1975年至1987年,在养老院爆发的食物传播疾病爆发,1975年至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
概括
从1975年到1987年,养老院经历了115次食物传播疾病的爆发,沙门氏菌是最常见的原因. 加强食品安全实践对于保护老年居民至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 食品安全 食品安全
背景情况:
- 养老院居民是易受伤害的人群,面临严重食物传播疾病的高风险.
- 在医疗保健机构中发生的食物传播疾病的爆发构成了重大的公共卫生挑战.
研究的目的:
- 分析食品传播疾病在养老院爆发的流行病学.
- 确定针对性预防干预的关键领域.
主要方法:
- 分析了1975年至1987年在养老院报告的食物传播疾病爆发情况.
- 数据取自州和地方卫生部门报告和疾病控制中心调查表格.
- 收录标准:确诊的病原体和已识别的食品载体.
主要成果:
- 在26个州报告了115起疫情,影响了4,944人,造成51人死亡.
- 沙门氏菌是主要的病原体 (52%的疫情,81%的死亡),沙门氏菌肠炎与死亡人数的增加有关.
- 蛋和受蛋污染的设备是S. enteritidis爆发的常见载体;葡萄球菌是第二常见的原因.
结论:
- 老年人面临着由食物传播疾病引起的高发病风险.
- 养老院必须执行严格的食品处理,准备和储存协议.
- 全面的食品处理者教育和强大的感染控制计划对于疫情检测和管理至关重要.
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