| 578 | 8 | 91 |
| 下载次数 | 被引频次 | 阅读次数 |
目的对零售生鲜猪肉从销售至食用阶段沙门菌的风险水平开展定量风险评估,为我国生鲜猪肉中沙门菌的风险管理提供理论依据。方法生鲜猪肉的沙门菌污染水平来源于国家食品安全风险监测数据,基于ComBase数据库拟合沙门菌生长模型,参考文献报道的交叉污染模型,采用~@RISK软件蒙特卡罗模拟分析厨房烹饪猪肉交叉污染即食食品的数量,结合剂量-反应关系模型估算居民患沙门菌病的风险。结果每100万居民每年因生鲜猪肉罹患沙门菌病的人数约为4748人。敏感性分析表明,患病风险与即食食品的准备率、猪肉消费量、初始污染浓度、不正确清洗手、菜刀和砧板的行为等参数成正相关。如果将生鲜猪肉中沙门菌的污染浓度控制在1 CFU/g以下,导致的平均发病人数预估将减少59.39%(1928人/百万人);将菜刀和砧板的生熟分开率或完全清洗率提高至90%,导致的平均发病人数将减少58.97%(1948人/百万人)。结论控制零售生鲜猪肉中沙门菌污染浓度或增强卫生习惯可有效降低沙门菌患病风险。
Abstract:OBJECTIVE A quantitative microbiological risk assessment was conducted for Salmonella spp. in fresh pork from retail stores to consumers in China in order to provide evidence for adopting effective risk management measures. METHODS The national food safety and risk monitoring data was used to estimate the initial contamination level of Salmonella in the retail fresh pork. The growth model and the cross-contamination model of Salmonella were referenced from the ComBase data base and scientific literature, respectively. Then the human health risk was predicted by the consumption of Salmonella-contaminated fresh pork and the Beta-Poisson dose-response model. RESULTS The number of Salmonellosis per year among 1 million residents due to fresh pork was estimated to be 4748. The sensitivity analysis showed that the risk of Salmonellosis was mainly and positively correlated with the preparation rate of ready to eat food, the consumption quantity of pork, the initial contamination level of Salmonella in fresh pork, and the proportion of improper cleaning of knives and chopping boards. When the contamination level of Salmonella in fresh pork is controlled below 1 CFU/g, the average probability of illness will be reduced by 59.39%; the average probability of illness will be reduced by 58.97% by increasing the ratio of complete cleaning of chopping boards or the separation ratio of chopping boards for raw and ready-to-eat food to 90%. CONCLUSION The risk could be effectively reduced by controlling the concentration of Salmonella contamination in retail pork or improving hygiene practices.
[1] HAVELAAR A H,KIRK M D,TORGERSON P R,et al.World health organization global estimates and regional comparisons of the burden of foodborne disease in 2010[J].PLoS Med,2015,12(12):e1001923.
[2] SNARY E L,SWART A N,SIMONS R R L,et al.A quantitative microbiological risk assessment for Salmonella in pigs for the european union[J].Risk Analy,2016,36(3):437-449.
[3] ZHANG L,FU Y,XIONG Z,et al.Highly prevalent multidrug-resistant Salmonella from chicken and pork meat at retail markets in Guangdong,China[J].Front Microbiol,2018,9:2104.
[4] 许小峰.中国气象年鉴2017[M].北京:气象出版社,2017.
[5] 郭思宏.家庭环境下的消费者食品安全行为评价研究[D].长春:吉林大学,2013:44.
[6] 柳恒卓,刘晓革,赖天兵,等.湖南省城乡居民常见动物性食品储存和加工方式调查[J].实用预防医学,2019,26(4):440-445.
[7] EVANS J,STANTON J,RUSSEL S.Consumer handling of chilled foods:a survey of time and temperature conditions[M].London:MAFF Publication,1991.
[8] SWART A N,VAN LEUSDEN F,NAUTA M J.A QMRA model for Salmonella in pork products during preparation and consumption[J].Risk Anal,2016,36(3):516-530.
[9] JARVIS B.Sampling for microbiological analysis[M].Gaithersburg,Maryland,USA:Aspen Publishers,2000.
[10] RAVISHANKAR S,ZHU L,JARONI D.Assessing the cross contamination and transfer rates of Salmonella enterica from chicken to lettuce under different food-handling scenarios[J].Food Microbiol,2010,27(6):791-794.
[11] HILL A,SIMONS R,RAMNIAL V,et al.Quantitative microbiological risk assessment on Salmonella in slaughter and breeder pigs:final report[J].EFSA Supporting Publications,2010,7(4):46E.
[12] 张黎,朱江辉,徐海滨,等.2015年中国居民家庭厨房内生肉加工行为现况调查[J].实用预防医学,2017,24(3):275-279.
[13] 张莉,尹德凤,张大文,等.猪肉引发厨房沙门菌交叉污染定量风险评估[J].食品科学,2018,39(11):177-184.
[14] FAO,WHO.Interventions for the control of non-typhoidal Salmonella spp.in beef and pork[R].Rome:FAO/WHO,2016.
[15] GRISARU-SOEN G,WYSOKI M G,KELLER N.Risk factors for development of nontyphoid Salmonella bacteremia[J].Clin Pediatr,2004,43(9):825-829.
[16] FLUIT A C.Towards more virulent and antibiotic-resistant Salmonella?[J].FEMS Immunol Med Microbiol,2005,43(1):1-11.
[17] KEITHLIN J,SARGEANT J M,THOMAS M K,et al.Systematic review and meta-analysis of the proportion of non-typhoidal Salmonella cases that develop chronic sequelae[J].Epidemiol Infect,2015,143(7):1333-1351.
[18] Centers for Disease Control and Prevention (CDC).Surveillance for foodborne disease outbreaks,United States,2015,annual report[R].Atlanta,Georgia:US Department of Health and Human Services,CDC,2017.
[19] 王海梅,董庆利,朱江辉,等.厨房中食源性致病菌交叉污染的研究进展[J].食品与发酵科技,2014,50(6):16-21.
[20] CAMPOS J,MOUR?O J,PEIXE L,et al.Non-typhoidal Salmonella in the pig production chain:a comprehensive analysis of its impact on human health[J].Pathogens,2019,8(1):19.
[21] 毛雪丹,胡俊峰,刘秀梅.用文献综述法估计我国食源性非伤寒沙门菌病疾病负担[J].中华疾病控制杂志,2011,15(7):622-625.
[22] EVERS E G,BOUWKNEGT M.Combining QMRA and epidemiology to estimate campylobacteriosis incidence [J].Risk Analy,2016,36(10):1959-1968.
[23] SMELT J P P M,BRUL S.Thermal inactivation of microorganisms[J].Critical Rev Food Sci Nutr,2014,54(10):1371-1385.
[24] 朱江辉.中国食品微生物风险评估进展与展望[J].中国食品卫生杂志,2016,28(2):139-143.
基本信息:
DOI:10.19813/j.cnki.weishengyanjiu.2021.04.018
中图分类号:R155.5
引用信息:
[1]贾华云,王晔茹,王彝白纳,等.零售生鲜猪肉中沙门菌污染对居民健康影响的初步定量风险评估[J].卫生研究,2021,50(04):646-652+664.DOI:10.19813/j.cnki.weishengyanjiu.2021.04.018.
基金信息:
国家自然科学基金面上项目(No.31871899)
2021-07-19
2021-07-19