{"id":160,"date":"2021-05-18T16:14:06","date_gmt":"2021-05-18T08:14:06","guid":{"rendered":"https:\/\/www.foodhappy.cn\/?p=160"},"modified":"2021-06-15T20:12:20","modified_gmt":"2021-06-15T12:12:20","slug":"%e6%a1%88%e4%be%8b%e5%88%86%e6%9e%90-%e5%af%b92011%e5%b9%b4%e5%be%b7%e5%9b%bd%e8%82%a0%e5%87%ba%e8%a1%80%e6%80%a7%e5%a4%a7%e8%82%a0%e6%9d%86%e8%8f%8co104h4%e6%84%9f%e6%9f%93%e6%9a%b4","status":"publish","type":"post","link":"https:\/\/www.foodhappy.cn\/?p=160","title":{"rendered":"\u6848\u4f8b\u5206\u6790\u2014\u2014\u5bf92011\u5e74\u5fb7\u56fd\u80a0\u51fa\u8840\u6027\u5927\u80a0\u6746\u83ccO104:H4\u611f\u67d3\u66b4\u53d1\u75ab\u60c5\u7684\u5206\u6790"},"content":{"rendered":"\n

1 <\/strong>\u75ab\u60c5\u6982\u51b5<\/strong><\/p>\n\n\n\n

1.1 <\/strong>\u75ab\u60c5\u6982\u8ff0<\/strong><\/p>\n\n\n\n

2011\u5e74\u4e94\u6708\u521d\uff0c\u5fb7\u56fd\u536b\u751f\u90e8\u95e8\u53d1\u73b0\uff0c\u7531\u5927\u80a0\u6746\u83cc\u5f15\u8d77\u7684\u6eb6\u8840\u6027\u5c3f\u6bd2\u7efc\u5408\u5f81\uff08HUS\uff09\u548c\u8840\u6027\u8179\u6cfb\u75c5\u4f8b\u8f83\u5386\u5e74\u62a5\u9053\u7684\u660e\u663e\u589e\u591a\uff0c\u786e\u5b9a\u6b64\u6b21\u662f\u4e00\u8d77\u80a0\u51fa\u8840\u6027\u5927\u80a0\u6746\u83cc\u611f\u67d3\u66b4\u53d1\u75ab\u60c5\uff0c\u968f\u540e\u6ce2\u53ca\u6cd5\u56fd\u745e\u5178\u3001\u7f8e\u56fd\u3001\u52a0\u62ff\u5927\u3001\u5965\u5730\u5229\u3001\u6377\u514b\u3001\u745e\u5178\u3001\u4e39\u9ea6\u3001\u8377\u5170\u3001\u6cd5\u56fd\u3001\u745e\u58eb\u3001\u632a\u5a01\u3001\u897f\u73ed\u7259\u3001\u82f1\u56fd\u7b4916\u4e2a\u56fd\u5bb6\u3002\u6839\u636e\u4e16\u754c\u536b\u751f\u7ec4\u7ec7(WHO)\u7684\u62a5\u9053\uff0c\u81ea2011\u5e745\u67081\u65e5\u81f37\u67087\u65e5\u5171\u8ba1\u62a5\u544a3941\u4f8bEHEC0104:H4\u611f\u67d3\u75c5\u4f8b\uff0c\u6b7b\u4ea148\u4f8b,\u5176\u4e2d909\u4f8b\u53d1\u751f\u6eb6\u8840\u6027\u5c3f\u6bd2\u7efc\u5408\u5f81(hemolytic uremic syndrome, HUS), \u6b7b\u4ea136\u4f8b;\u80a0\u51fa\u8840\u6027\u5927\u80a0\u6746\u83cc\u80a0\u708e3032\u4f8b,\u6b7b\u4ea116\u4f8b\u5ddd\u3002\u662f\u5fb7\u56fd\u8fc4\u4eca\u6700\u4e25\u91cd\u7684\u4e00\u6b21EHEC\u75ab\u60c5\uff0c\u4e5f\u662f\u4e16\u754c\u8303\u56f4\u5185\u9020\u6210HUS\u91cd\u75c7\u75c5\u4f8b\u6700\u591a\u7684\u4e00\u6b21\u81f4\u75c5\u5927\u80a0\u6746\u83cc\u66b4\u53d1\u3002<\/p>\n\n\n\n

