Galmés Truyols Antònia, Duran Jaume Giménez, Riutort Antonio Nicolau, Cerdá Gabriel Arbona, Isabel Catalina Bosch, Arbona Margarita Portell, Berga Joana Vanrell
Servei d'Epidemiologia, Direcció General de Salut Pública i Participació, Govern de les Illes Balears, Palma de Mallorca, Illes Balears.
Gac Sanit. 2011 Mar-Apr;25(2):173-5. doi: 10.1016/j.gaceta.2010.11.002. Epub 2011 Feb 20.
We describe investigation into an outbreak of norovirus gastroenteritis associated with oyster consumption. A survey was conducted in 346 exposed persons, 266 of whom were cases. Only 14 feces samples from patients were sent to the National Microbiology Laboratory. Oysters collected at the production site were sent to the National Food Center. The oysters met the microbiological quality standard required before sale, which did not include virus investigation. Epidemiological analysis showed an association between gastroenteritis and consumption of oysters (OR = 60.4; 95% CI: 26.2-139.3) and razor shells (OR = 3.13; 95% CI: 1.4-6.9). Microbiological analysis confirmed norovirus in affected individuals but not in the oysters that had been tested after a longer purification period than those consumed. Food with a special risk of norovirus transmission should be strictly monitored. Investigators should dispose of the necessary laboratory resources to study food-borne norovirus outbreaks.
我们描述了一起与食用牡蛎相关的诺如病毒胃肠炎暴发的调查情况。对346名暴露者进行了调查,其中266人为病例。仅将14份患者粪便样本送往国家微生物实验室。在生产现场采集的牡蛎被送往国家食品中心。这些牡蛎符合销售前所需的微生物质量标准,但不包括病毒检测。流行病学分析显示,胃肠炎与食用牡蛎(比值比=60.4;95%置信区间:26.2-139.3)和蛏子(比值比=3.13;95%置信区间:1.4-6.9)之间存在关联。微生物分析在受影响个体中确认了诺如病毒,但在经过比食用的牡蛎更长净化期后检测的牡蛎中未检测到。具有诺如病毒传播特殊风险的食品应受到严格监测。调查人员应调配必要的实验室资源来研究食源性诺如病毒暴发。