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预防医学  2024, Vol. 36 Issue (9): 755-759    DOI: 10.19485/j.cnki.issn2096-5087.2024.09.005
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浙江省非伤寒沙门菌和副溶血性弧菌急性胃肠炎疾病负担
陈江1, 齐小娟1, 陈莉莉1, 鲁琴宝2, 王绩凯1, 周标1
1.浙江省疾病预防控制中心营养与食品安全所,浙江 杭州 310051;
2.浙江省疾病预防控制中心,浙江 杭州 310051
Burden of acute gastrointestinal illness caused by non-typhoidal Salmonella and Vibrio parahaemolyticus in Zhejiang Province
CHEN Jiang1, QI Xiaojuan1, CHEN Lili1, LU Qinbao2, WANG Jikai1, ZHOU Biao1
1. Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China;
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
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摘要 目的 分析浙江省非伤寒沙门菌和副溶血性弧菌引起的急性胃肠炎(AGI)的疾病负担,为食源性疾病防控提供参考。方法 通过浙江省食源性疾病监测系统收集2022年非伤寒沙门菌和副溶血性弧菌检出率资料,换算非伤寒沙门菌和副溶血性弧菌AGI发病数、发病率和就诊数,采用伤残调整寿命年(DALY)分析不同年龄组非伤寒沙门菌和副溶血性弧菌AGI的疾病负担。结果 2022年浙江省非伤寒沙门菌AGI发病数为88.95万例次,发病率为1 352.42/10万,就诊数为32.89万例次,DALY为972.69(95%CI:771.68~1 164.16)人年,DALY率为1.48(95%CI:1.17~1.77)/10万;各年龄组中以<5岁组发病率和DALY率最高,分别为3 989.51/10万和13.93(95%CI:8.67~18.42)/10万。2022年浙江省副溶血性弧菌AGI发病数为63.94万例次,发病率为972.16/10万,就诊数为16.68万例次,DALY为509.30(95%CI:411.75~699.62)人年,DALY率为0.78(95%CI:0.63~1.06)/10万;各年龄组中以45~<65岁组发病率和DALY率最高,分别为1 383.55/10万和1.27(95%CI:1.14~1.96)/10万。结论 浙江省非伤寒沙门菌AGI发病率和疾病负担较高;<5岁儿童非伤寒沙门菌AGI和45~<65岁人群副溶血性弧菌AGI需重点监测。
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陈江
齐小娟
陈莉莉
鲁琴宝
王绩凯
周标
关键词 急性胃肠炎非伤寒沙门菌副溶血性弧菌发病率疾病负担    
AbstractObjective To analyze the disease burden of acute gastrointestinal illness (AGI) caused by non-typhoidal Salmonella and Vibrio Parahaemolyticus in Zhejiang Province, so as to provide the reference for the prevention and control of foodborne diseases. Methods The detection rates of non-typhoidal Salmonella and Vibrio parahaemolyticus in 2022 were collected through the Zhejiang Foodborne Disease Outbreak Surveillance System. The number of cases, incidence and hospitalizations of AGI caused by non-typhoidal Salmonella and Vibrio parahaemolyticus were calculated. Disability-adjusted life years (DALY) were used to analyze the disease burden of AGI caused by non-typhoidal Salmonella and Vibrio parahaemolyticus among different age groups. Results The number of AGI cases caused by non-typhoidal Salmonella in Zhejiang Province in 2022 was 889 500 person-times, the incidence rate was 1 352.42/105, the number of hospital visits was 328 900 person-times, the DALY was 972.69 (95%CI: 771.68-1 164.16) person-years, and the DALY rate was 1.48 (95%CI: 1.17-1.77) /105. The incidence rate and DALY rate were highest in the children aged under 5 years, reaching 3 989.51/105 and 13.93 (95%CI: 8.67-18.42) /105, respectively. The number of AGI cases caused by Vibrio parahaemolyticus in Zhejiang Province was 639 400 person-times, the incidence rate of 972.16/105,the number of hospital visits was 166 800 person-times, the DALY was 509.30 (95%CI: 411.75-699.62) person-years, and the DALY rate was 0.78 (95%CI: 0.63-1.06)/105. The incidence rate and DALY rate were highest in the residents aged 45 to <65 years, reaching 1 383.55/105 and 1.27 (95%CI: 1.14-1.96)/105, respectively. Conclusions The incidence and DALY of AGI caused by non-typhoidal Salmonella were relatively high in Zhejiang Province. The AGI caused by non-typhoidal Salmonella in the children under 5 years and the AGI caused by Vibrio parahaemolyticus in the residents aged 45 to <65 years need to be monitored with priority.
Key wordsacute gastrointestinal illness    non-typhoidal Salmonella    Vibrio parahaemolyticus    incidence    disease burden
收稿日期: 2024-05-22      修回日期: 2024-07-28      出版日期: 2024-09-10
中图分类号:  R516.3  
基金资助:浙江省医药卫生重大科技计划(WKJ-ZJ-1917)
作者简介: 陈江,硕士,副主任医师,主要从事食源性疾病防制工作
通信作者: 王绩凯,E-mail:jkwang@cdc.zj.cn   
引用本文:   
陈江, 齐小娟, 陈莉莉, 鲁琴宝, 王绩凯, 周标. 浙江省非伤寒沙门菌和副溶血性弧菌急性胃肠炎疾病负担[J]. 预防医学, 2024, 36(9): 755-759.
CHEN Jiang, QI Xiaojuan, CHEN Lili, LU Qinbao, WANG Jikai, ZHOU Biao. Burden of acute gastrointestinal illness caused by non-typhoidal Salmonella and Vibrio parahaemolyticus in Zhejiang Province. Preventive Medicine, 2024, 36(9): 755-759.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2024.09.005      或      http://www.zjyfyxzz.com/CN/Y2024/V36/I9/755
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