\u6b64\u6b21\u75ab\u60c5\u4ece\u5fb7\u56fd\u5927\u80a0\u6746\u83cc\u75ab\u60c5\u98ce\u66b4\u5e2d\u5377\u4e86\u6b27\u6d32\u8bb8\u591a\u56fd\u5bb6\u3002\u636e\u62a5\u9053\uff0c\u5df2\u67093\u5343\u591a\u4eba\u611f\u67d3\uff0c\u8868\u73b0\u4e3a\u51fa\u8840\u6027\u80a0\u708e\uff0c\u4e5d\u767e\u591a\u4eba\u5e76\u53d1\u4e25\u91cd\u7684\u6eb6\u8840\u5c3f\u6bd2\u7efc\u5408\u5f81\uff0c\u56db\u5341\u4f59\u4eba\u6b7b\u4ea1\u3002\u8fd130\u5e74\u6765\uff0c\u5f15\u8d77\u51fa\u8840\u6027\u80a0\u708e\u7684\u75c5\u539f\u83cc\u4e3b\u8981\u662f\u5927\u80a0\u6746\u83ccO157\uff1aH7\uff0c\u6240\u4ee5\u5fb7\u56fd\u6700\u521d\u8ba4\u4e3a\u8fd9\u573a\u8179\u6cfb\u75ab\u60c5\u4ecd\u662f\u5927\u80a0\u6746\u83ccO157\uff1aH7\u6240\u81f4\u3002\u76f4\u5230\u75ab\u60c5\u53d1\u751f\u4e00\u6708\u540e\uff0c\u5fb7\u56fd\u533b\u751f\u624d\u60ca\u8bb6\u5730\u53d1\u73b0\uff0c\u5bfc\u81f4\u8fd9\u6b21\u6b27\u6d32\u8179\u6cfb\u75ab\u60c5\u7684\u7978\u9996\u539f\u6765\u662f\u53e6\u4e00\u578b\u5927\u80a0\u6746\u83cc\u2014\u2014O104\u2236H4\u3002<\/p>\n\n\n\n

1.2 <\/strong>\u75c5\u539f\u83cc\u7279\u70b9<\/strong><\/p>\n\n\n\n

\u5927\u80a0\u6746\u83cc\u662f\u4eba\u548c\u52a8\u7269\u80a0\u9053\u4e2d\u7684\u6b63\u5e38\u83cc\u7fa4\uff0c\u4e00\u822c\u5bf9\u4eba\u65e0\u5bb3\uff0c\u53ea\u6709\u5c11\u6570\u80fd\u5bf9\u4eba\u81f4\u75c5\u3002\u80a0\u51fa\u8840\u6027\u5927\u80a0\u6746\u83cc\uff08EHEC\uff09\uff0c\u662f\u80fd\u5f15\u8d77\u4eba\u611f\u67d3\u6027\u8179\u6cfb\u76845\u7c7b\u81f4\u6cfb\u6027\u5927\u80a0\u6746\u83cc\u4e4b\u4e00\u3002EHEC\u662f\u5927\u80a0\u57c3\u5e0c\u83cc\u7684\u4e00\u79cd, \u80fd\u4ea7\u751f\u5fd7\u8d3a\u6837\u6bd2\u7d20, \u4e3b\u8981\u5f15\u8d77\u51fa\u8840\u6027\u80a0\u708e, \u5e38\u89c1\u7684EHEC\u8840\u6e05\u578b\u4e3b\u8981\u6709O157\u3001O26\u3001O111\u4e09\u79cd, \u4e3b\u8981\u81f4\u75c5\u83cc\u682a\u4e3aO157\u2236H7\u3002<\/p>\n\n\n\n

\u5927\u80a0\u6746\u83ccO157\u2236H7\u81ea1982\u5e74\u4e8e\u7f8e\u56fd\u4e00\u8d77\u51fa\u8840\u6027\u7ed3\u80a0\u708e\u66b4\u53d1\u75ab\u60c5\u4e2d\u88ab\u9996\u6b21\u53d1\u73b0\u5206\u79bb\u4ee5\u6765\uff0c\u4e00\u76f4\u662fEHEC\u611f\u67d3\u66b4\u53d1\u75ab\u60c5\u4e2d\u6700\u5e38\u89c1\u7684\u8840\u6e05\u578b\u3002\u4f462011\u5e74\u5fb7\u56fd\u66b4\u53d1\u7684\u75ab\u60c5\u662f\u7531\u4e00\u79cd\u7f55\u89c1\u7684O104\u2236H4\u6240\u5f15\u8d77\u7684\u3002\u5927\u80a0\u6746\u83ccO104\u867d\u6709\u5f15\u8d77\u611f\u67d3\u7684\u62a5\u9053\uff0c\u4f46\u6b64\u524d\u672a\u5f15\u8d77\u8fc7\u5927\u7684\u66b4\u53d1\u75ab\u60c5\u3002<\/p>\n\n\n\n

