Horwitz M A
Gastroenterology. 1977 Aug;73(2):375-81.
To control foodborne disease effectively and to treat patients and their contacts appropriately, it is important to determine the etiology of a foodborne disease outbreak. The majority of such outbreaks reported to the Center for Disease Control are of undetermined etiology, usually for lack of appropriate laboratory tests. In this paper, the commonly reported foodborne diseases are differentiated clinically by their median incubation period, predominant symptomatology, and median durations of illness, and epidemiologically by their vehicles of transmission, geographic locations, and seasonal predilections. Laboratory tests are recommended with which to confirm the initial clinical and epidemiological impression.
为有效控制食源性疾病并妥善治疗患者及其接触者,确定食源性疾病暴发的病因很重要。向疾病控制中心报告的此类暴发事件,大多数病因不明,通常是因为缺乏适当的实验室检测。本文根据常见食源性疾病的中位潜伏期、主要症状以及疾病的中位持续时间进行临床鉴别,并根据其传播媒介、地理位置和季节性偏好进行流行病学鉴别。建议进行实验室检测,以证实初步的临床和流行病学判断。