Severe Outbreak of Sorbitol-Fermenting Escherichia coli O157 via Unpasteurized Milk and Farm Visits, Finland 2012
Autor: | Saara Salmenlinna, Anniina Jaakkonen, H. Lundström, Saija Hallanvuo, Marjaana Hakkinen, Ruska Rimhanen-Finne, S. Heinikainen |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Epidemiology 030106 microbiology sorbitol-fermenting Pasteurization Cattle Diseases Biology medicine.disease_cause Escherichia coli O157 Microbiology law.invention Disease Outbreaks 03 medical and health sciences fluids and secretions law Shiga toxin-producing Escherichia coli Environmental health Zoonoses medicine Environmental Microbiology Animals Humans Foodborne transmission O157 Escherichia coli Escherichia coli Infections Finland Disease Reservoirs milk General Veterinary General Immunology and Microbiology outbreak Transmission (medicine) Public Health Environmental and Occupational Health Outbreak Environmental Exposure 030104 developmental biology Infectious Diseases cattle Fermentation Food Microbiology |
Popis: | Summary Shiga toxin-producing, sorbitol-fermenting Escherichia coli O157 (SF O157) has emerged as a cause of severe human illness. Despite frequent human findings, its transmission routes and reservoirs remain largely unknown. Foodborne transmission and reservoir in cattle have been suspected, but with limited supporting evidence. This study describes the outbreak of SF O157 that occurred in Finland in 2012. The outbreak originated from a recreational farm selling unpasteurized milk, as revealed by epidemiologic and microbiological investigations, and involved six hospitalized children and two asymptomatic adults with culture-confirmed infection. An identical strain of SF O157 was isolated from patients, cattle and the farm environment, and epidemiologic analysis suggested unpasteurized milk as the vehicle of transmission. This study reports the first milkborne outbreak of SF O157, provides supporting evidence of cattle as a reservoir and highlights the health risks related to the consumption of unpasteurized milk. |
Databáze: | OpenAIRE |
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