2024年西部地区医院食堂卫生现状调查及管理反思

把文娟; 张莹; 董建文; 石清明; 叶晓磊; 张艺帆; 甘军

doi:10.62177/fcdt.v2i2.1250

作者

把文娟中国人民解放军西部战区疾病预防控制中心
张莹西安交通大学第一附属医院
董建文中国人民解放军68303部队医院
石清明中国人民解放军西部战区疾病预防控制中心
叶晓磊中国人民解放军西部战区疾病预防控制中心
张艺帆联勤保障部队第940医院
甘军中国人民解放军西部战区疾病预防控制中心

DOI:

https://doi.org/10.62177/fcdt.v2i2.1250

关键词:

食品卫生安全, 医院食堂, 西部地区, 卫生现状

摘要

目的：了解2024年西部地区医院食堂卫生现状，为部队医院食堂科学开展食品安全卫生管理提供依据。方法：采用分层随机抽样的方法，选取西部地区46个部队医院食堂为研究对象，依据《部队餐饮单位食品卫生监督量化评分表》进行现场调查。结果：46个餐饮食堂单位，总体评分为89.22±4.17分，最低分为76.14分，其中等级为A的共有39个，占比84.8%，等级为B的有7个，占比15.2%。结论：西部地区部队医院食堂短板主要集中于环境设施、食品加工卫生、卫生管理、餐具消毒、建筑布局及食品采购贮存六个环节。建议部队医院食堂：1.灵活引入医院食堂经营管理模式。2.强化食堂从业人员培训。3.加强预防性卫生监督。4.引入HACCP管理机制。5. 医院食堂的智慧化管理。

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参考文献

World Health Organization. Food safety. [EB/OL]. [2022-05-19]. https://www.who.int/news-room/fact-sheets/detail/food-safety. [Accessed 5 June 2023].

United States Centers for Disease Control and Prevention. FoodNet 2023 Preliminary Data [EB/OL]. [2024]. https://www.cdc.gov/foodnet/reports/preliminary-data.html

Holland D, Mahmoudzadeh N. Foodborne disease estimates for the United Kingdom in 2018[J]. Food Standards Agency, 2020, 27.

Jones A K, Cross P, Burton M, et al. Estimating the prevalence of food risk increasing behaviours in UK kitchens[J]. PLoS One, 2017, 12(6): e0175816- e0175816.

陈婷, 周庆琼, 戚平, 等. 2011—2020年中国食源性疾病流行病学分析[J]. 中国食品卫生杂志, 2023, 35(10): 1545-1550.

冯军, 徐乃莹, 田明, 等. 食品安全工作十年回顾与思考[J]. 中国市场监管研究, 2023, 4(4): 75-79.

张莲莲, 李岩. 食品添加剂对食品安全的影响探析[J]. 现代食品, 2023, 29(7): 143-145.

黄子芮. 浅谈医院食堂食品安全管理[J].现代食品, 2022, 28(24): 155-157.

Li H, Li W, Dai Y, et al. Characteristics of settings and etiologic agents of foodborne disease outbreaks—China, 2020[J]. China CDC weekly, 2021, 3(42): 889.

Sarno E, Pezzutto D, Rossi M, et al. A review of significant European foodborne outbreaks in the last decade[J]. Journal of Food Protection, 2021, 84(12): 2059-2070.

Alemu A S, Baraki A G, Alemayehu M, et al. The prevalence of intestinal parasite infection and associated factors among food handlers in eating and drinking establishments in Chagni Town, Northwest Ethiopia[J]. BMC research notes, 2019,302(12): 1-6.

Hoffmann S, White A E, McQueen R B, et al. Economic burden of foodborne illnesses acquired in the United States[J]. Foodborne pathogens and disease, 2024.

Neo F J X, Loh J J P, Ting P, et al. Outbreak of caliciviruses in the Singapore military, 2015[J]. BMC Infectious Diseases, 2017, 17: 1-8.

朱沛军, 吴杰. 医院自管自营食堂劳务派遣人员绩效管理研究[J]. 江苏卫生事业管理, 2025, 36(1): 37-40.

World Health Organization. General Principles of Food Hygiene[M]. General Principles of Food Hygiene, 2023.

Gould L H, Rosenblum I D A, Nicholas D, et al. Contributing factors in restaurant-associated foodborne disease outbreaks, FoodNet sites, 2006 and 2007[J]. Journal of food protection, 2013, 76(11): 1824-1828.

Tappes S P, Folly D C C, da Silva Santos G, et al. Food handlers and foodborne diseases: grounds for safety and public and occupational health actions[J]. Revista Brasileira de Medicina Do Trabalho, 2019, 17(3): 431.

da Vitória A G, de Souza Couto Oliveira J, de Almeida Pereira L C, et al. Food safety knowledge, attitudes and practices of food handlers: A cross-sectional study in school kitchens in Espírito Santo, Brazil[J]. BMC Public Health, 2021, 349(21): 1-10.

Derso T, Tariku A, Ambaw F, et al. Socio-demographic factors and availability of piped fountains affect food hygiene practice of food handlers in Bahir Dar Town, northwest Ethiopia: a cross-sectional study[J]. BMC research notes, 2017, 10(1): 1-7.

李常生. 营养餐厅建设与膳食治疗在临床的应用[J]. 现代医院, 2020, 20(7): 1010-1012+1015.

雷明明. 医院食堂建设实践与探索——以A医院新院区食堂建设为例[J]. 经济师, 2023, 11(11): 250-251.

温向阳, 张威, 胡亮, 等. 新建医院项目食堂功能布局及建筑规模研究[J]. 中国医院建筑与装备, 2024, 25(8): 20-27.

Kamboj S, Gupta N, Bandral J D, et al. Food safety and hygiene: A review[J]. International journal of chemical studies, 2020, 8(2): 358-368.

Chen Y, Wan G, Song J, et al. Food Safety Practices of Food Handlers in China and their Correlation with Self-reported Foodborne Illness[J]. Journal of Food Protection, 2024, 87(1): 100202.

Abughoush M, Olaimat A N, Al-Holy M A, et al. Evaluation of food quality and safety parameters and food safety knowledge and practices of food handlers at fast foods restaurants at universities in Jordan during COVID-19[J]. Heliyon, 2023, 9(8): e18936-e18936.

贾琳,魏同伟,李静,等. 某营区食堂HACCP体系的建立和日常监督检查机制的探讨[J]. 食品安全导刊, 2024, (19): 4-8.

杨勇. HACCP体系下企业食堂餐饮食品安全卫生管理策略研究[J]. 中国食品, 2024, (18): 58-60.

齐振胜, 王平, 李可鑫. 探究大数据在提升医院后勤保障水平的应用[J]. 中国建设信息化, 2022, (21): 68-69.

艾亮东. 基于物联网技术的高校智慧食堂管理研究[J]. 信息通信, 2020, (08): 119-122.