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[肠炎沙门氏菌所致疾病观察得出的流行病学公共卫生结论]

[Epidemiologic public health conclusions from observations of illnesses caused by Salmonella enteritidis].

作者信息

Mühlenberg W

机构信息

Staatliches Medizinaluntersuchungsamt Hannover.

出版信息

Gesundheitswesen. 1993 Jan;55(1):21-7.

PMID:8435540
Abstract

11 Persons fell ill after having eaten a cream cake, prepared from two hen's eggs just after buying. One of the eggs must have contained about a thousand million of S. enteritidis, according to the concentration of bacteria found in the frozen cream. A 41-year old cook without any predisposition got septicemia by S. enteritidis after tasting a mixture of refrigerator-cooled eggs and minced meat, bought one day previously. 9 of 57 diseased inmates of an old-age home died from S. enteritidis infections after eating a strawberry cream with whipped whites of eggs. The following requirements are mandatory, as concluded from observations made during these incidents: Hen's eggs should be stored in a refrigerator already before they are sold, and the time of storage should be limited to two weeks. Pasteurized egg products should be offered also in the retail trade. To improve detection of sources of infection it would be necessary to store a sample of each lot of feed in farms with layer flocks or with other big livestock and in the feed mills. The most important measure would be the prescription of a general decontamination of the mixed feed just before supplying it to the farmer.

摘要

11人在食用了刚购买的用两个鸡蛋制作的奶油蛋糕后生病。根据在冷冻奶油中发现的细菌浓度,其中一个鸡蛋必定含有约10亿个肠炎沙门氏菌。一名41岁、无任何易患因素的厨师在品尝了前一天购买的冷藏鸡蛋和碎肉的混合物后,感染了肠炎沙门氏菌败血症。一家养老院的57名患病老人中有9人在食用了配有蛋清的草莓奶油后死于肠炎沙门氏菌感染。从这些事件中的观察结果得出,以下要求是强制性的:鸡蛋在出售前就应存放在冰箱中,且储存时间应限制在两周以内。零售行业也应提供巴氏杀菌蛋制品。为了更好地检测感染源,有必要在蛋鸡养殖场或其他大型畜牧场以及饲料厂储存每批饲料的样本。最重要的措施是在将混合饲料供应给养殖户之前对其进行全面消毒处理。

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