Vibrio parahaemolyticus infections in the United States, 1973-1998
Vibrio parahaemolyticus infections in the United States, 1973-1998
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DOI：
10.1086/315459
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发表时间：
2000-05-01
影响因子：
6.4
通讯作者：
Slutsker, L
中科院分区：
文献类型：
--
作者：
Daniels, NA;MacKinnon, L;Slutsker, L
副溶血性弧菌感染与食用生的或未煮熟的贝类、受污染的食物以及伤口暴露于温暖的海水有关。美国疾病控制和预防中心（CDC）定期报告了墨西哥湾沿岸4个州的食源性暴发和弧菌属散发感染。1988年至1997年期间，报告了345例散发性副溶血性弧菌感染：59%为胃肠炎，34%为伤口感染，5%为败血症，2%来自其他暴露。45%患有这些疾病的患者因感染而住院，88%患有急性胃肠炎的人报告在发病前一周内吃过生牡蛎。在1973年至1998年期间，向CDC报告了40起副溶血性弧菌感染的爆发，这些爆发包括>1000种疾病。这些爆发大部分发生在温暖的月份，并归因于海鲜，特别是贝类，在食用受牵连海鲜的人群中，发病率中位数为56%。为预防副溶血性弧菌感染，市民应避免进食生的或未煮熟的贝壳类海产，以及避免伤口接触海水。
Vibrio parahaemolyticus infections are associated with consumption of raw or undercooked shellfish, contaminated food, and exposure of wounds to warm seawater. Foodborne outbreaks and sporadic infections from Vibrio species in 4 Gulf Coast states are reported routinely to the Centers for Disease Control and Prevention (CDC), Between 1988 and 1997, 345 sporadic V. parahaemolyticus infections were reported: 59% were gastroenteritis, 34% were wound infections, 5% were septicemia, and 2% were from other exposures. Forty-five percent of patients suffering from these conditions were hospitalized for their infections, and 88% of persons with acute gastroenteritis reported having eaten raw oysters during the week before their illness occurred. Between 1973 and 1998, 40 outbreaks of V. parahaemolyticus infections were reported to the CDC, and these outbreaks included >1000 illnesses. Most of these outbreaks occurred during the warmer months and were attributed to seafood, particularly shellfish, The median attack rate among persons who consumed the implicated seafood was 56%. To prevent V. parahaemolyticus infections, persons should avoid consumption of raw or undercooked shellfish and exposure of wounds to seawater.