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2018 年 12 月,奥地利一家酒馆食用受污染的肝酱,疑似引发李斯特菌病暴发。

Listeriosis outbreak likely due to contaminated liver pâté consumed in a tavern, Austria, December 2018.

机构信息

Institute for Medical Microbiology and Hygiene, Austrian Agency for Health and Food Safety, Vienna/Graz, Austria.

European Public Health Microbiology Training Programme (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.

出版信息

Euro Surveill. 2019 Sep;24(39). doi: 10.2807/1560-7917.ES.2019.24.39.1900274.

Abstract

In late December 2018, an outbreak of listeriosis occurred after a group of 32 individuals celebrated in a tavern in Styria, Austria; traditional Austrian food (e.g. meat, meat products and cheese) was served. After the celebration, 11 individuals developed gastrointestinal symptoms, including one case with severe sepsis. Cases had consumed mixed platters with several meat products and pâtés originating from a local production facility (company X). Human, food and environmental samples taken from the tavern and company X were tested for Whole genome sequence-based typing detected a novel strain of serotype IVb, sequence type 4 and CT7652 in 15 samples; 12 human, two food and one environmental sample from company X with an allelic difference of 0 to 1. Active case finding identified two further cases who had not visited the tavern but tested positive for the outbreak strain. In total, 13 cases (seven females and six males; age range: 4-84 years) were identified. Liver pâté produced by company X was identified as the likely source of the outbreak. Control measures were implemented and since the end of December 2018, no more cases were detected.

摘要

2018 年 12 月下旬,奥地利施蒂里亚州的一个团体在一家酒馆庆祝时爆发了李斯特菌病疫情;当时供应了传统的奥地利食物(如肉、肉类产品和奶酪)。庆祝活动后,有 11 人出现了胃肠道症状,包括一例严重败血症。这些病例食用了来自当地生产设施(公司 X)的多种肉类产品和肉酱组成的拼盘。从酒馆和公司 X 采集的人员、食品和环境样本进行了全基因组序列为基础的分型检测,在 15 个样本中检测到了一种新型 IVb 血清型、4 型序列型和 CT7652 型;公司 X 的 12 个人类、2 个食品和 1 个环境样本的等位基因差异为 0 到 1。主动病例发现确定了另外两例未去过酒馆但检测到暴发菌株呈阳性的病例。总共有 13 例(7 名女性和 6 名男性;年龄范围:4-84 岁)被确定。公司 X 生产的肝肉酱被确定为此次疫情的可能来源。实施了控制措施,自 2018 年 12 月底以来,未再发现其他病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfe1/6774228/e975fe571a2b/1900274-f1.jpg

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