2013~2023年湖州市某三甲综合医院食源性感染性病例特征分析

Analysis of the Characteristics of Foodborne Infectious Cases in a Tertiary General Hospital in Huzhou City from 2013 to 2023

摘要: 目的：了解食源性感染性病例的发病及流行特征，为食源性疾病的防控提供依据。方法：收集湖州市某三甲综合医院2013~2023年的食源性感染性病例的病例信息，对食源性感染性病例进行人口学特征、发病时间、临床症状、可疑食源暴露史及病原学结果分析。结果：2013~2023年该医院共报告7016例食源性感染性病例，其中男性3485例，女性3581例，年龄以0~5岁和25~35岁年龄段为主，职业以工人和农民居多，病例主要集中在5~10月份，临床症状以腹泻、腹痛、恶心、呕吐为主，暴露的可疑食物中肉与肉制品最多，采集粪便标本6770份，病原体检出率33.97%，主要检测病原体为诺如病毒。结论：食源性感染性病例的致病病原体以诺如病毒为主，病例发病呈现一定的季节性，应继续加强食源性疾病监测，提高医疗机构食源性疾病监测能力。

Abstract: Objective: To understand the incidence and epidemiological characteristics of foodborne infectious cases, and to provide evidence for the prevention and control of foodborne diseases. Methods: Case information on foodborne infectious cases in a tertiary general hospital in Huzhou City was collected from 2013~2023, and foodborne infectious cases were analyzed for demographic characteristics, time of onset, clinical symptoms, history of suspected foodborne exposure, and pathogenetic findings. Results: From 2013 to 2023, 7016 cases of foodborne infections were reported in this hospital, including 3485 males and 3581 females. Ages are predominantly in the 0~5 and 25~35 age groups. Most of them were workers and peasants. Cases are concentrated from May to October. The main clinical symptoms were diarrhea, abdominal pain, nausea and vomiting. Meat and meat products were the most exposed suspect foods. 6770 fecal specimens were collected. The detection rate of pathogens was 33.97%. The main pathogen was Norovirus. Conclusion: Norovirus is the main pathogen of foodborne infectious cases. The incidence of foodborne diseases is seasonal. We should continue to strengthen the monitoring of foodborne diseases and improve the monitoring ability of foodborne diseases in medical institutions.