinia, and Vibrio increased, and incidence of infections caused by other pathogens did not change. As in 2020, behavioral modifications and public health interventions implemented to control the COVID-19 pandemic might have decreased transmission of enteric infections (2). Other factors (e.g., increased use of telemedicine and continued increase in use of culture-independent diagnostic tests [CIDTs]) might have altered their detection or reporting (2). Much work remains to achieve HHS Healthy People 2030 goals, particularly for Salmonella infections, which are frequently attributed to poultry products and produce, and Campylobacter infections, which are frequently attributed to chicken products (3).
为了评估美国预防肠内感染的进展情况,食源性疾病主动监测网络(FoodNet)在美国 10 个地点对由弯曲杆菌、环孢子虫、李斯特菌、沙门氏菌、产志贺样毒素大肠杆菌(STEC)、志贺氏菌、弧菌和耶尔森菌引起的实验室诊断感染进行了基于人群的主动监测。本报告总结了 2021 年的初步数据,并描述了与 2016-2018 年(美国卫生与公众服务部(HHS)“健康人 2030”目标中一些病原体的参考期)相比,年度发病率的变化(1)。2021 年,沙门氏菌感染的发病率下降,环孢子虫、耶尔森菌和弧菌感染的发病率上升,而其他病原体感染的发病率没有变化。与 2020 年一样,为控制 COVID-19 大流行而实施的行为改变和公共卫生干预措施可能减少了肠内感染的传播(2)。其他因素(例如,远程医疗的使用增加和非培养诊断检测(CIDTs)的持续增加)可能改变了它们的检测或报告(2)。要实现 HHS“健康人 2030”目标,还有很多工作要做,特别是对于沙门氏菌感染,这些感染通常归因于家禽产品和农产品,以及弯曲杆菌感染,这些感染通常归因于鸡肉产品(3)。