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2017 - 2020年法国及海外省隐孢子虫病暴发情况总结

A summary of cryptosporidiosis outbreaks reported in France and overseas departments, 2017-2020.

作者信息

Costa Damien, Razakandrainibe Romy, Basmaciyan Louise, Raibaut Jérôme, Delaunay Pascal, Morio Florent, Gargala Gilles, Villier Venceslas, Mouhajir Abdelmounaim, Levy Bernard, Rieder Catherine, Larreche Sébastien, Lesthelle Sophie, Coron Noémie, Menu Estelle, Demar Magalie, de Santi Vincent Pommier, Blanc Véronique, Valot Stéphane, Dalle Frédéric, Favennec Loic

机构信息

Department of Parasitology/Mycology, University Hospital of Rouen, 76000 Rouen, France.

EA ESCAPE 7510, University of Medicine Pharmacy Rouen, 76000 Rouen, France.

出版信息

Food Waterborne Parasitol. 2022 Apr 29;27:e00160. doi: 10.1016/j.fawpar.2022.e00160. eCollection 2022 Jun.

DOI:10.1016/j.fawpar.2022.e00160
PMID:35586547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9108463/
Abstract

is a known foodborne pathogen, ranked fifth out of 24 among foodborne parasites in terms of importance and a cause of many cryptosporidiosis outbreaks worldwide. In France, very few outbreaks were reported before 2017, and data recently obtained by the Expert Laboratory of the Cryptosporidiosis National Reference Center (CNR-LE-Cryptosporidiosis) have shown that outbreaks are in fact common and frequently underreported. In this work, we aim to report the characteristics of outbreaks detected in France during the period 2017-2020 and present a summary of investigations carried out by the CNR-LE-Cryptosporidiosis. During the study period, there were eleven cryptosporidiosis outbreaks, including three with no identified origin. Among the eight identified outbreaks: six were due to water contamination (five tap water and one recreational water), one was due to direct contact with infected calves, and one was due to consumption of contaminated curd cheese. Among these outbreaks, five of them exceeded one hundred cases. Recent results obtained by the CNR-LE-Cryptosporidiosis revealed the multiannual occurrence of outbreaks in France. Waterborne outbreaks were more frequently detected, while foodborne outbreaks which are more difficult to detect were likely underreported.

摘要

是一种已知的食源性病原体,在24种食源寄生虫中按重要性排名第五,是全球许多隐孢子虫病暴发的病因。在法国,2017年之前报告的暴发事件很少,而隐孢子虫病国家参考中心专家实验室(CNR-LE-隐孢子虫病)最近获得的数据表明,暴发事件实际上很常见,而且经常报告不足。在这项工作中,我们旨在报告2017年至2020年期间在法国检测到的暴发事件的特征,并总结CNR-LE-隐孢子虫病开展的调查情况。在研究期间,发生了11起隐孢子虫病暴发事件,其中3起来源不明。在8起已查明的暴发事件中:6起是由于水污染(5起自来水污染和1起娱乐用水污染),1起是由于直接接触受感染的小牛,1起是由于食用了受污染的凝乳奶酪。在这些暴发事件中,有5起超过了100例。CNR-LE-隐孢子虫病最近获得的结果显示,法国暴发事件多年来一直存在。水源性暴发事件更容易被检测到,而更难检测的食源性暴发事件可能报告不足。