Skip to main content Accessibility help
×
Home

Severe infections caused by Salmonella Enteritidis PT8/7 linked to a private barbecue

  • E. MERTENS (a1) (a2) (a3), H. KREHER (a4), W. RABSCH (a5), B. BORNHOFEN (a1), K. ALPERS (a2) and F. BURCKHARDT (a1)...

Summary

A cohort study on a barbecue-associated Salmonella outbreak was conducted to describe the burden of disease and to identify the outbreak vehicle. Dose–response relationships were tested with Fisher's exact and Wilcoxon rank sum tests (alpha = 0·05). S. Enteritidis isolates were cultured and phage-typed. Information was available for 11 out of 14 individuals attending the barbecue; all were healthy young adults (median age 27 years). The attack rate was 100%. Three cases were hospitalized and two developed acute pancreatitis. The exposure common to all cases was a vegetable pasta salad that had been stored unrefrigerated for 23 h. Consuming higher doses was associated with longer median symptom duration (7 days vs. 4 days, P = 0·11). S. Enteritidis was found in the stools of nine barbecue guests. Phage type 8/7 was identified in the stools of the salad preparer and one barbecue guest. This outbreak shows that S. Enteritidis can cause serious infection in young healthy individuals without well-known risk factors.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Severe infections caused by Salmonella Enteritidis PT8/7 linked to a private barbecue
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Severe infections caused by Salmonella Enteritidis PT8/7 linked to a private barbecue
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Severe infections caused by Salmonella Enteritidis PT8/7 linked to a private barbecue
      Available formats
      ×

Copyright

Corresponding author

*Authors for correspondence: Dr E. Mertens, Department for Infectious Disease Epidemiology, Federal State Public Health Services Rhineland-Palatinate (Landesuntersuchungsamt Rheinland-Pfalz Institut für Hygiene und Infektionsschutz in Landau), Bodelschwinghstraße 19, 76829 Landau, Germany. (Email: contact@elke-mertens.eu/) [E.M.] (Email: florian.burckhardt@lua.rlp.de) [F.B.]

References

Hide All
1.Robert Koch-Institut. Annual report of notifiable infectious diseases, Germany 2009. Berlin, 2010.
2.Angulo, FJ, Swerdlow, DL. Epidemiology of human Salmonella enterica serovar Enteritidis infections in the United States. In: Saeed, AM, ed. Salmonella enterica serovar Enteritidis in humans and animals: epidemiology, pathogenesis, and control. Iowa: Iowa State Univerity Press, 1999.
3.Rabsch, W, et al. Salmonella in poultry flocks and humans – S. enterica subspecies enterica serovar Enteritidis in the past. Berliner und Münchner Tierärztliche Wochenschrift 2007; 120: 328333.
4.Pang, JC, et al. The presence of major world-wide clones for phage type 4 and 8 Salmonella enterica serovar Enteritidis and the evaluation of their virulence levels by invasiveness assays in vitro and in vivo. FEMS Microbiology Letters 2006; 263: 148154.
5.Lu, S, et al. Analysis of virulence of clinical isolates of Salmonella enteritidis in vivo and in vitro. Infection and Immunity 1999; 67: 56515657.
6.Bundesinstitut für Risikobewertung (BFR). Annual report of zoonotic agents, Germany 2008. Berlin: Bundesinstitut für Risikobewertung, 2010.
7.Heymann, DL. Control of Communicable Diseases Manual, 19th edn.Washington, DC: APHA Press, 2008.
8.Hawker, J, et al. Communicable Disease Control Handbook, 2 edn.Oxford: Blackwell Publishing, 2005.
9.Kirkwood, BR, Sterne, JAC. Medical Statistics. Malden, Oxford, Carlton: Blackwell Science Ltd, 2008.
10.Ward, LR, de Sa, JD, Rowe, B. A phage-typing scheme for Salmonella enteritidis. Epidemiology and Infection 1987; 99: 291294.
11.Laszlo, VG, Csorian, ES, Paszti, J. Phage types and epidemiological significance of Salmonella enteritidis strains in Hungary between 1976 and 1983. Acta Microbiologica et Immunologica Hungarica 1985; 32: 321340.
12.Godoy, P, et al. A Food poisoning outbreak due to the consumption of spaghetti a la carbonara. Enfermedades Infecciosas y Microbiología Clínica 2000; 18: 257261.
13.Dodhia, H, Kearney, J, Warburton, F. A birthday party, home-made ice cream, and an outbreak of Salmonella enteritidis phage type 6 infection. Communicable Disease and Public Health 1998; 1: 3134.
14.Sarna, et al. An outbreak of Salmonella typhimurium PTI35 gastroenteritis associated with a minimally cooked dessert containing raw eggs. Communicable Diseases Intelligence 2002; 26: 3237.
15.Lee, VJ, Ong, AES, Auw, M. An outbreak of Salmonella gastrointestinal illness in a military camp. Annals Academy of Medicine Singapore 2009; 38: 207211.
16.Schmid, D, et al. Salmonella Enteritidis phage type 21 outbreak in Austria, 2005. Eurosurveillance 2006; 11: 67–9.
17.Robert Koch-Institut. A nosocomial outbreak of S. Enteritidis in Fulda [in German]. Epidemiologisches Bulletin 2007; 48: 445447.
18.Todd, EC, et al. Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 11. Use of antiseptics and sanitizers in community settings and issues of hand hygiene compliance in health care and food industries. Journal of Food Protection 2010; 73: 23062320.
19.Frank, C, et al. Protracted outbreak of S. Enteritidis PT 21c in a large Hamburg nursing home. BMC Public Health. 2007; 7: 18.
20.Entis, P. Food Safety: Old Habits, New Perspectives. Washington, DC: ASM Press, 2007.
21.Renner, F, Nimeth, C, Demmelbauer, N. High frequency of concomitant pancreatitis in Salmonella enteritis. Lancet 1991; 337: 1611.
22.Pezzilli, R, et al. Pancreatic involvement in Salmonella infection. Journal of Pancreas 2003; 4: 200206.

Keywords

Related content

Powered by UNSILO

Severe infections caused by Salmonella Enteritidis PT8/7 linked to a private barbecue

  • E. MERTENS (a1) (a2) (a3), H. KREHER (a4), W. RABSCH (a5), B. BORNHOFEN (a1), K. ALPERS (a2) and F. BURCKHARDT (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.