与南威尔士外卖有关的大型福氏志贺氏菌爆发:病例对照研究。

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES
Amy Plimmer, Laia Fina, Oghogho Orife, Beverley Griggs, Maria Saavedra-Campos, Donall Forde, Cerys Edwards, Louise Driscoll, Ananda Giri Shankar, Daniel Thomas
{"title":"与南威尔士外卖有关的大型福氏志贺氏菌爆发:病例对照研究。","authors":"Amy Plimmer, Laia Fina, Oghogho Orife, Beverley Griggs, Maria Saavedra-Campos, Donall Forde, Cerys Edwards, Louise Driscoll, Ananda Giri Shankar, Daniel Thomas","doi":"10.1017/S0950268824000943","DOIUrl":null,"url":null,"abstract":"<p><p>In February 2023, 52 cases of gastrointestinal illness were reported in customers of Takeaway A, South Wales. <i>Shigella flexneri</i> serotype 2a was the causative organism. An outbreak investigation was conducted to determine the extent and vehicle of the outbreak.Following descriptive summary and environmental investigations, a case-control study was completed. Participants completed a telephone questionnaire on food, travel, and environmental exposures. A multivariable logistic regression model was built, including exposures with <i>p</i>-values < 0.2 and interactions identified on stratified analysis. Staff faecal samples were screened for <i>Shigella</i> sp.Thirty-one cases and 29 controls were included in the study. Eighty-seven per cent of cases and 76% of controls ate from Takeaway A on 10 February 2023. Coleslaw was the main factor associated with illness (aOR: 200, 95% CI: 12-3220) and an interaction with cabbage was identified (aOR: 886, 95% CI: 26-30034). <i>Shigella</i> sp. were not detected in any staff samples.Coleslaw was the most likely vehicle. Though the contamination route is unknown, a food handler is the most likely source. This large outbreak differs from recent European outbreaks, which primarily have been associated with sexual transmission. Although uncommon in the UK, <i>S. flexneri</i> should be considered as a cause of foodborne outbreaks.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"153 ","pages":"e25"},"PeriodicalIF":2.5000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869068/pdf/","citationCount":"0","resultStr":"{\"title\":\"Large <i>Shigella flexneri</i> outbreak linked to a takeaway, South Wales: a case-control study.\",\"authors\":\"Amy Plimmer, Laia Fina, Oghogho Orife, Beverley Griggs, Maria Saavedra-Campos, Donall Forde, Cerys Edwards, Louise Driscoll, Ananda Giri Shankar, Daniel Thomas\",\"doi\":\"10.1017/S0950268824000943\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In February 2023, 52 cases of gastrointestinal illness were reported in customers of Takeaway A, South Wales. <i>Shigella flexneri</i> serotype 2a was the causative organism. An outbreak investigation was conducted to determine the extent and vehicle of the outbreak.Following descriptive summary and environmental investigations, a case-control study was completed. Participants completed a telephone questionnaire on food, travel, and environmental exposures. A multivariable logistic regression model was built, including exposures with <i>p</i>-values < 0.2 and interactions identified on stratified analysis. Staff faecal samples were screened for <i>Shigella</i> sp.Thirty-one cases and 29 controls were included in the study. Eighty-seven per cent of cases and 76% of controls ate from Takeaway A on 10 February 2023. Coleslaw was the main factor associated with illness (aOR: 200, 95% CI: 12-3220) and an interaction with cabbage was identified (aOR: 886, 95% CI: 26-30034). <i>Shigella</i> sp. were not detected in any staff samples.Coleslaw was the most likely vehicle. Though the contamination route is unknown, a food handler is the most likely source. This large outbreak differs from recent European outbreaks, which primarily have been associated with sexual transmission. Although uncommon in the UK, <i>S. flexneri</i> should be considered as a cause of foodborne outbreaks.</p>\",\"PeriodicalId\":11721,\"journal\":{\"name\":\"Epidemiology and Infection\",\"volume\":\"153 \",\"pages\":\"e25\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-02-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869068/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Epidemiology and Infection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/S0950268824000943\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiology and Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0950268824000943","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

摘要

2023年2月,南威尔士外卖A的顾客中报告了52例胃肠道疾病。致病菌为福氏志贺氏菌血清型2a。开展了疫情调查,以确定疫情的范围和传播媒介。在描述性总结和环境调查之后,完成了一项病例对照研究。参与者完成了一份关于食物、旅行和环境暴露的电话问卷。建立了一个多变量logistic回归模型,包括p值< 0.2的暴露和通过分层分析确定的相互作用。对工作人员粪便样本进行志贺氏菌检测,纳入31例病例和29例对照。2023年2月10日,87%的病例和76%的对照者食用外卖A。卷心菜是与疾病相关的主要因素(aOR: 200, 95% CI: 12-3220),确定了与卷心菜的相互作用(aOR: 886, 95% CI: 26-30034)。工作人员样本未检出志贺氏菌。卷心菜是最有可能的载体。虽然污染途径尚不清楚,但食品处理人员是最有可能的污染源。这次大规模暴发不同于欧洲最近的暴发,后者主要与性传播有关。虽然在英国不常见,弗氏杆菌应该被认为是食源性暴发的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Large Shigella flexneri outbreak linked to a takeaway, South Wales: a case-control study.

In February 2023, 52 cases of gastrointestinal illness were reported in customers of Takeaway A, South Wales. Shigella flexneri serotype 2a was the causative organism. An outbreak investigation was conducted to determine the extent and vehicle of the outbreak.Following descriptive summary and environmental investigations, a case-control study was completed. Participants completed a telephone questionnaire on food, travel, and environmental exposures. A multivariable logistic regression model was built, including exposures with p-values < 0.2 and interactions identified on stratified analysis. Staff faecal samples were screened for Shigella sp.Thirty-one cases and 29 controls were included in the study. Eighty-seven per cent of cases and 76% of controls ate from Takeaway A on 10 February 2023. Coleslaw was the main factor associated with illness (aOR: 200, 95% CI: 12-3220) and an interaction with cabbage was identified (aOR: 886, 95% CI: 26-30034). Shigella sp. were not detected in any staff samples.Coleslaw was the most likely vehicle. Though the contamination route is unknown, a food handler is the most likely source. This large outbreak differs from recent European outbreaks, which primarily have been associated with sexual transmission. Although uncommon in the UK, S. flexneri should be considered as a cause of foodborne outbreaks.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信