Israel Center for Disease Control, Ministry of Health, Tel Hashomer, Israel.
Epidemiol Infect. 2012 Aug;140(8):1446-53. doi: 10.1017/S095026881100197X. Epub 2011 Nov 1.
The aim of the present study was to assess the recent trends in the epidemiology of non-typhoid Salmonella in Israel using a sentinel laboratory-based surveillance network. Between 1999 and 2009, 8758 Salmonella stool isolates were reported by five sentinel laboratories. There was a significant decrease in the incidence rate of Salmonella isolates from 70·5/100,000 in 1999 to 21·6/100,000 in 2005 followed by a slight increase to 30·3/100,000 in 2009. Of all Salmonella, 64·3% were isolated from children in the 0-4 years age group. Up to 2008, S. Enteritidis was the most prevalent serotype and in 2009 S. Infantis emerged as the most common Salmonella serotype. The decrease in the incidence of S. Enteritidis and S. Typhimurium and increase in S. Infantis among humans were associated with a similar trend among breeding flocks, which followed significant preventive interventions conducted against S. Enteritidis and S. Typhimurium infections in poultry. Tight surveillance and education of food handlers and consumers should be enhanced to reduce the foodborne transmission of Salmonella in Israel.
本研究旨在利用基于监测哨点的实验室监测网络，评估以色列非伤寒沙门氏菌流行病学的近期趋势。1999 年至 2009 年间，5 家监测哨点实验室报告了 8758 株沙门氏菌粪便分离株。沙门氏菌分离株的发病率从 1999 年的 70.5/100000 显著下降至 2005 年的 21.6/100000，随后在 2009 年略有上升至 30.3/100000。在所有沙门氏菌中，64.3%分离自 0-4 岁儿童。直至 2008 年，肠炎沙门氏菌一直是最常见的血清型，而 2009 年婴儿沙门氏菌则成为最常见的沙门氏菌血清型。人类中肠炎沙门氏菌和伤寒沙门氏菌发病率的下降以及婴儿沙门氏菌发病率的上升，与家禽中肠炎沙门氏菌和伤寒沙门氏菌感染的防控措施实施后，种禽中出现的相似趋势有关。应加强对食品处理者和消费者的严格监测和教育，以减少以色列食源性沙门氏菌的传播。
