刘志冰 张明杰 郭昕 李玲 唐尹勤

摘要：目的 了解桂林市从业人员沙门菌携带和血清分型情况。方法 按照 WS/T454-2014《从业人员预防性健康检查沙门菌、志贺菌检验方法》，对从业人员健康体检并对检出情况及携菌人群进行分析。结果 2017-2020 年共检出沙门菌1856株，阳性率1.17 %，各年度阳性率差异无统计学意义;全年四季度间沙门菌检出差异有统计学意义，第三季度阳性率最高1.98%;食品从业人员、公共场所从业人员及其他从业人员沙门菌检出差异有统计学意义，食品从业人员阳性率最高1.20%;男性、女性从业人员间沙门菌检出差异有统计学意义。四年间鉴定出沙门菌9个群112个血清型，多数集中在B，C，E 群，排列前三位为鼠伤寒沙门菌、伦敦沙门菌、罗森沙门菌;结论 桂林市从业人员第3季度沙门菌检出率最高，各行业间及男女间沙门菌检出均有差异，有统计学意义。结论 应重视从业人员健康体检，防止食物中毒与肠道感染性疾病发生。

关键词：从业人员;沙门菌;带菌情况;血清分型

Abstract：Objective To understand the salmonella carrier and serotyping of employees in Guilin city. Methods According to WS/T454-2014 "Methods for Examination of Salmonella and Shigella in Preventive Health Examination for Employees". Results A total of 159，073 anal swab samples were collected from 2017 to 2020， and 1856 strains of Salmonella were detected，with a positive rate of 1.17%. There was no significant difference between different years . There was significant difference in salmonella detection between the fourth quarter of the year， and the positive rate was 1.98% in the third quarter. There were significant differences in salmonella detection among food workers， public workers and other workers ， and the highest positive rate was 1.20% among food workers. There was significant difference in salmonella detection between male and female employees .Conclusion We should pay attention to the health examination of employees， and prevent the occurrence of food poisoning and intestinal infectious diseases.

Key words： Employees; Salmonella; Bacterial situation; Serotyping

【中圖分类号】R781.6+2  【文献标识码】A  【文章编号】1673-9026（2021）12--01

沙门菌为革兰氏阴性杆菌，血清型复杂众多，是肠道常见病原菌之一，因其具有隐形携带特征，故健康带菌者是主要传染源之一[1]。欲了解桂林市健康从业人员沙门菌带菌及血清型分布情况，对2017年-2020年159073份从业人员预防性健康检查肛拭样品沙门菌检测结果进行分析，为我市肠道传染病防控工作提供参考。检测结果如下：

1检测与分析方法

1.1标本来源 2017-2020年在桂林市疾病预防控制中心体检科进行预防性健康体检时采集的食品、公共场所及其他从业人员肛拭标本。……