Kapperud G
Department of Bacteriology, National Institute of Public Health, Oslo, Norway.
Int J Food Microbiol. 1991 Jan;12(1):53-65. doi: 10.1016/0168-1605(91)90047-s.
Yersinia enterocolitica and Yersinia enterocolitica-like bacteria constitute a fairly heterogenous group of bacteria which includes both well-established pathogens and a range of environmental strains which are ubiquitous in terrestrial and freshwater ecosystems. Pathogenic significance in man is mainly associated with a few serogroups (O:3, O:9, O:8, O:5,27). The pathogenic serogroups show different geographical distributions. The development of isolation procedures which clearly differentiate pathogenic from non-pathogenic variants has been difficult. Of special significance in food hygiene is the ability of Y. enterocolitica to grow in refrigerated foods. There is strong indirect evidence that pigs and food products of porcine origin are the major sources for human infection with Y. enterocolitica serogroups O:3 and O:9, the dominant human pathogens in most parts of the world. The reservoir(s) for serogroup O:8, which prevails in the U.S.A., is uncertain. The pig is the only animal consumed by man which regularly harbours pathogenic Y. enterocolitica. Improved isolation methods and DNA colony hybridization using genetic probes has indicated that the prevalence of pathogenic Y. enterocolitica in pork products is substantially higher than previously suggested. Prevention and control measures should focus on information of people involved in food processing and preparation and on the improvement of hygiene during slaughtering of swine. Important critical control points at the stage of slaughter are: (i) circumanal incision and removal of intestines, (ii) excision of the tongue, pharynx, and particularly the tonsils, (iii) post-mortem meat inspection procedures which involve incision of the mandibular lymph nodes, and (iv) deboning of head meat.
小肠结肠炎耶尔森氏菌及类小肠结肠炎耶尔森氏菌构成了一组相当异质的细菌,其中既包括已明确的病原体,也包括一系列在陆地和淡水生态系统中普遍存在的环境菌株。对人类的致病意义主要与少数血清群(O:3、O:9、O:8、O:5,27)相关。致病血清群呈现出不同的地理分布。开发能清晰区分致病变体与非致病变体的分离程序一直很困难。小肠结肠炎耶尔森氏菌在冷藏食品中生长的能力在食品卫生方面具有特殊意义。有强有力的间接证据表明,猪及猪源食品是人类感染小肠结肠炎耶尔森氏菌血清群O:3和O:9(世界大部分地区主要的人类病原体)的主要来源。在美国占主导的血清群O:8的储存宿主尚不确定。猪是人类食用的唯一经常携带致病性小肠结肠炎耶尔森氏菌的动物。改进的分离方法以及使用基因探针的DNA菌落杂交表明,猪肉产品中致病性小肠结肠炎耶尔森氏菌的流行率大大高于先前的推测。预防和控制措施应侧重于对食品加工和制备相关人员进行宣传,并在猪屠宰过程中改善卫生状况。屠宰阶段的重要关键控制点包括:(i)肛门周围切开并取出肠道,(ii)切除舌头、咽部,特别是扁桃体,(iii)涉及切开下颌淋巴结的宰后肉品检验程序,以及(iv)头部肉品去骨。