1.3 <\/strong>\u4f20\u67d3\u6e90<\/strong><\/p>\n\n\n\n

\u7531\u4e8e\u75ab\u60c5\u7684\u4e34\u5e8a\u8868\u73b0\u548c\u75c7\u72b6\uff0c\u4e00\u822c\u8ba4\u4e3a\u52a8\u7269\u4e3a\u7684\u4e3b\u8981\u4f20\u67d3\u6e90\uff0c\u8f83\u4e3a\u5e38\u89c1\u53ef\u4f20\u64ad\u81f4\u75c5\u83cc\u7684\u52a8\u7269\u6709\u725b\u3001\u7f8a\u3001\u732a\u3001\u72ac\u7b49,\u5176\u4e2d\u4ee5\u725b\u7684\u5e26\u83cc\u7387\u6700\u9ad8\u3002\u4f46\u636e\u6b27\u6d32\u98df\u54c1\u5b89\u5168\u5c40(European Food Safety Authority, EFSA)\u5bf9\u6b64\u6b21\u59cb\u4e8e\u5fb7\u56fd\u7684\u75ab\u60c5\u5f00\u5c55\u8ffd\u8e2a\u548c\u6eaf\u6e90\u8c03\u67e5,\u6d41\u884c\u75c5\u5b66\u8c03\u67e5\u5206\u6790\u53ca\u521d\u6b65\u6eaf\u6e90\u6027\u8c03\u67e5\u5206\u6790\u7ed3\u679c\u63d0\u793a\uff0c\u75ab\u60c5\u6e90\u4e8e\u5fb7\u56fd\u897f\u5317\u90e8\u4e0b\u8428\u514b\u68ee\u5dde\u7684\u4e00\u5bb6\u82bd\u82d7\u83dc\u751f\u4ea7\u4f01\u4e1a\uff0c\u662f\u7531\u57c3\u53ca\u8fdb\u53e3\u7684\u88ab\u75c5\u539f\u83ccEHEC 0104:H4\u6c61\u67d3\u7684\u846b\u82a6\u5df4\u8c46\u79cd\u5b50\u5f15\u8d77\u7684\u3002<\/p>\n\n\n\n

1.4 <\/strong>\u4f20\u64ad\u9014\u5f84<\/strong><\/p>\n\n\n\n

EHEC\u4e3b\u8981\u67093\u79cd\u4f20\u64ad\u9014\u5f84:\u98df\u7269\u3001\u6c34\u6e90\u548c\u5bc6\u5207\u63a5\u89e6\u4f20\u64ad\u3002\u5176\u4e2d\uff0c\u6700\u91cd\u8981\u7684\u4f20\u64ad\u9014\u5f84\u662f\u98df\u6e90\u6027\u4f20\u64ad(\u536052%\u7684\u75c5\u4f8b) ,\u5b58\u5728\u4e8e\u725b\u3001\u7f8a\u7b49\u52a8\u7269\u80a0\u9053\u5185\u7684EHEC,\u901a\u8fc7\u6c61\u67d3\u98df\u7269\u800c\u611f\u67d3\u4eba\u7c7b\u3002<\/p>\n\n\n\n

\u7b2c2\u4e2a\u6613\u611f\u67d3\u9014\u5f84\u662f\u6c34\u6e90\u6027\u4f20\u64ad(\u536014%) ,\u5982\u6e38\u6cf3(9%)\u3002\u7b2c3\u4e2a\u4f20\u64ad\u9014\u5f84\u662f\u901a\u8fc7\u5bc6\u5207\u63a5\u89e6\u3002\u800c\u6b64\u6b21\u66b4\u53d1\u7684\u5927\u80a0\u57c3\u5e0c\u83cc\u83cc\u682a\u5df2\u5728\u5fb7\u56fd\u5883\u5185\u4f20\u64ad10\u5e74,\u5bf9\u8c61\u662f\u4eba\u7c7b\u800c\u975e\u7272\u755c,\u9020\u6210\u4f20\u64ad\u7684\u98df\u7269\u5f88\u53ef\u80fd\u906d\u5230\u4eba\u7c7b\u6392\u6cc4\u7269\u7684\u6c61\u67d3\u3002<\/p>\n\n\n\n

1.5 <\/strong>\u6613\u611f\u4eba\u7fa4<\/strong><\/p>\n\n\n\n

\u6b64\u6b21\u75ab\u60c5\u4e0e\u4ee5\u5f80\u7684EHEC\u75ab\u60c5\u76f8\u6bd4,\u8fd8\u6709\u4e00\u4e2a\u72ec\u7279\u7684\u7279\u5f81:\u4ee5\u6210\u4eba\u4e3a\u6613\u611f\u4eba\u7fa4;\u65e0HUS\u5e76\u53d1\u75c7\u7684EHEC\u611f\u67d3\u8005\u4e2d\uff0c20\u5c81\u4ee5\u4e0a\u60a3\u8005\u536087%,\u5973\u6027\u536060%;\u800c\u5e76\u53d1HUS\u7684\u91cd\u75c7\u60a3\u8005\u4e2d\uff0c20\u5c81\u4ee5\u4e0a\u7684\u75c5\u4f8b\u7ea6\u536088%,\u7279\u522b\u662f20~49\u5c81\u4eba\u7fa4,\u5973\u6027\u75c5\u4f8b\u7ea6\u536068%\u3002\u800c\u4ee5\u5f80\u7684EHEC\u75ab\u60c5\u4ee515\u5c81\u4ee5\u4e0b\u513f\u7ae5\u4e3a\u6613\u611f\u4eba\u7fa4,\u6210\u5e74\u4eba\u6240\u5360\u6bd4\u4f8b\u8f83\u4f4e\uff0c\u7537\u5973\u6bd4\u4f8b\u5927\u81f4\u76f8\u540c\u3002<\/p>\n\n\n\n

