頁籤選單縮合
| 題 名 | 2017年臺南市某女子高級中學腹瀉群聚事件之流行病學調查=Investigation of a Foodborne Outbreak in High School, Tainan City, Taiwan, 2017 |
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| 作 者 | 闕于能; 蘇家彬; 陳孟妤; 李彥儀; 魏孝倫; 潘品蓉; | 書刊名 | 疫情報導 |
| 卷 期 | 35:10 2019.05.21[民108.05.21] |
| 頁 次 | 頁124-129 |
| 分類號 | 412.42 |
| 關鍵詞 | 校園; 腹瀉群聚; 食品中毒; 回溯性世代研究; School; Foodborne outbreak; Diarrhea cluster; Cohort study; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 臺南市某女子高級中學於2017年9月發生校園腹瀉群聚事件,共造成289名學生發生腹瀉症狀,本調查針對該校高中部學生進行回溯性世代研究,利用問卷分析事件規模、病因物質與原因食品。在850份有效問卷中,共169人符合病例定義,侵襲率20%,症狀以腹瀉及腹痛為主。調查結果顯示,9月4日及5日晚餐多項餐點皆達統計上顯著意義,推論負責晚餐餐點製作之廚師、廚房或用餐環境可能為本次事件感染來源,但人體與食餘檢體之檢驗結果皆未能判明病因物質。另因多位學校廚房員工各自檢出不同的病原體,且校方在保存食餘檢體及送驗流程上仍有改善空間,建議校方應依相關食品衛生規定落實廚房員工之個人衛生及食餘保存、送驗流程。 |
| 英文摘要 | In September 2017, Taiwan Centers for Disease Control was notified of a foodborne outbreak in a girls’ senior high school in Tainan City. The outbreak caused 289 students developing diarrhea. We conducted a cohort study using questionnaires to clarify the magnitude of outbreak, infection source, and the etiologic agent. We identified 169 cases and the attack rate was 20%. The major symptoms included diarrhea and abdominal pain. The results indicated that many food items in dinners on September 4 and 5 were associated with the illness. We speculated that dinner food handlers, environment of kitchen or cafeteria might be the infection source. However, microbiological examination and epidemiological investigation did not identify possible etiologic agents. Many food handlers were tested positive for different foodborne pathogens such as norovirus, rotavirus, Staphylococcus aureus and Bacillus cereus. We also found violations of regulations regarding leftover retaining and sampling process. We recommended that food handlers should ensure their personal hygiene. Furthermore, school should follow the regulations for leftover retaining and sampling process. |
本系統中英文摘要資訊取自各篇刊載內容。