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空肠弯曲菌肠炎与生山羊奶有关。

Campylobacter jejuni enteritis associated with raw goat's milk.

作者信息

Harris N V, Kimball T J, Bennett P, Johnson Y, Wakely D, Nolan C M

出版信息

Am J Epidemiol. 1987 Aug;126(2):179-86. doi: 10.1093/aje/126.2.179.

Abstract

During a three-week period in July 1983, six cases of Campylobacter jejuni enteritis in King County, Washington were associated with a dairy that produced raw goat's milk. Four patients consumed the dairy's milk, and the other two patients comprised an employee of the dairy and her infant son. Two case-control studies confirmed that, at the time the cases occurred, consumption of the dairy's milk was a risk factor for C. jejuni enteritis in King County. C. jejuni was isolated from the intestinal tract of three of the dairy's goats. Two of the three isolates, as well as those from five of the patients (all of those tested), were Lior serotype 36. That serotype was not encountered among 14 other C. jejuni isolates from King County during the period of the outbreak, including three isolates from goats at another inspected dairy. The study shows that raw goat's milk may transmit C. jejuni infection from animals to humans, as other investigators have shown for unpasteurized cow's milk.

摘要

1983年7月的三周时间里,华盛顿州金县的6例空肠弯曲菌肠炎病例与一家生产生山羊奶的乳品厂有关。4名患者饮用了该厂的牛奶,另外两名患者是该厂的一名员工及其年幼的儿子。两项病例对照研究证实,在病例发生时,饮用该厂的牛奶是金县空肠弯曲菌肠炎的一个危险因素。从该厂的3只山羊的肠道中分离出了空肠弯曲菌。这3株分离菌中的2株,以及5名患者(所有接受检测的患者)的分离菌,均为Lior血清型36。在疫情期间,从金县的其他14株空肠弯曲菌分离物中未发现该血清型,包括从另一家接受检查的乳品厂的山羊中分离出的3株。该研究表明,生山羊奶可能会将空肠弯曲菌感染从动物传播给人类,正如其他研究人员对未经过巴氏消毒的牛奶所表明的那样。

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