2<\/strong> <\/strong>\u53d1\u75c5\u4e0e\u6d41\u884c\u60c5\u51b5<\/strong><\/p>\n\n\n\n

2.1 <\/strong>\u6574\u4f53\u60c5\u51b5<\/strong><\/p>\n\n\n\n

\u6eb6\u8840\u6027\u5c3f\u6bd2\u7efc\u5408\u75c7\uff08hemolytic-uremic syndrome\uff0c HUS\uff09\u4e0a\u4e16\u7eaa\u9996\u5148\u62a5\u9053\u4e8e\u513f\u7ae5\uff0c\u4ee5\u6025\u6027\u80be\u8870\u3001\u6eb6\u8840\u6027\u8d2b\u8840\u548c\u8840\u5c0f\u677f\u51cf\u5c11\u4e09\u8005\u7ec4\u5408\u4e3a\u7279\u5f81\u3002EHEC O157\uff1aH7 \u662f\u513f\u7ae5 HUS \u53d1\u751f\u7684\u4e3b\u8981\u539f\u56e0\u3002\u5fb7\u56fd\u5bf9 EHEC\u5f15\u8d77\u7684\u80c3\u80a0\u708e\uff08\u65e0HUS\uff09\u75c5\u4f8b\u7684\u5b9a\u4e49\u662f\uff1a\u9664\u5b9e\u9a8c\u5ba4\u786e\u8bca\u5916\uff0c\u8fd8\u9700\u5177\u5907\u4e0b\u5217\u4e09\u79cd\u75c7\u72b6\u4e4b\u4e00\uff0c\u8179\u6cfb\uff0824 \u5c0f\u65f6\u5185 3 \u6b21\u4ee5\u4e0a\u62c9\u7a00\uff09\u3001\u8179\u90e8\u7ede\u75db\u6216\u5455\u5410\u3002\u9488\u5bf9\u672c\u6b21 STEC O104: H4 \u5f15\u8d77\u7684 HUS \u53ca\u8179\u6cfb\u75c5\u4f8b\uff0c\u6b27\u76df\u4e13\u95e8\u8fdb\u884c\u4e86\u5b9a\u4e49\uff0c\u5206\u4e3a\u53ef\u80fd\u75c5\u4f8b\u3001\u7591\u4f3c\u75c5\u4f8b\uff0c\u548c\u786e\u8bca\u75c5\u4f8b\u3002<\/p>\n\n\n\n

2.2 <\/strong>\u6d41\u884c\u7279\u70b9<\/strong><\/p>\n\n\n\n

\u7531\u4e8e\u672c\u75c5\u9996\u5148\u66b4\u53d1\u4e8e\u5fb7\u56fd\uff0c\u4e14\u75c5\u4f8b\u6570\u5fb7\u56fd\u4e5f\u6700\u591a\uff0c\u6765\u81ea\u5fb7\u56fd\u7684\u6d41\u884c\u75c5\u5b66\u8d44\u6599\u5177\u6709\u4ee3\u8868\u6027\u3002 Frank\u7b49\u5bf9\u622a\u6b622011\u5e746\u670818\u65e5\u5fb7\u56fd\u62a5\u544a\u76843222\u4e2a\u66b4\u53d1\u75c5\u4f8b\uff08\u5305\u62ec39\u4e2a\u6b7b\u4ea1\u75c5\u4f8b\uff09\u8fdb\u884c\u4e86\u5206\u6790\uff0c\u672c\u6b21\u66b4\u53d1\u6d41\u884c\u5177\u6709\u4ee5\u4e0b\u7279\u70b9\u3002<\/p>\n\n\n\n

