Investigation of an excess of Salmonella enteritidis phage type 14b and MLVA type 4-7-3-13-10-2-2 in Luxembourg, Belgium and Germany during 2010.

J Mossong, C Ragimbeau, J Schuh, P Weicherding, R Peetso, C Wildemauwe, H Imberechts, W Rabsch, S Bertrand
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Abstract

We investigated an increase of human cases of Salmonella Enteritidis occurring from August until November 2010 in Belgium, Luxembourg and Germany involving an estimated three hundred laboratory confirmed cases. Molecular typing indicated that the increase in Luxembourg and Belgium was due a particular strain having phage type 14b, MLVA pattern 4-7-3-13-10-2-2 and fully susceptible to the Enternet panel of antibiotics. MLVA and phage typing were found to have similar discriminatory power on a collection of 40 Belgian and Luxembourg strains isolated during 2010. Epidemiological investigations in Luxembourg suggested eggs as a possible source for some cases, although supermarket eggs tested were negative. No other EU countries observed a substantial increase of cases, although three smaller outbreaks in Germany were also due to a strain with the same phage type and MLVA pattern. In 2010 the EU directive banning battery cages came into force in Germany followed by a dioxin food scare incident. Given that the EU Laying Hens Directive will come into force across all Member States in 2012, a closer monitoring of Salmonella contamination of imported eggs at retail and wholesale level is recommended.

2010年卢森堡、比利时和德国肠炎沙门氏菌噬菌体14b型和MLVA型过量调查
我们调查了2010年8月至11月在比利时、卢森堡和德国发生的肠炎沙门氏菌人间病例增加,涉及约300例实验室确诊病例。分子分型表明,卢森堡和比利时的增加是由于一种特殊的菌株,其噬菌体类型为14b, MLVA模式为4-7-3-13-10-2-2,对抗生素的Enternet面板完全敏感。在2010年分离的40株比利时和卢森堡菌株中发现MLVA和噬菌体分型具有相似的歧视力。卢森堡的流行病学调查表明,鸡蛋可能是一些病例的来源,尽管超市鸡蛋检测呈阴性。其他欧盟国家没有观察到病例大幅增加,尽管德国发生的三次较小的疫情也是由具有相同噬菌体类型和MLVA模式的菌株引起的。2010年,欧盟禁止电池笼的指令在德国生效,随后发生了二恶英食品恐慌事件。鉴于欧盟蛋鸡指令将于2012年在所有成员国生效,建议在零售和批发层面对进口鸡蛋的沙门氏菌污染进行更密切的监测。
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