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与饮用未巴氏杀菌牛奶相关的弯曲杆菌肠炎

Campylobacter enteritis associated with consumption of unpasteurised milk.

作者信息

Robinson D A, Edgar W J, Gibson G L, Matchett A A, Robertson L

出版信息

Br Med J. 1979 May 5;1(6172):1171-3. doi: 10.1136/bmj.1.6172.1171.

DOI:10.1136/bmj.1.6172.1171
PMID:444995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1599323/
Abstract

In October and November 1978 two outbreaks of enteritis occurred in the north of England. Symptoms lasted two to over eight days but in no case necessitated admission to hospital. Faecal specimens from most of the patients were found to contain thermophilic Campylobacter sp. Inquiry disclosed that all patients had consumed unpasteurised milk from local farms. Examination of rectal swabs from the cattle concerned and milk socks yielded strains of Campylobacter sp indistinguishable from those isolated from the patients. It was therefore concluded that, since campylobacters are not known to be excreted in milk, faecal contamination of the milk had probably occurred and had led to these outbreaks. Evidence suggests that thermophilic Campylobacter sp is an occasional contaminant of milk. So long as unpasteurised milk continues to be distributed further outbreaks will probably occur.

摘要

1978年10月和11月,英格兰北部发生了两起肠炎疫情。症状持续两到八天以上,但无一例需要住院治疗。发现大多数患者的粪便样本中含有嗜热弯曲杆菌属。调查发现,所有患者都饮用了当地农场未经巴氏杀菌的牛奶。对相关牛的直肠拭子和奶样进行检测,得到的弯曲杆菌属菌株与从患者身上分离出的菌株无法区分。因此得出结论,由于弯曲杆菌不会通过牛奶排出,牛奶很可能受到粪便污染并导致了这些疫情的发生。有证据表明,嗜热弯曲杆菌属是牛奶的偶发污染物。只要继续分发未经巴氏杀菌的牛奶,可能会再次发生疫情。