\uff081\uff09\u5730\u533a\u76f8\u5bf9\u96c6\u4e2d\u3002\u5c3d\u7ba1\u5fb7\u56fd16\u4e2a\u5dde\u5747\u6709\u75c5\u4f8b\u62a5\u544a\uff0c\u4f46\u53d1\u75c5\u7387\u6700\u9ad8\u8005\u5728\u5fb7\u56fd\u5317\u90e8\u5730\u533a\uff0c\u5206\u522b\u4e3a\u6c49\u5821\u5dde\uff08Hamburg\uff09\uff0c1\u4e07\u4eba\u4e2d10.1\u4e2a\u75c5\u4f8b\uff1b\u77f3\u52d2\u82cf\u76ca\u683c-\u8377\u5c14\u65af\u6cf0\u56e0\u5dde\uff08Schleswig-Holstein\uff09\uff0c10\u4e07\u4eba\u4e2d6.7\u4e2a\u75c5\u4f8b\uff1a\u4e0d\u83b1\u6885\u5dde\uff08Bremen\uff09\uff0c10\u4e07\u4eba\u4e2d2.7\u4e2a\u75c5\u4f8b\uff1b\u6885\u514b\u4f26\u5821-\u524d\u6ce2\u7f8e\u62c9\u5c3c\u4e9a\u5dde\uff08Mecklenburg-Vorpommern\uff09\uff1b10\u4e07\u4eba\u4e2d2.2\u4e2a\u75c5\u4f8b\uff1b\u4e0b\u8428\u514b\u68ee\u5dde\uff08Lower Saxony\uff09\uff1b10\u4e07\u4eba\u4e2d1.7\u4e2a\u75c5\u4f8b\uff1b\u4e14\u4e0a\u8ff0\u5dde\u51e0\u4e4e\u4e3a\u540c\u65f6\u66b4\u53d1\u3002\u5176\u4ed6\u5dde\u7684\u591a\u6570\u75c5\u4f8b\u90fd\u4e0e\u5230\u8fd9\u4e9b\u5dde\u65c5\u884c\u76f8\u5173\u7684\u66b4\u9732\u6709\u5173\u3002<\/p>\n\n\n\n

\uff082\uff09HUS\u7684\u75c5\u60a3\u4e3b\u8981\u662f\u6210\u5e74\u4eba\u4e14\u5973\u6027\u5360\u591a\u6570\u3002\u57283222\u4e2a\u75c5\u4f8b\u4e2d\uff0c810\u4f8b\uff0825.1%\uff09\u53d1\u5c55\u4e3aHUS\uff0c\u5305\u62ec27\u4e2a\u6b7b\u4ea1\u75c5\u4f8b\uff083.3%\uff0c27\/810\uff09\u3002\u7ea61\/4 \u786e\u8bca\u75c5\u4f8b\u8f6c\u4e3aHUS\uff0c\u8fd9\u4e00\u6bd4\u4f8b\u8fdc\u9ad8\u4e8e\u7531 EHEC\u5f15\u8d77\u7684\u5176\u4ed6\u66b4\u53d1\u6848\u4f8b\u3002810\u4f8bHUS\u60a3\u8005\u4e2d\uff0c\u6210\u5e74\u4eba\uff0817 \u5c81\u4ee5\u4e0a\uff09\u536089%\uff0c\u5e73\u5747\u5e74\u9f84\u4e3a43\u5c81\uff1b5\u5c81\u4ee5\u4e0b\u8005\u4ec5\u53601%\uff0c\u800c2001\u5e74\u81f32010\u5e74\u5fb7\u56fdHUS\u6240\u6709\u62a5\u544a\u75c5\u4f8b\u7684\u5e73\u5747\u5e74\u9f84\u6b63\u597d\u662f5\u5c81\u3002\u53c8\u59821996\u5e74\u65e5\u672c\u66b4\u53d1 O157:H7 \u611f\u67d3\u65f6\uff0c121 \u4f8b HUS \u75c5\u4f8b\u5747\u4e3a\u513f\u7ae5\u3002 \u5728STEC HUS\u3001STEC\u80c3\u80a0\u708e\u75c5\u4f8b\u4e2d\uff0c\u5973\u6027\u5206\u522b\u536068.0%\u548c 58.8%\uff0c\u5728\u8fd9\u4e24\u7c7b\u75c5\u4f8b\u7684\u6b7b\u4ea1\u8005\u4e2d\uff0c\u5973\u6027\u5206\u522b\u536077.8%\u548c58.3%\u3002\u5f53\u7136\uff0c\u4ece2011\u5e746\u6708\u4efd\u5f00\u59cb\uff0cHUS\u60a3\u8005\u4e2d\u7537\u6027\u6bd4\u4f8b\u6709\u6240\u4e0a\u5347\uff0c\u536047.8%\uff0c\u800c5\u6708\u4efd\u8fd9\u4e00\u6bd4\u4f8b\u4e3a31.9%\u3002\u540c\u65f6\u4e0e\u4e0a\u8ff0\u5fb7\u56fd\u5317\u90e8\u5730\u533a\u5173\u8054\u7684\u75c5\u4f8b\u6bd4\u4f8b\u4e5f\u4ece\u65e9\u671f\u768486%\u4e0b\u964d\u81f36\u6708\u4efd\u768463%\u3002<\/p>\n\n\n\n

