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介護施設における食品感染症の流行,1975年から1987年
W C Levine1, J F Smart, D L Archer
1Division of Bacterial and Mycotic Diseases, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|October 16, 1991
まとめ
介護施設は1975年から1987年にかけて115件の食品感染症の発生を経験し,最も一般的な原因はサルモネラ菌でした. 高齢者住民を保護するために,食品の安全性の強化が不可欠です.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- 食品の安全性 食品の安全性について
背景:
- 介護老人ホームの住人は,重度の食品感染症のリスクが高い脆弱な集団です.
- 保健医療施設における食品感染症の発生は,公衆衛生上の重大な課題を提起しています.
研究 の 目的:
- 介護施設における食品感染症の流行病学を分析する.
- ターゲットを絞った予防介入の鍵となる分野を特定する.
主な方法:
- 1975年から1987年までの介護施設での報告された食品感染症の発生に関する分析.
- 州および地方の保健省の報告書と疾病管理センターの調査フォームから抽出したデータ.
- 含有基準:確認された病原体と特定された食品媒介体.
主要な成果:
- 26州で115件のアウトブレイクが報告され,4,944人に感染し,51人が死亡しました.
- サルモネラ菌は主要な病原体であり (52%のアウトブレイク,81%の死亡),サルモネラ腸炎は死亡率の増加と関連していた.
- 卵と卵に汚染された機器は,S. enteritidisの発生の一般的な媒介であり,Staphylococcusは2番目に多い原因でした.
結論:
- 高齢者は,食品感染症による高い死亡リスクに直面しています.
- 介護施設は,食品の取り扱い,調理,保管に関する厳格なプロトコルを実施しなければならない.
- 食品ハンドラーに関する包括的な教育と強力な感染制御プログラムは,アウトブレイクの検出と管理に不可欠です.
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