深圳市门诊患者食源性寄生虫病感染状况分析

新发传染病电子杂志 ›› 2017, Vol. 2 ›› Issue (4): 210-213.

深圳市门诊患者食源性寄生虫病感染状况分析

蒋东贤^1,2, 唐屹君¹, 张仁利¹, 阳帆¹, 吴春利¹, 李玥¹, 黄达娜¹

1.深圳市疾病预防控制中心, 广东深圳 518055;
2.南华大学公共卫生学院,湖南衡阳 421001

收稿日期:2017-10-16 出版日期:2017-11-30 发布日期:2020-07-14
通讯作者: 黄达娜,E-mail:729912811@qq.com
基金资助:
国家卫生行业科研专项（No.201502021）

Infection status of food-borne parasitic diseases among outpatients in Shenzhen

JIANG Dong-xian^1,2, TANG Yi-jun¹, ZHANG Ren-li¹, YANG Fan¹, WU Chun-li¹, LI Yue¹, HUANG Da-na¹

1. Shenzhen Centre for Disease Control and Prevention, Guangdong Shenzhen 518055, China;
2. School of Public Health, University of South China, Hunan Hengyang 421001, China

Received:2017-10-16 Online:2017-11-30 Published:2020-07-14

摘要/Abstract

摘要： 目的为制定食源性寄生虫病的预防控制措施,对深圳市门诊患者食源性寄生虫病的感染状况及认知情况进行调查分析。方法收集2015–2016年深圳市疾病预防控制中心寄生虫门诊患者的血清757份,运用描述性流行病学方法分析门诊患者华支睾吸虫、棘球蚴、卫氏并殖吸虫、旋毛虫、猪囊尾蚴、裂头蚴和广州管圆线虫感染状况;同时对门诊患者进行食源性寄生虫病认知情况的问卷调查。结果七种食源性寄生虫的总血清抗体阳性率为28.14%,华支睾吸虫、棘球蚴、卫氏并殖吸虫、旋毛虫、猪囊尾蚴、裂头蚴和广州管圆线虫血清抗体阳性率依次为11.40%、4.78%、1.06%、0.67%、8.72%、4.62%、4.62%;男性血清抗体阳性率高于女性血清抗体阳性率;21~50岁患者血清抗体阳性率高于其他年龄组;不同性别、年龄组血清抗体阳性率差异无统计学意义(P>0.05)。757名门诊患者对食源性寄生虫病相关知识知晓率为69.15%,60.73％门诊患者知晓食源性寄生虫病的感染途径。结论深圳市门诊患者华支睾吸虫病血清抗体阳性率较高,食源性寄生虫病分布有性别、年龄特征;应继续广泛宣传食源性寄生虫病防治知识,进一步加强相关防治措施力度。

关键词: 食源性寄生虫病, 酶联免疫吸附实验, 血清抗体阳性率

Abstract: Objective To analyze the infection status and the awareness of preventing knowledge of food-borne parasitic diseases in Shenzhen and provide prevention and control strategies for food-borne parasitic diseases. Methods Specific antibodies of Clonorchissinensis, Hydatid, Paragonimus, Trichinellaspiralis, Cysticercus, Sparganum and Angiostrongyluscantonensis were detected by ELISA and characteristics of parasite infection were analyzed using descriptive epidemiological method. Meanwhile, the questionnaire about preventing food-borne parasitic diseases was carried out in outpatients. Results The total serum antibody positive rate of food-borne parasitic diseases was about 28.14% in 757 outpatients. The serum antibody positive rates of Clonorchissinensis, Hydatid, Paragonimus, Trichinellaspiralis, Cysticercus, Sparganum and Angiostrongyluscantonensis were 11.40%, 4.78%, 1.06%, 0.67%, 8.72%, 4.62%, and 4.62% respectively. The infection rate of males was higher than that of the females. The 21-50 years old group have the highest infection rate. There were no significant differences between gender and age as for infection rate（P>0.05）. The awareness rate about preventing food-borne parasitic diseases was 69.15% in outpatient. 60.73% of outpatients knew the ways of food-borne parasitic infection. Conclusion The serum antibody positive rates of Clonorchissinensis are relatively high in Shenzhen and the distribution of food-borne parasitic diseases show gender and age related features. In addition, the food-borne parasitic diseases are the major parasitic disease to be prevented in Shenzhen areas and the healthy diet habit should be widely educated.

