Outbreak of Salmonella Agona linked to cross-contamination via doner kebab and electric knives in Hesse and Baden-Wuerttemberg, Germany, January 2022 - December 2024.

IF 4.6 2区医学 Q1 INFECTIOUS DISEASES

International Journal of Infectious Diseases Pub Date : 2026-10-08 DOI:10.1016/j.ijid.2026.109172

Syamend Saeed, Petra Heinmüller, Beatrice Ladewig, Claudia Eggert-Satzinger, Arthur Peter Schiffmann, Florian Burckhardt, Linda Falgenhauer, Ahmad Fawzy, Tilman Schultze, Anika Meinen, Sandra Simon, Michael Pietsch, Marina C Lamparter, Jennie Fischer, Laura Becker, Katharina Alpers, Ivo Foppa

{"title":"Outbreak of Salmonella Agona linked to cross-contamination via doner kebab and electric knives in Hesse and Baden-Wuerttemberg, Germany, January 2022 - December 2024.","authors":"Syamend Saeed, Petra Heinmüller, Beatrice Ladewig, Claudia Eggert-Satzinger, Arthur Peter Schiffmann, Florian Burckhardt, Linda Falgenhauer, Ahmad Fawzy, Tilman Schultze, Anika Meinen, Sandra Simon, Michael Pietsch, Marina C Lamparter, Jennie Fischer, Laura Becker, Katharina Alpers, Ivo Foppa","doi":"10.1016/j.ijid.2026.109172","DOIUrl":null,"url":null,"abstract":"Objectives: Following an increase in Salmonella enterica spp. enterica (S.) serovar Agona notifications in Hesse and Baden-Wuerttemberg, Germany, 2022-2024, we investigated to identify the outbreak vehicle and source to implement control measures.Methods: Outbreak cases included laboratory-confirmed S. Agona cases defined as (1) probable (no isolate) or (2) confirmed cases (whole genome sequencing assigned outbreak strain, complex type 20182), residing in Hesse and Baden-Wuerttemberg. We analysed epidemiologic data, including food consumption histories, and compared isolates from clinical, food, and environmental samples.Results: Sixty S. Agona outbreak cases were identified (Hesse: 25 confirmed, 16 probable; Baden-Wuerttemberg: 15 confirmed, 4 probable), with 83% (40/48) of sequenced isolates closely linked genetically. The median age of cases was 21 years (range: 0-76 years) and 63% (38/60) were male. Cases were more likely to have consumed doner kebab compared to a population-based food survey (OR 6.7, CI 2.66-16.9). In three identified doner restaurants, the outbreak strain was detected in doner meat and on electric knives.Conclusion: Inadequate cleaning of knives due to improper disassembly may have contributed to sustained transmission over the three-year outbreak period. Improved hygiene measures, targeted sampling, and enhanced surveillance are essential to prevent similar foodborne outbreaks.","PeriodicalId":14006,"journal":{"name":"International Journal of Infectious Diseases","volume":" ","pages":"109172"},"PeriodicalIF":4.6000,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Infectious Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ijid.2026.109172","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: Following an increase in Salmonella enterica spp. enterica (S.) serovar Agona notifications in Hesse and Baden-Wuerttemberg, Germany, 2022-2024, we investigated to identify the outbreak vehicle and source to implement control measures.

Methods: Outbreak cases included laboratory-confirmed S. Agona cases defined as (1) probable (no isolate) or (2) confirmed cases (whole genome sequencing assigned outbreak strain, complex type 20182), residing in Hesse and Baden-Wuerttemberg. We analysed epidemiologic data, including food consumption histories, and compared isolates from clinical, food, and environmental samples.

Results: Sixty S. Agona outbreak cases were identified (Hesse: 25 confirmed, 16 probable; Baden-Wuerttemberg: 15 confirmed, 4 probable), with 83% (40/48) of sequenced isolates closely linked genetically. The median age of cases was 21 years (range: 0-76 years) and 63% (38/60) were male. Cases were more likely to have consumed doner kebab compared to a population-based food survey (OR 6.7, CI 2.66-16.9). In three identified doner restaurants, the outbreak strain was detected in doner meat and on electric knives.

Conclusion: Inadequate cleaning of knives due to improper disassembly may have contributed to sustained transmission over the three-year outbreak period. Improved hygiene measures, targeted sampling, and enhanced surveillance are essential to prevent similar foodborne outbreaks.

查看原文本刊更多论文

2022年1月至2024年12月，在德国黑森州和巴登-符腾堡州爆发了与交叉污染有关的阿戈那沙门氏菌，通过烤肉串和电动刀。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Infectious Diseases 医学-传染病学

CiteScore

18.90

自引率

2.40%

发文量

1020

审稿时长

30 days

期刊介绍： International Journal of Infectious Diseases (IJID) Publisher: International Society for Infectious Diseases Publication Frequency: Monthly Type: Peer-reviewed, Open Access Scope: Publishes original clinical and laboratory-based research. Reports clinical trials, reviews, and some case reports. Focuses on epidemiology, clinical diagnosis, treatment, and control of infectious diseases. Emphasizes diseases common in under-resourced countries.