I de la Cruz de Julián, J M Díaz García, P Alvarez Lana, C García Colmenero
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引用次数: 0
摘要
背景:调查了一次旋毛虫病暴发(1992年12月- 1993年1月)。它发生在Huerta del Marquesado村,人们食用了用猪肉制成的香肠。这项研究的目的是表明食用没有卫生控制的肉类对人类健康的影响。方法:采用病例-对照研究。使用食源性疾病的标准化问卷获得信息。进行了一项描述性研究,并调查了香肠摄入量与疾病之间的关系。结果:本组共报告19例,中位频次为1月11例。疫情持续了21天。平均潜伏期26.47 d (SD 4.45 d)。最常见的症状为发热、肌痛、眼睑水肿。患者年龄从5岁到65岁不等,平均33岁。患病女性比例高于男性(58%)。没有病例死亡或住院。旋毛虫病与摄入香肠之间有显著的统计学关联(OR = 54;95%置信区间3.1- 2622.43;P < 0.0006)。在食用的猪肉样本中发现旋毛虫幼虫。结论:本病病程不长,病情不严重,提示寄生虫密度较低。经实验室确认后,这些肉被没收并销毁。在公共卫生兽医的积极合作下,疫情得到了控制。
[An outbreak of trichinosis in Huerta del Marquesado (the Cañete-Cuenca basic health area). December 1992 to January 1993].
Background: A trichinellosis outbreak was investigated (December 1992-January 1993). It occurred in the village of Huerta del Marquesado among people who consumed sausages made with pork, meat. The aim of this study is to show the consequences of consuming meat without a sanitary control on human health.
Methods: A case-control study was carried out. Information was obtained using a standardized questionnaire for Foodbornes. A descriptive study was done and the relationship between the intake of sausages and disease was also investigated.
Results: 19 cases were reported, median frequency: 11 of January. The outbreak lasted 21 days. The mean incubation period was 26.47 days (SD 4.45 days). Most frequent symptoms were fever, myalgia, eyelid's edema. The age of the patients varied from 5 to 65 years old, being the mean 33 years old. Proportionally more women than men were diseased (58%). No cases died or were hospitalized. A significant statistic association was show between trichinellosis and intake of sausages (OR = 54; 95% Confidence interval 3.1- 2622.43; p < 0.0006). Trichinella spiralis larvae have been shown in samples of the pork meat which had been eaten.
Conclusions: The disease did not last excessively and was not too severe, which suggest a low parasite density. After the laboratory confirmation the meat was confiscated and destroyed. The outbreak was controlled with the active collaboration of the public health veterinarians.