Y HOC VlfT NAM THANG - SO 2/2014 TAI LIfU T H A M KHAO 1. Jha, A., Sayami, G., Adhikari, R. C , Panta, D., Jha, R. (2008). Bone marrow examination in cases of pancytopenia. Nepal Med Assoc, 47, 12-17. 2. Kibria, S. G., Islam, M. D. U. (2010). Prevalence of Hematological Disorder: A Bone MantJW Study of 177 Cases In a Private Hospital at Fandpur. Farldpur Med. Coll J, S, 11-13. 3. Knodke, K., Marwah, S (2001). Bone marrow examination in cases of pancytopenia. J Academy QinMed,!, 55-59. 4. Levine, F. C. (1999). "Idiopathic" thrombocytopenia. Arch Intern Med, 88, 701-728. I 13. Levine, S. P. (2003). Thrombocytopenia: pathophysiology and classification. In Greer 3P, Foerster J, Lukens JN, et al. (Eds.), Wintrobe's clinical hematology 11th ed. (vol. 2, pp. 15301532). Philadelphia: Lippincott Williams & Wilkins. MeKenzie S. B. (Ed.), (1996). Textbook of hematology, 2nd ed. Painsylvania: Willaims& Wilkins. Muhury, M., Mathai, A. M (2009). Megakaryocytic alterations in thrombocytopenia: A bone marrow aspirabon study. Indian J PatholMlcrobioi, 52, 490^94. Pudasaini, S., Prasad, K. B. R (2002). Interpretation of bone marrow aspirabon in hematological disorder. Journal of Pathology of Nepal, 2, 309-312. THirC TRANG AN TOAN VE SINH THITC PHAM TAI BEP AN TAP THE COA M O T "SO DOANH N G H I E P - T H A N H PHO HAI DiraNG NAM Dinh Huy Hung*, Vu Due Long** TbM TAT Nghien ciiff thUe trang An toan ve sinh thiTc pham t?i cic bep 3n tap the (BATT) ciia doanh nghiep tren dja ban phd Hai DUdng , ket qua cho thay : Dien tich phong che bien < lOOm^ chiem ty le nhieu nhat (50%); di?n ti'ch phong an 200-500m^ chiem t/ le nhiSu nhat (45%); Cdn ed 44% BATT chUa dat yeu cau ve thii tuc hanh chinh; 17,5% khdng dat yeu cau ve CO sd tang; 20% BATT ngudi phuc vu (NPV) khdng mang day dii bao hp lao dpng lam viec; 20% NPV khong sff dung dung cy sach che bien; Tren cac mau xet nghiem deu thay co ty le nhiem vi sinh vat (VSV): tren thi/c pham chin, dung cu chira (Jyhp thu'c pham chin, ban tay NPV, Trong ty le nhiem VSV tren ban tay NPV la cao nhat: Coliform (72,5%); E.coli (25,0%); S.aureus(32,0%). SUMMARY SAFETY S I T U A H O N I N FOOD HYGIENE AT CANTEENS OF SEVERAL BUSINESSES H A I DUONG CITY I N Research the current status of food safety and hygiene in the canteens of businesses in Hai Duong city, the results show that processing room area < lOOm^ acmunting for largest proportion (50%), dining room area of 200 - 500 m^ accounting for the largest preiportion (45%); there are 44% of the canteens is ' SdYte tinh Hal DuVng " TnAlmg Cao dSng Y teHai Phdng Phin b/^n khoa hgc: GS.TSKH Nguyen VSn Hien unsatisfactorily on administrative procedures; 17.5% is unsatisfactorily on infrastructure, 20% waiters not carry adequate labor protection at work; 20% waiters not use clean utensils when processing; In the specimens founded microorganism ratio on cooked food, containers of cooked food , hands of waiters. In which the infection rates on the waiters' hands is the highest; Coliform (72.5%), E, coli (25,0%), S, aureus (32,0%), I. OAT VAN OE An toan ve sinh thffc pham(ATVSTP) hien dang la mdi quan tam Idn ciia nhieu Qudc gia tren the gidi, Tren the gidi ffdc tfnh, hang nam cd khoang - ty ngu'di bj tieu ehay, ed 3-5 trieu ngLfdi tff vong, khoang 1.400 trieu Iffpt tre em/nam bi mac benh tieu chay ,trong sd dd 70 % nguyen nhan an, udng thi/e pham bj d nhiem [5],[6]. Tai Viet Nam, sd trffdng hdp ngd ddc thffc pham cd xu hffdng cang gia t a n g [ l ] , Theo thdng ke chffa day du ciia cue ATVSTP cac nam 2007-2011, toan qudc da ghi nhan 927 vu NOTP vdi 30.733 ngu'di mac va 299 ngffdi chet. Trung binh cd 185 vu/nam, dd sd vu ngd ddc tai bep an