성주군 S 초등학교 및 중학교에서 집단 발생한 세균성 이질에 관한 역학조사

민영선; 임현술; 이관; 임상혁; 이복순

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자료유형: 학술저널

저자정보: 민영선 임현술 이관 임상혁 이복순

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제38권 제2호

발행연도: 2005.1

수록면: 189 - 196 (8page)

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Objectives: An outbreak of shigellosis occurred among students and staff of S primary and middle school, Seongju-gun, in 2003. This investigation was carried out to institute an effective counterplan, and study the infection source and transmission of the shigellosis. Methods: The authors conducted a questionnaire survey among 235 students and staff from S preschool, primary and middle school relating to the ingestion of school lunch and the manifestation of symptoms. Also, the author investigated the drinking water, feeding facility and reconstructed cooking process of the food presumed to be the cause of the shigellosis. The diarrhea cases were defined as confirmed cases and those cases who had had diarrhea more than one time, accompanied with symptoms such as fever, vomiting and tenesmus. Results: From rectal swabs 20 people, between June 28 and July 4, 2003, were confirmed with shigellosis. The diarrhea attack rate was 40.0%. Those who had ingested tomatoes and cubed radish kimchi had significantly higher diarrhea attack rates (p<0.05), with the relative risk of tomatoes being 2.69 (95% CI: 0.98-7.42). The major cause of shigellosis was presumed to be from contaminated tomatoes due to cooking with rubber gloves containing holes. Conclusion: The cooks in charge of school lunches must make doubly sure to not only attend to their sanitation, but also to manage the table wear and items used in providing school lunches. The health care authority should introduce higher-leveled criteria for health care among cooks, so that they cannot cook when the have a case of any infectious disease.

#Shigella sonnei #Disease outbreaks #Food contamination #Schools

참고문헌 (15)

참고문헌 신청

/ 1995 / Guidelines for the control of epidemicsdue to Shigella dysenteriae type 1

Bagamboula CF / 2002 / Acid tolerance of Shigella sonnei and Shigellaflexneri 93 (3) : 479 ~ 486

Barry EM / 2003 / Immune responses elicited againstmultiple enterotoxigenic Escherichia colifimbriae and mutant LT expressed inattenuated Shigella vaccine strains 21 (5-6) :

Bern C / / Themagnitude of the global problem of diarrhoealdisease : 705 ~ 714

Isenbarger DW / 1996-1999emerginfectdis2002 / Comparative antibioticresistance of diarrheal pathogens from Vietnamand Thailand 8 (2) : 175 ~ 180

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