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加强大规模餐饮服务运营中的食品安全与感染控制:实施一项体育餐饮服务供应审核工具(FPAT-S)。

Enhancing Food Safety and Infection Control in Mass Foodservice Operations: Implementing a Foodservice Provision Audit Tool for Sport (FPAT-S).

作者信息

Dufour Angela C, Pelly Fiona E, Wright Hattie H, Thurecht Rachael

机构信息

School of Health, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia.

出版信息

J Hum Nutr Diet. 2025 Oct;38(5):e70117. doi: 10.1111/jhn.70117.

Abstract

UNLABELLED

Ensuring food safety and infection control in large-scale foodservice operations is critical to protecting health in mass feeding environments, including athletes' dining halls and institutional dining settings. Athletes at major competitions are at risk of illness in overcrowded dining areas, especially where foodservice safety standards are inconsistent.

OBJECTIVES

This study aimed to (1) develop and pilot-test a Foodservice Provision Audit Tool for Sport (FPAT-S) at two major sport competitions to evaluate compliance with infection control and food safety measures, and (2) determine its inter-rater reliability.

METHODS

The FPAT-S was tested by health professionals during the 2022 Canada Summer (n = 12) and 2023 Winter Games (n = 9). The tool included 19 questions with binary, multiple-choice, and Likert scale responses. Compliance trends over time and inter-rater reliability were analyzed.

RESULTS

Hand sanitizer availability exceeded 75% compliance and improved over time, whereas staff sanitation compliance declined by the end of both events. Physical distancing compliance remained below 50% throughout. Binary response questions showed moderate agreement (κ = 0.471, p = 0.028) between auditors compared to scale and multiple-choice questions during the Summer phase, while agreement was lower and non-significant for scale and multiple-choice responses in both phases. Auditor variability was attributed to subjectivity and audit timing.

CONCLUSION

The FPAT-S provides a structured approach to assessing food safety and infection control in mass foodservice settings. With refinement, it can support dietitians and foodservice managers in maintaining compliance across a range of institutional and commercial operations, beyond sporting events, and inform future public health infection control strategies.

摘要

未标注

在大规模餐饮服务运营中确保食品安全和感染控制对于在集体用餐环境中保护健康至关重要,这些环境包括运动员餐厅和机构餐饮场所。在大型比赛中,运动员在拥挤的用餐区域有患病风险,尤其是在餐饮服务安全标准不一致的地方。

目的

本研究旨在(1)在两项大型体育赛事中开发并试点测试体育餐饮服务提供审核工具(FPAT-S),以评估感染控制和食品安全措施的合规情况,以及(2)确定其评分者间信度。

方法

FPAT-S由卫生专业人员在2022年加拿大夏季奥运会(n = 12)和2023年冬奥会(n = 9)期间进行测试。该工具包括19个问题,回答方式有二元选择、多项选择和李克特量表。分析了随时间的合规趋势和评分者间信度。

结果

洗手液的可用性合规率超过75%,且随时间有所改善,而在两项赛事结束时,工作人员卫生合规率下降。整个过程中保持社交距离的合规率始终低于50%。在夏季阶段,与量表和多项选择题相比,二元回答问题在审核人员之间显示出中度一致性(κ = 0.471,p = 0.028),而在两个阶段中,量表和多项选择回答的一致性较低且无统计学意义。审核人员的差异归因于主观性和审核时间。

结论

FPAT-S为评估大规模餐饮服务环境中的食品安全和感染控制提供了一种结构化方法。经过完善,它可以支持营养师和餐饮服务经理在一系列机构和商业运营中(不仅仅是体育赛事)保持合规,并为未来的公共卫生感染控制策略提供参考。

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