tap the chiem tff 12,7 den 20,6% tong sd vu moi nam, Tuy nhien day chi la sd iieu thdng ke chu'a day du ,thffc te sd ngd dpc thffe pham hang nam cdn eao hdn rat nhieu[2]. Theo ffdc tinh eiia WHO, d Viet Nam sd ngd dpc thffe pham hang nam khoang tren trieu ngffdi [5]. Hai Dffdng la mdt Y HOC VIET NAM THANG - SO 2/2014 2.3.2. Cd mau: Cd mau nghien cffu BATT dffdc lay toan bd 2.3.3. Cach chgn mau: - Tai thdi diem tien lianh nghien cffu tren dja ban phd Hai Du'dng cd 40 bep an tap the ciia doanh nghiep, chiing tdi lay toan bd cd mau la 40 BATT dffa vao nghien cffu. - Danh gia dieu kien ve sinh qua eac mau xet nghiem de tim si/ cd mat eiia vi sinh vat gay benh: Mdi bep aji tap the lay 04 mau xet nghiem bao gom: 01 mau thffe pham chin, 01 mau ban 11. DOI TypNG VA PHU'aNG PHAP NGHIEN CLTU tay ngu'di che bien, 01 mau dung eu chu^ dutig thffc pham chin, 01 mau xet nghiem nffde su' 2.1. Odi tffdng nghien cu'u - Cac bep an tap the eua doanh nghiep tren dja dung che bien (td'ng sd 160 mau). ban phd Hai Dffdng tinh Hai Dffdng . 2.4. Phu'dng phap thu thap so lieu: - Ngffdi phuc vy (NPV) tai cac BATTciia doanh Thanh lap nhdm dieu tra gom eac can bd ciia chi cue ATVSTP ciia tinh Hai Dffdng, tien hanh tap nghiep. huan eho nhdm dieu tra, thffc hien dieu tra theo 2.2. Oja dlem va thdi gian nghien cu'u - Dia diem nghien cffu: Cac doanh nghiep ed BATT mau phieu dffdc lap san_^ .Lay mau xet nghiem theo thffdng qui va gffl mau ve thffc hien tai Labo tren dia ban phd Hai Dffdng, tinh Hal Dffdng. xet nghiem ATVSTP - Trffdng Dal hpc ky thuat y - Thdi' gian nghien cffu: 01/2013 - 10/2013 te Hal Dffdng theo cac qui chuan. 2.3. Pliffdng phap nghien cu'u 2.3.1. Thiet ke nghien cu'u: mo ta cat ngang 2.5. Xir ly so lieu: Sff dung phan mem SPSS 16,0 de xff ii va phan tich so lieu. nhffng phd dang tinh trang bao ddng ve van de ATVSTP, Trong dd ATVSTP tai cae bep an tap the (BATT) cua cac doanh nghiep phuc vu eho ngffdi lao ddng rat can dffdc quan tam. Do vay chiing tdi nghien effu de ta nham mue tieu: 'Wo ta thu'c trang ve sinh an toan thdc pham tai bep an tap the d mot so doanh nghiep tren dia ban Hai Du'dng nam 2013." It. KET QUA NGHIEN CLTU VA BAN LU/^N Bang 3.1. Dien tich eae bep an tap the ciia Tieu chi Dien ticti 500 m^ Tong Nhan xet: Sd bep an cd dien tieh phdng che bien < lOOm^ chiem ti le cao nhat (50%), bep an dien tieh >200m^ ehi chiem 12%.Phan Idn dien tich phdng an ciia cac BATT tffdng ddi rdng, sd phdng an cd dien tich tren 500 m^ chiem ty le eao nhat 43%, phdng an cd dien tieh nhd hdn 200 m^ chiem ty le thap nhat 12%. Bang 3.2 cho doanh nghiep n Tv le (»/o) 20 50 15 38 12 40 100 12 18 45 17 43 40 100 thay dien tich phdng an va khu che bien ciia BATT la kha rdng d ea loai hinh doanh nghiep. Ket qua nghien cffu ciia chung tdi cung phu hdp vdi ket qua nghien cffu ciia Biii Vi The nghien cffu tai cac BATT eiia huyen Thuy Nguyen - Hai Phdng ( 2012) [2]. Bang 3.2. Tv ie BATT thu'c hien qu dinh ve hii tuc hanh chinh theo qui mo doani' nqhiep ~~ "^ ^Tieu chuan Oat Chap nhan Khong dat Tong " --——--__^ Quy mo DN n n n DN* icin (1) 20 80,0 16,0 25 4,0 DN vira va nho (2) 26,7 33,3 15 40,0 P P,,2 . THirC TRANG AN TOAN VE SINH THITC PHAM TAI BEP AN TAP THE COA MOT "SO DOANH NGHIEP - THANH PHO HAI DiraNG NAM 2013 TbM TAT Nghien ciiff thUe trang An toan ve sinh thiTc . cffu ve ve sinh an toan thu'c pham. Bp Y te. HNKH an toan ve sinh thifc pham lan thff ill. Ha Ndi. 2. Bui Vi The (2013) , Tht/c trang an toan ve smh thUc pham, cdng tac quan ly va. 4. Nguyen Thj Van (2012), thifc trang an toan ve sinh thUc pham, kien thffc, thai dp eiia ngffdi phyc vu tai nha hang an udng quan Le Chan, Hal Phong nam 2012, luan van thac sT y te