\uff083\uff09\u6f5c\u4f0f\u671f\u4e0eHUS\u75c7\u72b6\u51fa\u73b0\u65f6\u95f4 \u672c\u6b21STEC O104:H4\u66b4\u53d1\u75c5\u4f8b\u7684\u6f5c\u4f0f\u671f\u4e3a8\u5929\uff0c\u4e0e EHEC O157:H7\u611f\u67d3\u7684\u6f5c\u4f0f\u671f\uff083~4\u5929\uff09\u76f8\u6bd4\uff0cSTEC O104:H4\u7684\u6f5c\u4f0f\u671f\u4f3c\u4e4e\u663e\u8457\u5ef6\u957f\u4e86\u3002\u5bf9HUS\u75c5\u4f8b\uff0c\u4ece\u8179\u6cfb\u53d1\u5c55\u5230HUS\u4e00\u822c\u4e3a5\u5929\uff0c\u8fd9\u4e00\u65f6\u95f4\u4e0e EHEC O157:H7\u5f15\u8d77\u7684HUS\u75c5\u4f8b\u4ece\u8179\u6cfb\u5230HUS\u6240\u97007\u5929\u76f8\u6bd4\uff0c\u6709\u6240\u7f29\u77ed\u3002<\/p>\n\n\n\n

3 <\/strong>\u5fb7\u56fd\u5e94\u5bf9\u63aa\u65bd<\/strong><\/p>\n\n\n\n

3.1 <\/strong>\u8c03\u6574\u75c5\u4f8b\u5b9a\u4e49\u6807\u51c6<\/strong><\/p>\n\n\n\n

RKI \u7814\u7a76\u9662\u57282011\u5e746\u67081\u65e5\u53d1\u5e03\u4e86HUS\u75c5\u4f8b\u5b9a\u4e49\u6807\u51c6\uff0c\u8c03\u6574\u4e86\u6b64\u524d\u7684 RKI \u76d1\u6d4b\u75c5\u4f8b\u5b9a\u4e49\u6807\u51c6\u6765\u9002\u5e94\u66b4\u53d1\u60c5\u51b5\uff0c\u786e\u4fdd\u4fe1\u606f\u6536\u96c6\u7684\u7cfb\u7edf\u6027\u3002\u8c03\u6574\u5185\u5bb9\u5305\u62ec\u5bf9\u6d89\u53ca\u66b4\u9732\u65f6\u95f4\u7684\u9650\u5b9a\uff082011 \u5e74 5 \u6708 1 \u65e5\u8d77\u75c5\uff09\uff0c\u5730\u70b9\u7684\u9650\u5b9a\uff08\u4e0e\u5fb7\u56fd\u6709\u6d41\u884c\u75c5\u5b66\u5173\u8054\uff09\uff0c\u9650\u5b9a\u4eba\u5458\uff08\u98df\u7528\u8fc7\u5728\u5fb7\u56fd\u83b7\u53d6\u7684\u98df\u7269\uff09\uff0c\u4ee5\u53ca\u5bf9\u7591\u4f3c\u75c5\u4f8b\u7684\u5173\u6ce8\u3002\u4ee5\u5f802001\u5e74\u5230 2010 \u5e74 RKI \u6bcf\u5e74\u5e73\u5747\u6536\u5230 992 \u4f8b STEC\/ VTEC \u7684\u62a5\u544a\uff0c\u8fd9\u4e9b\u75c5\u4f8b\u591a\u662f\u7531O157:H7\u83cc\u682a\u5f15\u8d77\u53d1\u75c5\uff0c\u5355\u7eaf\u901a\u8fc7\u4e34\u5e8a\u75c7\u72b6\u8868\u73b0\u96be\u4ee5\u5c06O104:H4 \u83cc\u682a\u611f\u67d3\u5f15\u8d77\u7684 STEC\/HUS \u75c5\u4f8b\u4e0e\u5176\u4ed6\u7c7b\u578b\u83cc\u682a\u611f\u67d3\u5f15\u8d77\u7684STEC\/VTEC \u533a\u5206\u5f00\u3002\u65b0\u7684\u75c5\u4f8b\u5b9a\u4e49\u6807\u51c6\u5305\u542b\u4e86\u6392\u9664\u6807\u51c6\uff0c\u5c06\u68c0\u6d4b\u9664 O104 \u578b\u4e4b\u5916\u7684\u5176\u4ed6\u8840\u6e05\u578b\u5217\u4e3a\u6392\u9664\u6807\u51c6\u3002<\/p>\n\n\n\n

