Sharp J C
Bull World Health Organ. 1987;65(3):397-406.
Outbreaks of infection associated with milk and other dairy products in Europe and North America from 1980 to 1985 are reviewed. Salmonella spp. and Campylobacter spp. were the most commonly identified etiological agents, while other infections of animal origin, in particular listeriosis and yersiniosis, were increasingly reported. Most infections were attributed to untreated cows' milk or cheese, but also increasingly to contaminated "heat-treated" products. Heat-treatment is highly effective in controlling foodborne disease, but may be insufficient if not complemented by high standards of hygiene throughout production and processing. Large community outbreaks of salmonellosis, listeriosis, and yersiniosis in Canada, Sweden, the United Kingdom, and the USA that were associated with contaminated "heat-treated" liquid milk, powdered milk, or cheese emphasize the vulnerability of dairy produce.
本文回顾了1980年至1985年期间欧洲和北美的牛奶及其他乳制品相关感染暴发情况。沙门氏菌属和弯曲杆菌属是最常鉴定出的病原体,而其他动物源性感染,尤其是李斯特菌病和耶尔森菌病的报告也越来越多。大多数感染归因于未经处理的牛奶或奶酪,但越来越多的情况是归因于受污染的“热处理”产品。热处理在控制食源性疾病方面非常有效,但如果在整个生产和加工过程中没有高标准的卫生条件作为补充,可能就不够充分。加拿大、瑞典、英国和美国发生的与受污染的“热处理”液态奶、奶粉或奶酪相关的沙门氏菌病、李斯特菌病和耶尔森菌病大规模社区暴发,凸显了乳制品的脆弱性。