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2009 年 1 月至 2 月期间,英格兰一家餐厅用餐者中发生的一起大型食源性诺如病毒暴发事件。

A large foodborne outbreak of norovirus in diners at a restaurant in England between January and February 2009.

机构信息

Thames Valley HPU, Centre for Radiation, Chemical and Environmental Hazards, Health Protection Agency, Chilton, Didcot, UK.

出版信息

Epidemiol Infect. 2012 Sep;140(9):1695-701. doi: 10.1017/S0950268811002305. Epub 2011 Dec 1.

Abstract

An outbreak of gastroenteritis affected at least 240 persons who had eaten at a gourmet restaurant over a period of 7 weeks in 2009 in England. Epidemiological, microbiological, and environmental studies were conducted. The case-control study demonstrated increased risk of illness in those who ate from a special 'tasting menu' and in particular an oyster, passion fruit jelly and lavender dish (odds ratio 7·0, 95% confidence interval 1·1-45·2). Ten diners and six staff members had laboratory-confirmed norovirus infection. Diners were infected with multiple norovirus strains belonging to genogroups I and II, a pattern characteristic of molluscan shellfish-associated outbreaks. The ongoing risk from dining at the restaurant may have been due to persistent contamination of the oyster supply alone or in combination with further spread via infected food handlers or the restaurant environment. Delayed notification of the outbreak to public health authorities may have contributed to outbreak size and duration.

摘要

2009 年,在英格兰的一家美食餐厅用餐的至少 240 人在 7 周内爆发了肠胃炎。进行了流行病学、微生物学和环境研究。病例对照研究表明,食用特殊“品尝菜单”,特别是牡蛎、百香果果冻和薰衣草菜肴的人患病风险增加(比值比 7.0,95%置信区间 1.1-45.2)。有 10 名食客和 6 名员工的实验室检测证实感染了诺如病毒。食客感染了属于 I 组和 II 组的多种诺如病毒株,这是与贝类相关爆发的特征模式。在餐厅用餐的持续风险可能是由于牡蛎供应的持续污染,或者是由于受感染的食品处理人员或餐厅环境的进一步传播所致。向公共卫生当局报告疫情的延迟可能导致了疫情的规模和持续时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e373/3405767/a08bf9fdbf31/S0950268811002305_fig1.jpg

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