3.2 <\/strong>\u5b9e\u65bd\u5e94\u6025\u76d1\u6d4b<\/strong><\/p>\n\n\n\n

\u5728\u5fb7\u56fd\uff0c STEC\/VTEC\u548cHUS\u5c5e\u4e8e\u6cd5\u5b9a\u62a5\u544a\u75be\u75c5\u3002STEC\/VTEC\u76d1\u6d4b\u662f\u4f9d\u8d56\u4e8e\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u57fa\u7840\u4e0a\u7684\uff0cHUS \u76d1\u6d4b\u5219\u4f9d\u8d56\u4e8e\u4e34\u5e8a\u533b\u751f\u3002\u5b9e\u9a8c\u5ba4\u548c\u533b\u7597\u90e8\u95e8\u8d1f\u8d23\u4eba\u8981\u5728 24 \u5c0f\u65f6\u5185\u5c06\u75c5\u4f8b\u62a5\u544a\u5f53\u5730\u536b\u751f\u90e8\u95e8\u3002\u5730\u65b9\u536b\u751f\u90e8\u95e8\u5bf9\u83b7\u53d6\u7684\u4fe1\u606f\u6838\u5b9e\u540e\u8fdb\u884c\u7535\u5b50\u5316\u8bb0\u5f55\u3002\u5728\u7b2c\u4e8c\u5468\u7684\u7b2c\u4e09\u4e2a\u5de5\u4f5c\u65e5\u524d\u5c06\u7b26\u5408RKI\u89c4\u5b9a\u7684\u76d1\u6d4b\u75c5\u4f8b\u6807\u51c6\u7684\u4eba\u5458\u4fe1\u606f\u901a\u8fc7\u533f\u540d\u65b9\u5f0f\u62a5\u9001\u5230\u5dde\u536b\u751f\u90e8\u95e8\u3002\u5dde\u536b\u751f\u90e8\u95e8\u518d\u6b21\u6838\u5b9e\u4fe1\u606f\u5728\u968f\u540e\u4e00\u5468\u5185\u62a5\u9001\u5230RKI\u3002\u8fd9\u6837\uff0c\u9700\u8981\u6570\u5929\u65f6\u95f4\uff0c\u751a\u81f3\u957f\u8fbe16\u5929\uff0c\u624d\u80fd\u5c06\u75c5\u4f8b\u4fe1\u606f\u4ece\u5f53\u5730\u62a5\u9001\u5230\u56fd\u5bb6\u7ea7\u536b\u751f\u90e8\u95e8\u3002RKI\u81f3\u5c11\u6bcf\u5468\u4e00\u6b21\u5c06\u6d41\u884c\u75c5\u5b66\u4fe1\u606f\u53cd\u9988\u7ed9\u76f8\u5173\u90e8\u95e8\uff0c\u5982\u653f\u5e9c\u90e8\u95e8\uff0c\u4e34\u5e8a\u533b\u751f\u548c\u5b9e\u9a8c\u5ba4\u3002\u4fe1\u606f\u4f20\u64ad\u65b9\u5f0f\u5305\u62ec\u8fdc\u7a0b\u4f1a\u8bae\uff0cRKI\u7684\u6bcf\u5468\u6d41\u884c\u75c5\u5b66\u516c\u544a\uff0c\u4ee5\u53ca\u7f51\u7edc\u6570\u636e\u5e93SurvStat\u3002\u5728\u75be\u75c5\u66b4\u53d1\u60c5\u51b5\u4e0b\uff0c\u5e38\u89c4\u7684\u76d1\u6d4b\u7cfb\u7edf\u663e\u7136\u4e0d\u8db3\u4ee5\u505a\u51fa\u6709\u6548\u5e94\u5bf9\u3002<\/p>\n\n\n\n

\u5fb7\u56fd\u5b98\u65b9\u968f\u540e\u589e\u52a0\u4e86\u5982\u4e0b\u63aa\u65bd\uff1a<\/p>\n\n\n\n

\uff081\uff09\u7ecf\u8fc7\u96c6\u4e2d\u6d41\u884c\u75c5\u5b66\u4fe1\u606f\u4ea4\u6362\u540e\uff0cRKI\u7814\u7a76\u9662\u542f\u52a8\u6210\u4e3a\u5e94\u6025\u64cd\u4f5c\u4e2d\u5fc3\uff1b\u6bcf\u5929\u4e0e\u76f8\u5173\u5dde\u7ea7\u3001\u56fd\u5bb6\u7ea7\u3001\u56fd\u9645\u95f4\u90e8\u95e8\u8fdb\u884c\u8fdc\u7a0b\u4f1a\u8bae\uff1b\u6bcf\u5929\u5c06\u6d41\u884c\u75c5\u5b66\u62a5\u544a\u5206\u53d1\u7ed9\u76f8\u5173\u90e8\u95e8\u3001\u4e34\u5e8a\u533b\u751f\u3001\u5b9e\u9a8c\u5ba4\uff0c\u53ca\u65f6\u53cd\u9988\u4fe1\u606f\u3002<\/p>\n\n\n\n

\uff082\uff09\u52a0\u5feb\u4e86\u4fe1\u606f\u5411\u56fd\u5bb6\u7ea7\u673a\u6784\u62a5\u9001\u901f\u5ea6\uff0c\u901a\u77e5\u5dde\u536b\u751f\u90e8\u95e8\u6bcf\u5929\u901a\u8fc7\u90ae\u4ef6\u5411RKI\u62a5\u544a\u6536\u96c6\u6765\u7684\u4fe1\u606f\u3002\u5e76\u4e14\u8981\u6c42\u536b\u751f\u673a\u6784\u6bcf\u5929\u901a\u8fc7\u7535\u5b50\u76d1\u6d4b\u7cfb\u7edf\u767b\u9646\u548c\u62a5\u9001\u4fe1\u606f\uff0c\u786e\u4fdd\u7531\u9010\u4f8b\u62a5\u544a\u53d6\u4ee3\u539f\u6765\u7684\u96c6\u4e2d\u540e\u62a5\u544a\u3002\u5370\u53d1\u4e86\u7279\u5b9a\u7684\u62a5\u544a\u8868\u683c\u4fc3\u4f7f\u4e34\u5e8a\u533b\u751f\u4e0a\u62a5HUS\u75c5\u4f8b\u3002<\/p>\n\n\n\n

