医院内食源性链球菌性扁桃体咽炎暴发
Foodborne streptococcal tonsillopharyngitis outbreak in a hospital.
作者信息
Karabela Şemsi Nur, Şenoğlu Sevtap, Altuntaş Aydin Özlem, Baydili Kürşad Nuri, Aksu Özlem, Kart Yaşar Kadriye
机构信息
Department of Infection Diseases and Clinical Microbiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Department of Management and Organization, Vocational School of Health Services, University of Health Sciences, Istanbul, Turkey.
出版信息
Cent Eur J Public Health. 2022 Dec;30(4):225-229. doi: 10.21101/cejph.a6027.
OBJECTIVE
Group A beta-haemolytic streptococci (GAS), which are responsible for most cases of acute bacterial tonsillopharyngitis, are transmitted from person to person and may rarely cause foodborne outbreaks. This study aims to report the epidemic caused by GAS in our hospital and to draw attention to the explosive outbreaks of the bacteria.
METHODS
Acute tonsillopharyngitis was seen in 201 of 450 hospital employees who ate in the hospital cafeteria on 4-5 June 2015.
RESULTS
GAS was detected in 106 (68%) of 157 cases and in 40 (63.5%) of 62 throat culture samples. The attack rate was 44.7%. The most suspected source of the outbreak was a food handler who had been showing signs of streptococcal tonsillopharyngitis for six days, and perhaps the food prepared by these staff.
CONCLUSION
It should not be forgotten that GAS can cause explosive outbreaks by infecting food through hand lesions or mouth secretions of food service personnel.
目的
A组β溶血性链球菌（GAS）是急性细菌性扁桃体咽炎的主要致病菌，可在人与人之间传播，极少情况下会引发食源性疾病暴发。本研究旨在报告我院由GAS引起的疫情，并引起对该细菌爆发性疫情的关注。
方法
2015年6月4日至5日在医院食堂就餐的450名医院员工中，有201人出现急性扁桃体咽炎。
结果
157例病例中有106例（68%）检测出GAS，62份咽拭子培养样本中有40例（63.5%）检测出GAS。发病率为44.7%。此次疫情最可疑的源头是一名出现链球菌性扁桃体咽炎症状达六天的食品处理人员，可能还有这些工作人员准备的食物。
结论
不应忘记，GAS可通过食品服务人员的手部损伤或口腔分泌物污染食物，从而引发爆发性疫情。
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