Martinelli Domenico, Fortunato Francesca, Tafuri Silvio, Cozza Vanessa, Chironna Maria, Germinario Cinzia, Pedalino Biagio, Prato Rosa
Dipartimento di Scienze Mediche e Chirurgiche, Università di Foggia, Foggia, Italy.
Ann Ist Super Sanita. 2013;49(4):391-4. doi: 10.4415/ANN_13_04_12.
Bacillus cereus, a ubiquitous bacterium, can be isolated in various starchy food items, causing both emetic and diarrhoeal disease. The real burden of B. cereus outbreaks is actually poorly known in Italy. We report a B. cereus foodborne outbreak that occurred in a pub in Bari (Italy) on January 22nd 2012 during a birthday party, promptly reported by the pub owner.
Between January 22nd and 24th 2012, we performed a retrospective cohort study among the guests of the party to identify risk factors associated with illness. Leftovers of different meals were available for microbiological analysis. Faecal specimens were collected from cases.
A total of 12 cases among the 13 customers (attack rate: 92%) were reported. All cases had consumed basmati rice and sweet and sour vegetables (aetiological fraction: 100%). B. cereus was isolated from both basmati rice served during the party and faecal specimens.
The close collaboration between the pub owner and the public health officers and the possibility to test food leftovers and stool samples contributed to prevent further cases.
蜡样芽孢杆菌是一种普遍存在的细菌，可在各种淀粉类食品中分离出来，会引发呕吐型和腹泻型疾病。在意大利，蜡样芽孢杆菌暴发的实际负担实际上鲜为人知。我们报告了一起2012年1月22日在意大利巴里一家酒吧发生的蜡样芽孢杆菌食源性暴发事件，该事件发生在一场生日派对期间，酒吧老板迅速进行了报告。
在2012年1月22日至24日期间，我们对派对宾客进行了一项回顾性队列研究，以确定与疾病相关的风险因素。不同餐食的剩余食物可供进行微生物分析。从病例中采集粪便样本。
报告了13名顾客中的12例病例（罹患率：92%）。所有病例均食用了印度香米和糖醋蔬菜（病因分值：100%）。从派对期间供应的印度香米和粪便样本中均分离出了蜡样芽孢杆菌。
酒吧老板与公共卫生官员之间的密切合作以及对食物剩余物和粪便样本进行检测的可能性有助于预防更多病例的出现。
