Lee C C, Lam M S
Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 1996 Apr;37(2):197-204.
Foodborne diseases continue to cause significant morbidity and mortality both in developing and developed countries. Its spectrum has vastly expanded in recent years with the recognition of new foodborne pathogens and clinical syndromes. The increase in international travel and demand for exotic and raw food underscore the importance of traveller's diarrhoea. The emergence of day care centres and residential institutions predispose to an environment that enhances the transmission of foodborne pathogens. Last but not least, our greying population, the AIDS pandemic and increasing use of immunosuppressive chemotherapy have produced a special population that is easily susceptible to the microbial contamination of food. Diseases in these individuals are usually more chronic, severe or life-threatening. This article seeks to address the above issues as well as to present a practical approach to the diagnosis and management of foodborne diseases.
食源性疾病在发展中国家和发达国家都持续导致大量发病和死亡。近年来，随着新的食源性病原体和临床综合征被发现，其范围已大幅扩大。国际旅行的增加以及对异国和生食的需求凸显了旅行者腹泻的重要性。日托中心和寄宿机构的出现营造了一个有利于食源性病原体传播的环境。最后但同样重要的是，人口老龄化、艾滋病大流行以及免疫抑制化疗的使用增加，产生了一个特别容易受到食物微生物污染影响的人群。这些人的疾病通常更具慢性、严重性或危及生命。本文旨在解决上述问题，并提出一种诊断和管理食源性疾病的实用方法。