\uff083\uff09\u5728\u6025\u8bca\u5ba4\u5bf9\u8840\u6027\u8179\u6cfb\u4f7f\u7528\u75c7\u72b6\u76d1\u6d4b\u7cfb\u7edf\u7531\u4e8eEHEC\u75c5\u4f8b\u901a\u5e38\u6709\u8840\u6027\u8179\u6cfb\uff0c\u80fd\u591f\u901a\u8fc7\u75c7\u72b6\u76d1\u6d4b\u6765\u53ca\u65f6\u5730\u8bc4\u4f30EHEC\u66b4\u53d1\u8d8b\u52bf\u3002\u5fb7\u56fd\u57285\u670827\u65e5\u5bf9\u6765\u6025\u8bca\u5ba4\u6709\u8840\u6027\u8179\u6cfb\u7684\u75c5\u4f8b\u5b9e\u65bd\u4e86\u76d1\u6d4b\u3002\u6536\u96c6\u7684\u4fe1\u606f\u8303\u56f4\u5305\u62ec\u6bcf\u5929\u5230\u6025\u8bca\u5ba4\u5c31\u533b\u7684\u8840\u6027\u8179\u6cfb\u75c5\u4f8b\u603b\u6570\uff0c\u4ee5\u53ca\u6839\u636e\u5e74\u9f84\u548c\u6027\u522b\u5206\u7ec4\u7684\u8840\u6027\u8179\u6cfb\u75c5\u4f8b\u6570\uff0c\u8fdb\u884c\u5206\u7c7b\u7edf\u8ba1\u3002<\/p>\n\n\n\n

\uff084\uff09\u542f\u52a8\u5b9e\u9a8c\u5ba4\u52a8\uff0c\u76d1\u6d4b5\u670825\u65e5\u8d77\uff0cRKI \u8981\u6c42\u56db\u5bb6\u5b9e\u9a8c\u5ba4\u6bcf\u5929\u901a\u8fc7\u7535\u5b50\u90ae\u4ef6\u6216\u7535\u8bdd\u901a\u62a5\u4fe1\u606f\u3002\u52306\u670812 \u65e5\uff0c\u5e38\u89c4\u6cd5\u5b9a\u7cfb\u7edf\u786e\u8ba4\u4e863228 \u4f8b STEC\/HUS \u75c5\u4f8b\u4e2d\u7684195 \u4f8b(6%\uff09\u662f\u7531\u4e8eSTEC\/VTECO104 \u6240\u81f4\uff0c\u52a8\u6001\u76d1\u6d4b\u7cfb\u7edf\u6709\u8bc1\u636e\u8868\u9762\u81f3\u5c11 335 \u4efd\u75c5\u4f8b\u6837\u672c\u4e0e\u66b4\u53d1\u83cc\u682a\u6709\u5173\u3002<\/p>\n\n\n\n

\uff085\uff09\u98df\u54c1\u6c61\u67d3\u6e90\u7684\u5224\u5b9a5\u670820\u65e5\u8d77\uff0cRKI\u7814\u7a76\u9662\u4e0e\u8054\u90a6\u5065\u5eb7\u548c\u98df\u54c1\u5b89\u5168\u90e8\u95e8\u53ca\u5404\u5730\u5dde\u653f\u5e9c\u534f\u4f5c\u5f00\u5c55\u6b64\u6b21\u66b4\u53d1\u75ab\u60c5\u8c03\u67e5\u5de5\u4f5c\u3002\u91c7\u53d6\u4e86\u5982\u4e0b\u7684\u4e00\u7cfb\u5217\u6d41\u884c\u75c5\u5b66\u7814\u7a76\u6765\u5bfb\u627e\u6c61\u67d3\u6e90\u3002<\/p>\n\n\n\n

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4 <\/strong>\u5bf9\u6b64\u6b21\u75ab\u60c5\u7684\u8ba8\u8bba\u548c\u542f\u793a<\/strong><\/p>\n\n\n\n

4.1 <\/strong>\u52a0\u5f3a\u56fd\u5185\u5916\u5404\u673a\u6784\u7ec4\u7ec7\u534f\u4f5c<\/strong><\/p>\n\n\n\n

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4.3 <\/strong>\u52a0\u5f3a\u6d41\u884c\u75c5\u5b66\u4eba\u624d\u7684\u57f9\u517b<\/strong><\/p>\n\n\n\n

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4.4 <\/strong>\u52a0\u5f3a\u5bf9\u98df\u54c1\u76d1\u6d4b\u5de5\u4f5c<\/strong><\/p>\n\n\n\n

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