Wardak S, Szych J, Sadkowska-Todys M
Department of Bacteriology, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Euro Surveill. 2008 Feb 28;13(9):8052.
A family outbreak of gastroenteritis caused by Campylobacter coli occurred in May 2006 in Bielsko-Biala, in the south of Poland. Four members of a family had non-bloody diarrhea and abdominal cramps. C. coli were isolated in three of the four patients. PFGE and PCR-RFLP-flaA patterns confirmed the link between cases, showing the usefulness of these methods in outbreak investigation. At the same time, the epidemiological and environmental investigations of this outbreak were very limited and did not provide enough evidence to identify the source of infection, and thus to support the hypothesis formulated by the local epidemiologist. It is necessary to improve surveillance of campylobacteriosis mainly by multidisciplinary training of epidemiologists, microbiologists and general practitioners.
2006年5月，波兰南部别尔斯科-比亚瓦发生了一起由大肠弯曲菌引起的家庭性肠胃炎暴发。一个家庭的四名成员出现了非血性腹泻和腹部绞痛。四名患者中有三名分离出了大肠弯曲菌。脉冲场凝胶电泳（PFGE）和聚合酶链反应-限制性片段长度多态性-flaA分型（PCR-RFLP-flaA）证实了病例之间的关联，表明这些方法在暴发调查中很有用。与此同时，此次暴发的流行病学和环境调查非常有限，没有提供足够的证据来确定感染源，因此无法支持当地流行病学家提出的假设。有必要主要通过对流行病学家、微生物学家和全科医生进行多学科培训来加强弯曲菌病监测。
