【摘要】 目的了解上海市食源性疾病发生情况。方法采用社区居民食源性腹泻主动症状监测、医院肠道门诊腹泻病人肛拭检测、中小学生腹泻缺课调查、药店黄连素及诺氟沙星销售量调查及食物中毒暴发事件网络报告等方法综合监测。结果上海市社区居民食源性腹泻年发生率为26.2‰、就诊率为40.2%,医院肠道门诊腹泻病人肛拭检测副溶血性弧菌阳性率2.95%、沙门菌阳性率0.53%,中学生、小学生腹泻缺课率分别为15.91‰、9.97‰,黄连素销售81 157盒/374 449.07元、诺氟沙星销售21 416盒/80 926.62元,食物中毒暴发事件16起/488人。监测结果显示5—10月是食源性腹泻高发月份,同时也为副溶血性弧菌阳性率高峰。结论上海市食源性疾病监测基本反映出上海市食源性疾病发生处于低水平,但监测系统在监测对象定义、质量控制方面还需改进。更多还原

【Abstract】 Objective To obtain the data of foodborne disease incidence from a multipurpose surveillance in Shanghai.Methods Active symptom surveillance of foodborne diarrhea in community residents,rectal swab test for diarrhea outpatients in hospitals,the absence of students from diarrhea in primary and middle schools,the sale of berberine and norfloxacin in pharmacies and the reports of food poisoning outbreak from networks were applied.Results The incidence of foodborne diarrhea in Shanghai community residents was 2.62% and the rate of visiting doctors was 40.2%.The positive rate of Salmonella and Vibrio parahaemolyticus from rectal swabs in diarrhea outpatients were 2.95% and 0.53%,respectively.The absence rate from diarrhea in primary and middle school students were 1.59% and 1.00% respectively.Berberine and norfloxacin sold in pharmacies were 81 157 packages($ 374 449) and 21 416 packages($ 80 927) respectively.Sixteen outbreaks of food poisoning involving 488 people were reported.The results of the surveillance showed that the peak of foodborne diarrhea incidence from May to October was also the peak of positive rate of Vibrio parahaemolyticus.Conclusion The surveillance of foodborne disease in Shanghai generally reflected the low incidence of foodborne disease in Shanghai.But the surveillance system in defining objects of monitoring and quality control should be improved.更多还原