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| 題 名 | 2022年新竹縣某訓練機構金黃色葡萄球菌食品中毒事件=Staphylococcal Food Poisoning in A Training Institution, Hsinchu County, 2022 |
|---|---|
| 作 者 | 趙珮娟; 鄭婷予; 熊賢雅; 林采樺; 陳婉青; 顏嘉嫺; 蘇家彬; | 書刊名 | 疫情報導 |
| 卷 期 | 39:17 2023.09.05[民112.09.05] |
| 頁 次 | 頁260-267 |
| 分類號 | 412.42 |
| 關鍵詞 | 食品中毒; 金黃色葡萄球菌; 腸毒素; 世代研究法; Food-poisoning; Staphylococcus aureus; Enterotoxin, ; Cohort study; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6524/EB.202309_39(17).0002 |
| 中文摘要 | 2022年7月新竹縣某訓練機構至桃園地區進行戶外訓練,食用由新竹縣A早餐店提供之早餐後,多名人員出現嘔吐、腹瀉等症狀。本調查利用Google問卷進行世代研究,分析原因食品。332份有效問卷中,68人符合病例定義,侵襲率為20%。病例發病潛伏期中位數為3小時,範圍1–7小時,符合金黃色葡萄球菌食品中毒表現。餐點分析顯示總匯三明治的相對危險比為18.28(95% 信賴區間:5.86–56.98)達統計顯著意義,病例糞便檢體及早餐中的總匯三明治皆有檢出金黃色葡萄球菌及B型腸毒素,故評判病因物質為金黃色葡萄球菌、B型腸毒素,原因食品為總匯三明治。此次事件供餐份數多、餐點製作工序多,自食品製作至食用的間隔時間長。建議單位訂購餐點在份數多、無法於食物製作完成後馬上食用時,儘量選擇製作時間短、非冷熱品混合之餐點,並以能於製備後2小時內食畢為原則。 |
| 英文摘要 | A training institution in Hsinchu County went to the Taoyuan area for outdoor training from July 26 to 29, 2022. After consuming the breakfast provided by the breakfast shop in Hsinchu County in the morning of July 28, many personnel successively developed symptoms including vomiting and diarrhea. We conducted a cohort study by Google questionnaire to analyze the causative food. Among 332 valid questionnaires, 68 met the case definition, and the attack rate was 20%. The median incubation period was 3 hours (range: 1–7 hours), which was consistent with Staphylococcus aureus food poisoning. Analysis showed that the relative risk ratio of the sandwich was 18.28 (95% confidence interval: 5.86–56.98) with statistical significance. Staphylococcus aureus and type B enterotoxin were detected in the stool samples of the cases and the sandwich. We concluded that the causative substances were Staphylococcus aureus and type B enterotoxin, and the cause food was the sandwich. In this event, due to the large number of servings and multi-process of sandwich preparation, the interval between food preparation and consumption was long. We recommend that when people order many servings and cannot eat immediately after the food is prepared, they should choose a meal that needs a shorter preparation time, not mixing hot and cold products, and eat within 2 hours after food preparation. |
本系統中英文摘要資訊取自各篇刊載內容。