An Epidemic Outbreak of Salmonella Typhimurium in a Romany Ethnic Community - A Clinical-Epidemiological Survey

Autor: Liliya Pekova
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Acta clinica Croatica
Volume 47
Issue 1
ISSN: 1333-9451
0353-9466
Popis: Opisuje se epidemija koja je izbila u listopadu 2005. godine u romskoj zajednici, a bila je povezana s uzimanjem kosanog mesa podrijetlom s manjeg gospodarstva bez sanitarnog nadzora. Salmonella (S.) typhimurium je potvrđena kao etiološki uzročnik epidemije. Cilj studije bio je ispitati kliničke i epidemiološke nalaze kod ove epidemije. Ispitana je skupina od 40 Roma u dobi od 2 do 77 godina, 15 muških i 25 ženskih osoba. Provedene su kliničke, laboratorijske, mikrobiološke i epidemiološke pretrage. Klinički manifestna malaksalost, groznica i proljev zabilježeni su u 22 (55%) bolesnika. Šestoro bolesnika je imalo blagi oblik, devetoro umjeren oblik, a sedmoro težak oblik salmoneloze, dok je 18 (45%) bilo asimptomatično. Većina bolesnika je imala tipične kliničke manifestacije, pri čem je prevladavao umjeren i teži oblik zaraze. Uzimanje namirnica bez sanitarnog nadzora nije neuobičajeno u romskoj zajednici zbog loših uvjeta života i niske razine zdravstvenog obrazovanja.
An epidemic outbreak in October 2005 in a Romany community associated with consumption of minced meat, produced and sold by a private manufacturer without any sanitary surveillance is reported. Salmonella typhimurium was confirmed as an etiologic agent. The aim was to study the clinical and epidemiological findings in this outbreak. The study group included 40 Romanies, 15 male and 25 female, aged 2 to 77 years. Clinical, laboratory, microbiological and epidemiological investigations were performed. Twenty two (55%) patients had clinical manifestations such as prostration, fever and diarrhea. A mild clinical form was observed in 6, moderate form in 9 and severe form in 7 patients. Eighteen (45%) patients were asymptomatic. Most patients had typical clinical presentation, whereby moderate and severe forms prevailed. Using foodstuffs beyond sanitary control is quite possible in a Romany community because of poor living conditions and low health education.
Databáze: OpenAIRE
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