頁籤選單縮合
題 名 | 2018年桃園市A教育訓練中心腹瀉群聚事件=Norovirus Outbreak in An Educational Center—Taoyuan, Taiwan, January 2018 |
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作 者 | 吳佩圜; 蘇家彬; 戴民主; 陳境峰; | 書刊名 | 疫情報導 |
卷 期 | 36:9 2020.05.12[民109.05.12] |
頁 次 | 頁138-144 |
分類號 | 412.42 |
關鍵詞 | 腹瀉群聚; 食品中毒; 諾羅病毒; 世代研究調查; Gastroenteritis outbreak; Foodborne outbreak; Norovirus; Cohort study; |
語 文 | 中文(Chinese) |
中文摘要 | 2018年1月19日桃園市A教育中心舉辦講習課程,90餘位與會人員課後出現腹瀉、腹痛等症狀。疾病管制署對此腹瀉群聚事件進行流行病學調查,目的為估計疫情規模、確定傳染途徑、病因物質與原因食品。 回收140份問卷中,139人有用餐,72人符合病例定義,侵襲率51.8%。病例出現症狀前五項的順序為腹瀉57%、腹痛53%、嘔吐52%、虛弱51%和噁心41%。發病時間分布為單一波峰狀,潛伏期中位數22小時(範圍12–67小時)。3位病例糞便檢出諾羅病毒。菜色分析顯示原因食品為水梨(風險比3.9,95%信賴區間1.0–16.1)。 由症狀、潛伏期、菜色分析和人體檢體檢驗結果顯示本案為諾羅病毒引起的食品中毒事件,原因食品為水梨。建議處理水果應遵守手部衛生原則,清洗用水應符合飲用水水質標準。 |
英文摘要 | On January 19th, 2018, over 90 of 142 seminar attendees suffered from gastroenteritis after a lunch provided by an educational center in Taoyuan. All participants ate the same kind of lunch box and fruit box at the time. Taiwan Centers for Disease Control conducted an epidemiological investigation to identify the scale of the outbreak, pattern of spread, implicated food and causative pathogen. We defined the cases as attendees of the seminar who had eaten the foods provided by the seminar and had 2 or more of symptoms, including abdominal pain, diarrhea, vomiting or fever, after 6pm on January 19th. Of 140 participants enrolled in the investigation, 72 (51.8%) met the case definition. The epidemic curve revealed a point source exposure. Median incubation period was 22 hours (range 12–67 hours). We conducted a cohort study and the results showed that illness was associated with eating pears (hazard ratio 3.9, 95% confidence interval 1.0–16.1). Stool specimens from 3 ill participants were positive for norovirus. The food worker washed the fruits with unchlorinated and unboiled underground water, and prepared the fruits with bare hands. We recommended practicing proper hands hygiene when handling fruits, and using water met the drinking water quality standard to wash fruits. |
本系統中英文摘要資訊取自各篇刊載內容。