Epidemiology and Clinical Features of Ciguatera Fish Poisoning in Hong Kong
Publication in refereed journal

香港中文大學研究人員

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摘要In the present review, the main objective was to describe the epidemiology and clinical features of ciguatera fish poisoning in Hong Kong. From 1989 to 2008, the annual incidence of ciguatera varied between 3.3 and 64.9 (median 10.2) per million people. The groupers have replaced the snappers as the most important cause of ciguatera. Pacific-ciguatoxins (CTX) are most commonly present in reef fish samples implicated in ciguatera outbreaks. In affected subjects, the gastrointestinal symptoms often subside within days, whereas the neurological symptoms can persist for weeks or even months. Bradycardia and hypotension, which can be life-threatening, are common. Treatment of ciguatera is primarily supportive and symptomatic. Intravenous mannitol (1 g/kg) has also been suggested. To prevent ciguatera outbreaks, the public should be educated to avoid eating large coral reef fishes, especially the CTX-rich parts. A Code of Practice on Import and Sale of Live Marine Fish for Human Consumption for Prevention and Control of Ciguatera Fish Poisoning was introduced from 2004 to 2013. The Food Safety Ordinance with a tracing mechanism came into full effect in February 2012. The Government would be able to trace the sources of the fishes more effectively and take prompt action when dealing with ciguatera incidents.
著者Chan TYK
期刊名稱Toxins
出版年份2014
月份10
日期1
卷號6
期次10
出版社MDPI
頁次2989 - 2997
國際標準期刊號2072-6651
語言英式英語
關鍵詞ciguatera; ciguatoxins; groupers; Hong Kong
Web of Science 學科類別Toxicology

上次更新時間 2021-02-05 於 01:14