Key words: Food-borne parasitic diseases, Enzyme-linked immunosorbent assay, Serum antibody positive rate

蒋东贤, 唐屹君, 张仁利, 阳帆, 吴春利, 李玥, 黄达娜. 深圳市门诊患者食源性寄生虫病感染状况分析[J]. 新发传染病电子杂志, 2017, 2(4): 210-213.

JIANG Dong-xian, TANG Yi-jun, ZHANG Ren-li, YANG Fan, WU Chun-li, LI Yue, HUANG Da-na. Infection status of food-borne parasitic diseases among outpatients in Shenzhen[J]. Electronic Journal of Emerging Infectious Diseases, 2017, 2(4): 210-213.

参考文献

[1] 黄艳,余新炳.食源性寄生虫病流行趋势、研究与发展方向[J].中国寄生虫学与寄生虫病杂志,2015,33(6):436-442.
[2] 鱼艳荣,贾卓,齐永芬.食品中食源性寄生虫的流行及检疫现状[J].中国病原生物学杂志,2013,8(11):1042-1046.
[3] 刘明远,刘全,方维焕,等.我国的食源性寄生虫病及其相关研究进展[J].中国兽医学报,2014,34(7):1205-1224.
[4] Diane Newell, Marion Koopmans, Linda Verhoef, et al.Food-borne diseases—The challenges of 20 years ago still persist while new ones continue to emerge[J].International Journal of Food Microbiology, 2010, 139(Suppl 1): 3-15.
[5] Peng Zhou, Ning Chen, Ren-Li Zhang, et al.Food-borne parasitic zoonoses in China:perspective for control[J].Trends in Parasitology, 2008, 24(4): 190-196.
[6] 钟严伟,梁享生,王开亮,等.深圳市居民重点食源性寄生虫感染现状及影响因素分析[J].河南预防医学杂志,2016,27(1):1-7.
[7] 高世同,张仁利,黄达娜,等.深圳市门诊患者寄生虫感染状况调查[J].中国热带医学,2008,8(11):1973-1974.
[8] 张倩,黄达娜,张仁利,等.深圳市寄生虫病门诊食源性寄生虫病血清学分析[J].中国热带医学,2011,11(8):951-953.
[9] 黄达娜,张仁利,张泽娜,等.深圳市门诊患者和健康人群食源性寄生虫病血清学分析[J].国际医学寄生虫病志,2015,42(1):6-9.
[10] 刘曼倩,高世同,耿艺介,等.深圳市华支睾吸虫感染现状的调查[J].中国热带医学杂志,2006,6(3):396-397.
[11] 林陈鑫,林诗涵,陈伟伟,等.福建省市售水产品中寄生虫感染调查[J].中国人兽共患病学报,2017,33(6):564-568.
[12] 雷世鑫,杨亮.我国食源性寄生虫感染特点及防控探讨[J].中国农村卫生事业管理,2016,36(3):352-354.
[13] 邓卓晖,方悦怡.广东省华支睾吸虫病流行态势与防控策略[J].中国血吸虫病防治杂志,2016,28(3):229-233.
[14] 罗贤如,黄薇,张锦周,等.深圳市市售食品食源性寄生虫监测结果[J].职业与健康,2015,31(16):2205-2207.
[15] 黄达娜,高世同,耿艺介,等.深圳市淡水鱼华支睾吸虫感染调查及实验研究[J].热带医学杂志,2006,6(1):42-44.
[16] 刘红山,廖锦元.华支睾吸虫病的影像学研究进展[J].新发传染病电子杂志,2017,2(2):108-111.