An outbreak of foodborne norovirus gastroenteritis linked to a restaurant in Melbourne, Australia, 2014
| Autor: | Leesa D. Bruggink, Nela Subasinghe, John Marshall, Karin Lalor, Marion Easton, Kaye Sturge, Shaun P. Coutts |
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| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Restaurants Food handlers case-control study media_common.quotation_subject 030106 microbiology norovirus lcsh:Medicine medicine.disease_cause Disease Outbreaks Foodborne Diseases 03 medical and health sciences Hygiene Surveys and Questionnaires Environmental health Humans Medicine food handler Food service Non theme issue foodborne Retrospective Studies media_common outbreak business.industry Transmission (medicine) lcsh:Public aspects of medicine lcsh:R Australia Outbreak lcsh:RA1-1270 General Medicine Case-Control Studies Norovirus business gastroenteritis Exposure data Outbreak Investigation Report Infectious agent |
| Zdroj: | Western Pacific Surveillance and Response, Vol 8, Iss 2, Pp 12-16 (2017) Western Pacific Surveillance and Response Journal : WPSAR |
| ISSN: | 2094-7313 2094-7321 |
| DOI: | 10.5365/wpsar.2017.8.1.008 |
| Popis: | Introduction: In May 2014 an outbreak of norovirus occurred among patrons of a restaurant in Melbourne, Australia. Investigations were conducted to identify the infectious agent, mode of transmission and source of illness, and to implement controls to prevent further transmission. Methods: A retrospective case-control study was conducted to test the hypothesis that food served at the restaurant between 9 and 15 May 2014 was the vehicle for infection. A structured questionnaire was used to collect demographic, illness and food exposure data from study participants. To ascertain whether any food handlers had experienced gastroenteritis symptoms and were a possible source of infection, investigators contacted and interviewed staff who had worked at the restaurant between 9 and 16 May 2014. Results: Forty-six cases (including 16 laboratory-confirmed cases of norovirus) and 49 controls were interviewed and enrolled in the study. Results of the analysis revealed a statistically significant association with illness and consumption of grain salad (OR: 21.6, 95% CI: 1.8–252.7, p = 0.015) and beetroot dip (OR: 22.4, 95% CI: 1.9–267.0, p = 0.014). An interviewed staff member who reported an onset of acute gastrointestinal illness on 12 May 2014 had prepared salads on the day of onset and the previous two days. Discussion: The outbreak was likely caused by person-to-food-to-person transmission. The outbreak emphasizes the importance of the exclusion of symptomatic food handlers and strict hand hygiene practices in the food service industry to prevent contamination of ready-to-eat foods and the kitchen environment. |
| Databáze: | OpenAIRE |
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