Raw milk consumption among patients with non-outbreak-related enteric infections, Minnesota, USA, 2001-2010.
Raw milk consumption among patients with non-outbreak-related enteric infections, Minnesota, USA, 2001-2010.
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DOI：
10.3201/eid2001.120920
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发表时间：
2014-01
影响因子：
11.8
通讯作者：
Smith KE
中科院分区：
文献类型：
--
作者：
Robinson TJ;Scheftel JM;Smith KE
与食用生奶相关的疾病风险比之前意识到的要大得多。生奶经常被确定为食源性疾病暴发的源头；然而，作为记录的暴发的一部分而确定的疾病数量可能只占与该食品有关的实际疾病数量的一小部分。对2001-2010年明尼苏达州可报告的肠道病原体引起的疾病的常规监测数据分析显示，3.7%的零星家庭获得性肠道感染患者报告在接触期间食用过生奶。儿童受到的影响不成比例，其中76%的5岁儿童从自己或亲戚的农场获得生奶。报告了严重的疾病，包括报告食用生奶的21%的大肠杆菌O157感染患者中的溶血性尿毒症综合征，并报告了1例死亡。生奶消费者、潜在消费者和可能考虑放松对生奶销售的监管的政策制定者应该就与生奶消费相关的疾病进行教育。
The risk for illness associated with raw milk consumption is far greater than previously realized. Raw milk has frequently been identified as the source of foodborne illness outbreaks; however, the number of illnesses ascertained as part of documented outbreaks likely represents a small proportion of the actual number of illnesses associated with this food product. Analysis of routine surveillance data involving illnesses caused by enteric pathogens that were reportable in Minnesota during 2001–2010 revealed that 3.7% of patients with sporadic, domestically acquired enteric infections had reported raw milk consumption during their exposure period. Children were disproportionately affected, and 76% of those <5 years of age were served raw milk from their own or a relative’s farm. Severe illness was noted, including hemolytic uremic syndrome among 21% of Escherichia coli O157–infected patients reporting raw milk consumption, and 1 death was reported. Raw milk consumers, potential consumers, and policy makers who might consider relaxing regulations regarding raw milk sales should be educated regarding illnesses associated with raw milk consumption.
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