Yuan Yuan, Zhang Yizhe, Zhou Jing, Lang Nan, Jiang Shaofeng, Li Haijiao, He Qian, Zhang Yutao, Cheng Bowen, Zhong Jiaju, Liang Jiaqi, Yin Yu, Liang Yifan, Zhang Hongshun, Sun Chengye
State Key Laboratory of Trauma, Burn and Combined Injury, Third Military Medical University, Chongqing, China.
National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC Wkly. 2024 Dec 20;6(51):1360-1364. doi: 10.46234/ccdcw2024.270.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Mushroom poisoning incidents are one of the major causes of death by foodborne outbreaks in China. Effective detection and identification can provide the foundation for determining the cause of the incidents and the early diagnosis and treatment of patients.
WHAT IS ADDED BY THIS REPORT?: The surveillance data from the Public Health Emergency Management Information System, China CDC, showed that incidents with laboratory test results as the basis for determining the cause of mushroom poisoning accounted for only 14.08%. The largest number of deaths was caused by acute liver failure mushrooms, which accounted for 55.17% of the clinical types of mushroom poisoning. and were responsible for the most incidents, both of which accounted for 17.39% of all species. and caused the largest number of poisonings and deaths, accounting for 13.32% and 18.10%, respectively.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Research on the detection and identification of poisonous mushrooms needs to be strengthened. The detection capabilities of primary medical and health institutions, as well as the diagnosis and treatment of mushroom poisoning in primary hospitals, need to be improved.
关于该主题已知的信息有哪些?:蘑菇中毒事件是中国食源性疾病暴发致死的主要原因之一。有效的检测和鉴定可为确定事件原因以及患者的早期诊断和治疗提供依据。
本报告新增了哪些内容?:中国疾病预防控制中心公共卫生应急管理信息系统的监测数据显示,以实验室检测结果为依据确定蘑菇中毒原因的事件仅占14.08%。死亡人数最多的是急性肝衰竭型蘑菇,占蘑菇中毒临床类型的55.17%。[此处原文缺失两种蘑菇的具体名称]导致的事件最多,二者均占所有种类的17.39%。[此处原文缺失两种蘑菇的具体名称]导致的中毒和死亡人数最多,分别占13.32%和18.10%。
对公共卫生实践有何启示?:需要加强对有毒蘑菇检测和鉴定的研究。基层医疗卫生机构的检测能力以及基层医院对蘑菇中毒的诊断和治疗水平有待提高。